Effectiveness and cost-effectiveness of the Assessment of Burden of Chronic Conditions (ABCC) tool in patients with COPD, asthma, diabetes mellitus type 2 and heart failure: protocol for a pragmatic clustered quasi-experimental study
Introduction The number of people that have one or multiple condition(s) with a chronic course is rising, which consequently challenges healthcare systems. Healthcare geared to long-term care should focus on patient-centredness, shared decision making and self-management. The Assessment of Burden of...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2020-11-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/10/11/e037693.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850159354365345792 |
|---|---|
| author | Bjorn Winkens Esther A. Boudewijns Danny Claessens Manuela Joore Lotte C.E.M. Keijsers Onno C.P. van Schayck Annerika H.M. Gidding-Slok |
| author_facet | Bjorn Winkens Esther A. Boudewijns Danny Claessens Manuela Joore Lotte C.E.M. Keijsers Onno C.P. van Schayck Annerika H.M. Gidding-Slok |
| author_sort | Bjorn Winkens |
| collection | DOAJ |
| description | Introduction The number of people that have one or multiple condition(s) with a chronic course is rising, which consequently challenges healthcare systems. Healthcare geared to long-term care should focus on patient-centredness, shared decision making and self-management. The Assessment of Burden of Chronic Conditions (ABCC) tool was developed to integrate these elements in daily healthcare practice. The ABCC tool assesses and visualises burden of disease(s), helps to make shared decisions and stimulates self-management. The present paper documents a protocol for a quasi-experimental study investigating the effectiveness and cost-effectiveness of the ABCC tool for people with chronic obstructive pulmonary disease, asthma, type 2 diabetes mellitus and/or heart failure.Methods and analysis The study has a pragmatic clustered quasi-experimental design and will be conducted in the Netherlands. The intervention will be allocated at the level of general practice. The intervention group (18 general practices, 180 patients) will use the ABCC tool during regular consultations; the control group (18 general practices, 180 patients) will maintain usual care. Outcomes include change in quality of care (Patient Assessment of Chronic Illness Care), quality of life (EuroQol-5D-5L), capability well-being (ICEpop CAPability measure for Adults), patients’ activation (Patient Activation Measure) and costs. Follow-up time will be 18 months. Outcomes will be analysed using linear mixed models.Ethics and dissemination Ethical approval was obtained from the Medical Ethics Committee Zuyderland-Zuyd Heerlen, the Netherlands (METCZ20180131). Results will be published in peer-reviewed journals and will be presented at national and international conferences.Trial registration number ClinicalTrials.gov Registry (NCT04127383). |
| format | Article |
| id | doaj-art-2823709819ec4ab5aa89b1c0d995ccfc |
| institution | OA Journals |
| issn | 2044-6055 |
| language | English |
| publishDate | 2020-11-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-2823709819ec4ab5aa89b1c0d995ccfc2025-08-20T02:23:35ZengBMJ Publishing GroupBMJ Open2044-60552020-11-01101110.1136/bmjopen-2020-037693Effectiveness and cost-effectiveness of the Assessment of Burden of Chronic Conditions (ABCC) tool in patients with COPD, asthma, diabetes mellitus type 2 and heart failure: protocol for a pragmatic clustered quasi-experimental studyBjorn Winkens0Esther A. Boudewijns1Danny Claessens2Manuela Joore3Lotte C.E.M. Keijsers4Onno C.P. van Schayck5Annerika H.M. Gidding-Slok64 Department of Methodology and Statistics, Maastricht University, Maastricht, The NetherlandsDepartment of Family Medicine, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, The NetherlandsDepartment of Family Medicine, CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, The NetherlandsClinical Epidemiology and Medical Technology Assessment (KEMTA), Maastricht UMC+, Maastricht, The NetherlandsDepartment of Family Medicine, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, The NetherlandsDepartment of Family Medicine, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, The NetherlandsDepartment of Family Medicine, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, The NetherlandsIntroduction The number of people that have one or multiple condition(s) with a chronic course is rising, which consequently challenges healthcare systems. Healthcare geared to long-term care should focus on patient-centredness, shared decision making and self-management. The Assessment of Burden of Chronic Conditions (ABCC) tool was developed to integrate these elements in daily healthcare practice. The ABCC tool assesses and visualises burden of disease(s), helps to make shared decisions and stimulates self-management. The present paper documents a protocol for a quasi-experimental study investigating the effectiveness and cost-effectiveness of the ABCC tool for people with chronic obstructive pulmonary disease, asthma, type 2 diabetes mellitus and/or heart failure.Methods and analysis The study has a pragmatic clustered quasi-experimental design and will be conducted in the Netherlands. The intervention will be allocated at the level of general practice. The intervention group (18 general practices, 180 patients) will use the ABCC tool during regular consultations; the control group (18 general practices, 180 patients) will maintain usual care. Outcomes include change in quality of care (Patient Assessment of Chronic Illness Care), quality of life (EuroQol-5D-5L), capability well-being (ICEpop CAPability measure for Adults), patients’ activation (Patient Activation Measure) and costs. Follow-up time will be 18 months. Outcomes will be analysed using linear mixed models.Ethics and dissemination Ethical approval was obtained from the Medical Ethics Committee Zuyderland-Zuyd Heerlen, the Netherlands (METCZ20180131). Results will be published in peer-reviewed journals and will be presented at national and international conferences.Trial registration number ClinicalTrials.gov Registry (NCT04127383).https://bmjopen.bmj.com/content/10/11/e037693.full |
| spellingShingle | Bjorn Winkens Esther A. Boudewijns Danny Claessens Manuela Joore Lotte C.E.M. Keijsers Onno C.P. van Schayck Annerika H.M. Gidding-Slok Effectiveness and cost-effectiveness of the Assessment of Burden of Chronic Conditions (ABCC) tool in patients with COPD, asthma, diabetes mellitus type 2 and heart failure: protocol for a pragmatic clustered quasi-experimental study BMJ Open |
| title | Effectiveness and cost-effectiveness of the Assessment of Burden of Chronic Conditions (ABCC) tool in patients with COPD, asthma, diabetes mellitus type 2 and heart failure: protocol for a pragmatic clustered quasi-experimental study |
| title_full | Effectiveness and cost-effectiveness of the Assessment of Burden of Chronic Conditions (ABCC) tool in patients with COPD, asthma, diabetes mellitus type 2 and heart failure: protocol for a pragmatic clustered quasi-experimental study |
| title_fullStr | Effectiveness and cost-effectiveness of the Assessment of Burden of Chronic Conditions (ABCC) tool in patients with COPD, asthma, diabetes mellitus type 2 and heart failure: protocol for a pragmatic clustered quasi-experimental study |
| title_full_unstemmed | Effectiveness and cost-effectiveness of the Assessment of Burden of Chronic Conditions (ABCC) tool in patients with COPD, asthma, diabetes mellitus type 2 and heart failure: protocol for a pragmatic clustered quasi-experimental study |
| title_short | Effectiveness and cost-effectiveness of the Assessment of Burden of Chronic Conditions (ABCC) tool in patients with COPD, asthma, diabetes mellitus type 2 and heart failure: protocol for a pragmatic clustered quasi-experimental study |
| title_sort | effectiveness and cost effectiveness of the assessment of burden of chronic conditions abcc tool in patients with copd asthma diabetes mellitus type 2 and heart failure protocol for a pragmatic clustered quasi experimental study |
| url | https://bmjopen.bmj.com/content/10/11/e037693.full |
| work_keys_str_mv | AT bjornwinkens effectivenessandcosteffectivenessoftheassessmentofburdenofchronicconditionsabcctoolinpatientswithcopdasthmadiabetesmellitustype2andheartfailureprotocolforapragmaticclusteredquasiexperimentalstudy AT estheraboudewijns effectivenessandcosteffectivenessoftheassessmentofburdenofchronicconditionsabcctoolinpatientswithcopdasthmadiabetesmellitustype2andheartfailureprotocolforapragmaticclusteredquasiexperimentalstudy AT dannyclaessens effectivenessandcosteffectivenessoftheassessmentofburdenofchronicconditionsabcctoolinpatientswithcopdasthmadiabetesmellitustype2andheartfailureprotocolforapragmaticclusteredquasiexperimentalstudy AT manuelajoore effectivenessandcosteffectivenessoftheassessmentofburdenofchronicconditionsabcctoolinpatientswithcopdasthmadiabetesmellitustype2andheartfailureprotocolforapragmaticclusteredquasiexperimentalstudy AT lottecemkeijsers effectivenessandcosteffectivenessoftheassessmentofburdenofchronicconditionsabcctoolinpatientswithcopdasthmadiabetesmellitustype2andheartfailureprotocolforapragmaticclusteredquasiexperimentalstudy AT onnocpvanschayck effectivenessandcosteffectivenessoftheassessmentofburdenofchronicconditionsabcctoolinpatientswithcopdasthmadiabetesmellitustype2andheartfailureprotocolforapragmaticclusteredquasiexperimentalstudy AT annerikahmgiddingslok effectivenessandcosteffectivenessoftheassessmentofburdenofchronicconditionsabcctoolinpatientswithcopdasthmadiabetesmellitustype2andheartfailureprotocolforapragmaticclusteredquasiexperimentalstudy |