Chronic Illness Care Management (CICM) Study In Primary Care

This study has been completed.
Sponsor:
Information provided by:
C. T. Lamont Primary Care Research Centre
ClinicalTrials.gov Identifier:
NCT00153829
First received: September 8, 2005
Last updated: September 7, 2006
Last verified: September 2005
  Purpose

The purpose of the study is to determine whether the quality of life of patients with multiple chronic conditions cared for by primary care physicians will improve due to the introduction of a chronic illness management intervention.


Condition Intervention Phase
Chronic Illness
Quality of Life
Behavioral: Multifaceted outreach facilitation for chronic illness care
Phase 1

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Prevention

Resource links provided by NLM:


Further study details as provided by C. T. Lamont Primary Care Research Centre:

Primary Outcome Measures:
  • Difference between intervention and control groups of the average of the total SF-36 Health Survey physical and mental scores

Secondary Outcome Measures:
  • Difference between intervention and control groups of the average of the 'Healthy Days' Health Related Quality of Life-4 (HRQOL-4) scores

Estimated Enrollment: 200
Study Start Date: December 2004
Estimated Study Completion Date: February 2006
Detailed Description:

There is international recognition for the need of introducing improvement in chronic illness care. However, primary care physicians face a host of challenges for providing the best possible care to their patients. One of these problems is the lack of proper administrative systems. There is evidence indicating that tailored out reach facilitation is an effective means to improve practice performance. Traditionally, the approach to care for chronically ill patients revolved mostly around the treatment of a specific chronic condition in an ad hoc basis. It is more common in family medicine for the patient to have several chronic conditions. There is also evidence showing that better health outcomes are obtained when the patients’ life circumstances, desires and expectations are taken into consideration. Various models of chronic illness care have emerged that are patient center while attempting to be comprehensive. Our approach, following the Australian model, seeks to introduce systems/administrative innovations at the practice level, intended also to increase the involvement of patients with multiple chronic conditions on its own care, throw tailored out reach facilitation and care planning tools for physicians, in order to improve chronic illness management in primary care settings.

  Eligibility

Ages Eligible for Study:   50 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patient should suffer from any two or more chronic illnesses
  • Patient should have been seen in the GP's office at least six to seven times in the previous year
  • Patient should be 50 years of age or older

Exclusion Criteria:

  • Suffering from dementia or a major psychiatric condition, being terminally ill, not being competent to give informed consent for participating in the study, or the doctors considers that the patient will not benefit from the intervention.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00153829

Locations
Canada, Ontario
University of Ottawa, Institute of Population Health
Ottawa, Ontario, Canada, K1N 6N5
Sponsors and Collaborators
C. T. Lamont Primary Care Research Centre
Investigators
Principal Investigator: William Hogg, MD, CCFP University of Ottawa
Principal Investigator: Jacques Lemelin, MD, CCFP University of Ottawa
  More Information

No publications provided

ClinicalTrials.gov Identifier: NCT00153829     History of Changes
Other Study ID Numbers: T-0528-029-22-CICM
Study First Received: September 8, 2005
Last Updated: September 7, 2006
Health Authority: Canada: Health Canada

Keywords provided by C. T. Lamont Primary Care Research Centre:
Chronic Disease
Quality of Life

Additional relevant MeSH terms:
Chronic Disease
Disease Attributes
Pathologic Processes

ClinicalTrials.gov processed this record on October 30, 2014