Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/31383
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dc.contributor.authorMercer, Stewart Williamen_UK
dc.contributor.authorO'Brien, Rosaleenen_UK
dc.contributor.authorFitzpatrick, Bridieen_UK
dc.contributor.authorHiggins, Mariaen_UK
dc.contributor.authorGuthrie, Bruceen_UK
dc.contributor.authorWatt, Grahamen_UK
dc.contributor.authorWyke, Sallyen_UK
dc.date.accessioned2020-07-04T00:02:35Z-
dc.date.available2020-07-04T00:02:35Z-
dc.date.issued2016-09en_UK
dc.identifier.urihttp://hdl.handle.net/1893/31383-
dc.description.abstractObjectives: To develop and optimise a primary care-based complex intervention (CARE Plus) to enhance the quality of life of patients with multimorbidity in the deprived areas. Methods: Six co-design discussion groups involving 32 participants were held separately with multimorbid patients from the deprived areas, voluntary organisations, general practitioners and practice nurses working in the deprived areas. This was followed by piloting in two practices and further optimisation based on interviews with 11 general practitioners, 2 practice nurses and 6 participating multimorbid patients. Results: Participants endorsed the need for longer consultations, relational continuity and a holistic approach. All felt that training and support of the health care staff was important. Most participants welcomed the idea of additional self-management support, though some practitioners were dubious about whether patients would use it. The pilot study led to changes including a revised care plan, the inclusion of mindfulness-based stress reduction techniques in the support of practitioners and patients, and the stream-lining of the written self-management support material for patients. Discussion: We have co-designed and optimised an augmented primary care intervention involving a whole-system approach to enhance quality of life in multimorbid patients living in the deprived areas. CARE Plus will next be tested in a phase 2 cluster randomised controlled trial.en_UK
dc.language.isoenen_UK
dc.publisherSAGE Publicationsen_UK
dc.relationMercer SW, O'Brien R, Fitzpatrick B, Higgins M, Guthrie B, Watt G & Wyke S (2016) The development and optimisation of a primary care-based whole system complex intervention (CARE Plus) for patients with multimorbidity living in areas of high socioeconomic deprivation. Chronic Illness, 12 (3), pp. 165-181. https://doi.org/10.1177/1742395316644304en_UK
dc.rightsThis article is distributed under the terms of the Creative Commons Attribution 3.0 License (http://www.creativecommons.org/licenses/by/3.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). PMID: 27068113en_UK
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/en_UK
dc.subjectPrimary careen_UK
dc.subjectmultimorbidityen_UK
dc.subjectdeprivationen_UK
dc.subjectcomplex interventionen_UK
dc.subjectquality of lifeen_UK
dc.titleThe development and optimisation of a primary care-based whole system complex intervention (CARE Plus) for patients with multimorbidity living in areas of high socioeconomic deprivationen_UK
dc.typeJournal Articleen_UK
dc.identifier.doi10.1177/1742395316644304en_UK
dc.identifier.pmid27068113en_UK
dc.citation.jtitleChronic Illnessen_UK
dc.citation.issn1745-9206en_UK
dc.citation.issn1742-3953en_UK
dc.citation.volume12en_UK
dc.citation.issue3en_UK
dc.citation.spage165en_UK
dc.citation.epage181en_UK
dc.citation.publicationstatusPublisheden_UK
dc.citation.peerreviewedRefereeden_UK
dc.type.statusVoR - Version of Recorden_UK
dc.contributor.funderCSO Chief Scientist Officeen_UK
dc.citation.date10/04/2016en_UK
dc.contributor.affiliationUniversity of Glasgowen_UK
dc.contributor.affiliationUniversity of Glasgowen_UK
dc.contributor.affiliationUniversity of Glasgowen_UK
dc.contributor.affiliationUniversity of Glasgowen_UK
dc.contributor.affiliationUniversity of Glasgowen_UK
dc.contributor.affiliationUniversity of Glasgowen_UK
dc.contributor.affiliationUniversity of Glasgowen_UK
dc.identifier.scopusid2-s2.0-84991408342en_UK
dc.identifier.wtid1504726en_UK
dc.date.accepted2016-02-01en_UK
dcterms.dateAccepted2016-02-01en_UK
dc.date.filedepositdate2020-07-03en_UK
dc.relation.funderprojectLiving well with multiple morbidity: the development and evaluation of a primary care-based complex intervention to support patients with multiple morbiditiesen_UK
dc.relation.funderrefARPG/07/1en_UK
rioxxterms.apcnot requireden_UK
rioxxterms.typeJournal Article/Reviewen_UK
rioxxterms.versionVoRen_UK
local.rioxx.authorMercer, Stewart William|en_UK
local.rioxx.authorO'Brien, Rosaleen|en_UK
local.rioxx.authorFitzpatrick, Bridie|en_UK
local.rioxx.authorHiggins, Maria|en_UK
local.rioxx.authorGuthrie, Bruce|en_UK
local.rioxx.authorWatt, Graham|en_UK
local.rioxx.authorWyke, Sally|en_UK
local.rioxx.projectARPG/07/1|Chief Scientist Office|http://dx.doi.org/10.13039/501100000589en_UK
local.rioxx.freetoreaddate2020-07-03en_UK
local.rioxx.licencehttp://creativecommons.org/licenses/by/3.0/|2020-07-03|en_UK
local.rioxx.filenameChronicIll2016.pdfen_UK
local.rioxx.filecount1en_UK
local.rioxx.source1745-9206en_UK
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