Facial reconstruction

Search LJMU Research Online

Browse Repository | Browse E-Theses

Effect of Information and Telephone-Guided Access to Community Support for People with Chronic Kidney Disease: Randomised Controlled Trial

Blakeman, T, Blickem, C, Kennedy, A, Reeves, D, Bower, P, Gaffney, H, Gardner, C, Lee, V, Jariwala, P, Dawson, S, Mossabir, R, Brooks, H, Richardson, G, Spackman, E, Vassilev, I, Chew-Graham, C and Rogers, A (2014) Effect of Information and Telephone-Guided Access to Community Support for People with Chronic Kidney Disease: Randomised Controlled Trial. PLOS ONE, 9 (10). e109135-e109135. ISSN 1932-6203

[img] Text
Blakeman Blickem PLOSone 2014.pdf - Published Version
Available under License Creative Commons Attribution.

Download (447kB)

Abstract

Background: Implementation of self-management support in traditional primary care settings has proved difficult, encouraging the development of alternative models which actively link to community resources. Chronic kidney disease (CKD) is a common condition usually diagnosed in the presence of other co-morbidities. This trial aimed to determine the effectiveness of an intervention to provide information and telephone-guided access to community support versus usual care for patients with stage 3 CKD.
Methods and Findings: In a pragmatic, two-arm, patient level randomised controlled trial 436 patients with a diagnosis of stage 3 CKD were recruited from 24 general practices in Greater Manchester. Patients were randomised to intervention (215) or usual care (221). Primary outcome measures were health related quality of life (EQ-5D health questionnaire), blood pressure control, and positive and active engagement in life (heiQ) at 6 months. At 6 months, mean health related quality of life was significantly higher for the intervention group (adjusted mean difference = 0.05; 95% CI = 0.01, 0.08) and blood pressure was controlled for a significantly greater proportion of patients in the intervention group (adjusted odds ratio = 1.85; 95% CI = 1.25, 2.72). Patients did not differ significantly in positive and active engagement in life. The intervention group reported a reduction in costs compared with control.
Conclusions: An intervention to provide tailored information and telephone-guided access to community resources was associated with modest but significant improvements in health related quality of life and better maintenance of blood pressure control for patients with stage 3 CKD compared with usual care. However, further research is required to identify the mechanisms of action of the intervention.

Item Type: Article
Uncontrolled Keywords: MD Multidisciplinary
Subjects: R Medicine > R Medicine (General)
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Public Health Institute
Publisher: PUBLIC LIBRARY SCIENCE
Related URLs:
Date Deposited: 18 Feb 2016 14:37
Last Modified: 18 Feb 2016 14:37
DOI or Identification number: 10.1371/journal.pone.0109135
URI: http://researchonline.ljmu.ac.uk/id/eprint/2954

Actions (login required)

View Item View Item