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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
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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 |
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| 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: | 04 Sep 2021 04:21 |
| DOI or ID number: | 10.1371/journal.pone.0109135 |
| URI: | https://researchonline.ljmu.ac.uk/id/eprint/2954 |
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