Link workers providing social prescribing and health and social care coordination for people with multimorbidity in socially deprived areas (the LinkMM trial): protocol for a pragmatic randomised controlled trial
| Autor: | Fiona Boland, Barbara Clyne, Patrick O'Donnell, Eamon O'Shea, Deirdre Connolly, Bridget Kiely, Susan M Smith |
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| Přispěvatelé: | HRB, Health Slaintecare Integration Fund |
| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty multimorbidity Referral Cost-Benefit Analysis Psychological intervention preventive medicine law.invention 03 medical and health sciences primary care social medicine 0302 clinical medicine Quality of life (healthcare) Randomized controlled trial Social medicine law Intervention (counseling) medicine Humans 030212 general & internal medicine Preventive healthcare Randomized Controlled Trials as Topic business.industry Multimorbidity Social Support General Medicine Link workers Mental health Family medicine Chronic Disease Quality of Life business General practice / Family practice 030217 neurology & neurosurgery |
| Zdroj: | BMJ Open |
| ISSN: | 2044-6055 |
| Popis: | IntroductionLink workers are non-health or social care professionals based in primary care who support people to develop and achieve a personalised set of health and social goals by engaging with community resources. Link workers have been piloted in areas of deprivation, but there remains insufficient evidence to support their effectiveness. Multimorbidity is increasing in prevalence, but there are limited evidence-based interventions. This paper presents the protocol for a randomised controlled trial (RCT) that will test the effectiveness of link workers based in general practices in deprived areas in improving health outcomes for people with multimorbidity.Methods and analysisThe protocol presents the proposed pragmatic RCT, involving 10 general practitioner (GP) practices and 600 patients. Eligible participants will be community dwelling adults with multimorbidity (≥two chronic conditions) identified as being suitable for referral to a practice-based link worker. Following baseline data collection, the patients will be randomised into intervention group that will meet the link worker over a1-month period, or a ‘wait list’ control that will receive usual GP care. Primary outcomes are health-related quality of life as assessed by EQ-5D-5L and mental health assessed by Hospital Anxiety and Depression Scale. Secondary outcomes are based on the core outcome set for multimorbidity. Data will be collected at baseline and on intervention completion at 1 month using questionnaires self-completed by participants and GP records. Parallel process and economic analyses will be conducted to explore participants’ experiences and examine cost-effectiveness of the link worker intervention.Ethics and disseminationEthical approval has been granted by the Irish College of General Practitioners Ethics Committee. The findings will be published in peer-reviewed journals.Trial registration numberISRCTN10287737;Pre-results. |
| Databáze: | OpenAIRE |
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