The Care-coordination Approach to Learning Lupus Self-Management: a patient navigator intervention for systemic lupus inpatients
Objective The Care-coordination Approach to Learning Lupus Self-Management (CALLS) study was designed to improve SLE disease self-management. This study aims to assess the benefits of the intervention compared with existing lupus care.Methods Participants were randomly assigned to participate in 12-...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2021-05-01
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| Series: | Lupus Science and Medicine |
| Online Access: | https://lupus.bmj.com/content/8/1/e000482.full |
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| author | Jim C Oates Ashley A White Aissatou Ba Trevor Daniel Faith Viswanathan Ramakrishnan Clara L Dismuke-Greer Edith Marie Williams |
| author_facet | Jim C Oates Ashley A White Aissatou Ba Trevor Daniel Faith Viswanathan Ramakrishnan Clara L Dismuke-Greer Edith Marie Williams |
| author_sort | Jim C Oates |
| collection | DOAJ |
| description | Objective The Care-coordination Approach to Learning Lupus Self-Management (CALLS) study was designed to improve SLE disease self-management. This study aims to assess the benefits of the intervention compared with existing lupus care.Methods Participants were randomly assigned to participate in 12-weekly phone sessions with the patient navigator that included structured educational content, care coordination and patient-centred support services, or a usual care control condition. Validated measures of health literacy, self-efficacy, patient activation and disease activity were collected. We used least squares means and linear mixed-effects regression models for each outcome variable to assess the changes in outcome, from baseline to postintervention and to estimate the difference in these changes between the intervention and control group.Results Thirty participants were enrolled and 14 were randomised to the treatment group. For perceived lupus self-efficacy, there was a significant increase in mean score for the intervention group, but not for the control group. With regard to disease activity, the experimental group experienced a slight decrease in mean flare score in the previous 3 months, whereas the control group experienced a slight increase, but this finding did not reach statistical significance. Trends were similar in self-reported global disease activity, but none of the findings were significant. Health literacy and patient activation measure scores remained largely unchanged throughout the study for the two groups.Conclusion These findings suggest that the CALLS intervention may work to improve aspects of SLE disease self-management. Future research will be needed to validate these findings long-term.Trial registration number NCT04400240. |
| format | Article |
| id | doaj-art-829bfb08cca64bbe9afea14ed4034d00 |
| institution | OA Journals |
| issn | 2053-8790 |
| language | English |
| publishDate | 2021-05-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | Lupus Science and Medicine |
| spelling | doaj-art-829bfb08cca64bbe9afea14ed4034d002025-08-20T02:14:53ZengBMJ Publishing GroupLupus Science and Medicine2053-87902021-05-018110.1136/lupus-2021-000482The Care-coordination Approach to Learning Lupus Self-Management: a patient navigator intervention for systemic lupus inpatientsJim C Oates0Ashley A White1Aissatou Ba2Trevor Daniel Faith3Viswanathan Ramakrishnan4Clara L Dismuke-Greer5Edith Marie Williams6Medicine, Medical University of South Carolina College of Medicine, Charleston, South Carolina, USADepartment of Public Health Sciences, Medical University of South Carolina, Charleston, SC, USADepartment of Public Health Sciences, Medical University of South Carolina, Charleston, SC, USAPublic Health Sciences, Medical University of South Carolina, Charleston, SC, USADepartment of Public Health Sciences, Medical University of South Carolina, Charleston, SC, USAHealth Economics Resource Center, VA Palo Alto, Menlo Park, CA, USADepartment of Public Health Sciences, Medical University of South Carolina, Charleston, SC, USAObjective The Care-coordination Approach to Learning Lupus Self-Management (CALLS) study was designed to improve SLE disease self-management. This study aims to assess the benefits of the intervention compared with existing lupus care.Methods Participants were randomly assigned to participate in 12-weekly phone sessions with the patient navigator that included structured educational content, care coordination and patient-centred support services, or a usual care control condition. Validated measures of health literacy, self-efficacy, patient activation and disease activity were collected. We used least squares means and linear mixed-effects regression models for each outcome variable to assess the changes in outcome, from baseline to postintervention and to estimate the difference in these changes between the intervention and control group.Results Thirty participants were enrolled and 14 were randomised to the treatment group. For perceived lupus self-efficacy, there was a significant increase in mean score for the intervention group, but not for the control group. With regard to disease activity, the experimental group experienced a slight decrease in mean flare score in the previous 3 months, whereas the control group experienced a slight increase, but this finding did not reach statistical significance. Trends were similar in self-reported global disease activity, but none of the findings were significant. Health literacy and patient activation measure scores remained largely unchanged throughout the study for the two groups.Conclusion These findings suggest that the CALLS intervention may work to improve aspects of SLE disease self-management. Future research will be needed to validate these findings long-term.Trial registration number NCT04400240.https://lupus.bmj.com/content/8/1/e000482.full |
| spellingShingle | Jim C Oates Ashley A White Aissatou Ba Trevor Daniel Faith Viswanathan Ramakrishnan Clara L Dismuke-Greer Edith Marie Williams The Care-coordination Approach to Learning Lupus Self-Management: a patient navigator intervention for systemic lupus inpatients Lupus Science and Medicine |
| title | The Care-coordination Approach to Learning Lupus Self-Management: a patient navigator intervention for systemic lupus inpatients |
| title_full | The Care-coordination Approach to Learning Lupus Self-Management: a patient navigator intervention for systemic lupus inpatients |
| title_fullStr | The Care-coordination Approach to Learning Lupus Self-Management: a patient navigator intervention for systemic lupus inpatients |
| title_full_unstemmed | The Care-coordination Approach to Learning Lupus Self-Management: a patient navigator intervention for systemic lupus inpatients |
| title_short | The Care-coordination Approach to Learning Lupus Self-Management: a patient navigator intervention for systemic lupus inpatients |
| title_sort | care coordination approach to learning lupus self management a patient navigator intervention for systemic lupus inpatients |
| url | https://lupus.bmj.com/content/8/1/e000482.full |
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