The impact of a patient web communication intervention on reaching treatment suggested guidelines for chronic diseases: A randomized controlled trial |
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| Affiliation: | 1. Department of Medicine, University of Ilorin, Ilorin, Nigeria;2. Department of Medicine, University of Ibadan, Ibadan, Nigeria;3. Department of Nursing, Medical University of South Carolina, Charleston, USA;4. Department of Health Promotion and Education, University of Ibadan, Ibadan, Nigeria;5. Department of Epidemiology and Medical Statistics, University of Ibadan, Ibadan, Nigeria;6. Department of Public Health Sciences, Medical University of South Carolina, Charleston, USA;7. Department of Neurology, Medical University of South Carolina, Charleston, USA;1. Department of Family Medicine & Community Health, Case Western Reserve University, Cleveland, OH, USA;2. Department of Epidemiology and Biostatistics, Case Western Reserve University, Cleveland, OH, USA;3. Case Comprehensive Cancer Center, Cleveland, OH, USA;4. Prevention Research Center for Healthy Neighborhoods, Case Western Reserve University, Cleveland, OH, USA;5. Division of Medicine, MetroHealth Medical Center, Cleveland, OH, USA;6. Department of Medicine, Case Western Reserve University, Cleveland, OH, USA;1. Department of Psychology, University of Calgary, 2500 University Drive N.W., Calgary, AB, Canada;2. Department of Psychology, University of Quebec at Montreal (UQAM), CP 8888, Succursale Centre-Ville, Montreal, QC, H3C 3P8, Canada;3. Montreal Behavioral Medicine Centre (MBMC), Research Centre, Hopital du Sacre-Coeur de Montreal, 5400 Gouin Blvd West, J-3145, Montreal, QC, H2J 1C5, Canada;4. Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada;5. Department of Cardiac Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada;6. Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada |
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| Abstract: | ![]()
ObjectiveExamine the impact of a PACE (Prepare, Ask, Check, Express) inspired web-based communication intervention alone or combined with a workshop on reaching treatment goals for patients suffering from chronic diseases (CDs), compared to usual care.MethodsThree arm single-blind RCT in community primary care (PC) practices. PC practitioners (n = 18) had a CD patient caseload, and practicing >5 years. Patients >40 years old, English speaking, computer literate, not reaching treatment goals for hypertension, type II diabetes, and/or dyslipidemia.Interventions(1) web-intervention and (2) web intervention and nurse facilitated workshop and (3) usual care.OutcomeProportion of patients meeting all treatment suggested guidelines for the diagnoses they were enrolled for.ResultsPatients (n = 322) were randomized, and of these 221 returned for follow up. Patients in the web group were 1.42 times more likely to meet targets compared to usual care [95% CI: 1.00–2.00], a statistical difference not seen in the combined group. Sensitivity analyses were performed to mitigate bias due to loss to follow up.ConclusionsTraining patients in communication skills using a website positively affects reaching treatment goals for hypertensive, diabetic and dyslipidemic patients.Practice implicationsWeb communication interventions are an effective tool that can be used in primary care. |
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| Keywords: | e-Health Internet Primary care Patient activation Communication skills Chronic disease Randomized trials |
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