Pręsentation af Almen Medicin i Århus

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A practice nurse addressed intervention to enhance self-management in people with type 2 diabetes By Lise Juul, RN, MPH, Ph.D student Supervisors: Annelli Sandbaek, Helle Terkildsen Maindal, Vibeke Zoffmann Department of General Practice Research Unit for General Practice U N I V E R S I T Y OF A A R H U S An upcoming intervention study  Main activity:  A training course for practice nurses with autonomy support as the core component carried out in an implementation strategy  Why train practice nurses?  Why autonomy support?  A patientcentered approach  Crucial for motivation  Why in an implementation strategy? Department of General Practice Research Unit for General Practice U N I V E R S I T Y OF A A R H U S Aim  To implement and evaluate the effect of a nurse-led proactive support to enhance self-management in people with type 2 diabetes in general practice 1) implementation of autonomy supportive communication in nurse-consultations with patients with type 2 diabetes 2) effect-evaluation of the intervention on difference in patientoutcomes 3) association between effect of the intervention and educationlevel, gender and age? 4) association between attendance to proactive nurseconsultations uptil 3 months after invitation and educationlevel, gender and age? Department of General Practice Research Unit for General Practice U N I V E R S I T Y OF A A R H U S Program Theory Outcomes Intermediate Improved health behaviour (e.g. more compliant in pharmalogical treatment, more physicaly active, more appropriate food consumption, smoking cessation, improved control (blood- and visiontests)) Inputs Practices with a practice-nurse Teachers Tools to guide the autonomi supportive process Patients with type 2 diabetes identified in "Aarhus Diabetes Database" Activities Training of the nurses in an implementation strategi with autonomi support as the core component Outputs Nurses attend the course Patients attend the consultations Initial Patients reflect about living with diabetes, and in the framework of evidencebased treatment, identify goals that are meaningful for them, and take action to meet them Longer-Term Improved HbA1c-values Improved Total-cholesterolvalues Improved blood pressure Weight loss Less perceived problems in relation to diabetes Improved quality of life Patients will be invited Accept and use of the to consultations with tools recommended in the nurse the course Practice; Patient; Nurses experience in Age doing consultations Gender No. of nurses Education-level Interest of chronic care GP-nurse collaboration Time Inspired by Rossi, et al. Evaluation. A Systematic Approach. 2004 Department of General Practice Research Unit for General Practice U N I V E R S I T Y OF A A R H U S Inputs  General practices with nurses with experience in having consultations with patients with type 2 diabetes Competent teachers    Tools to guide the autonomy supportive process Patients with type 2 diabetes, identified in ”Aarhus Diabetes Database”, and validated by the GPs Department of General Practice Research Unit for General Practice U N I V E R S I T Y OF A A R H U S Activities  A training course for practice nurses with autonomy support as the core component carried out in an implementation strategy Department of General Practice Research Unit for General Practice U N I V E R S I T Y OF A A R H U S Content of the training course     evidencebased treatment of type 2 diabetes barriers and facilitators of health behaviour change communication techniques introduction of tools to guide the autonomy supportive process Department of General Practice Research Unit for General Practice U N I V E R S I T Y OF A A R H U S Implementation strategy  interactive educational meetings (4x4 hours over 6 months)  reminder and support by a linkage agent (3 telephone calls over 12 months) Department of General Practice Research Unit for General Practice U N I V E R S I T Y OF A A R H U S Activities  A training course for practice nurses with autonomy support as the core component carried out in an implementation strategy  Patients will be invited to consultations with the nurse Department of General Practice Research Unit for General Practice U N I V E R S I T Y OF A A R H U S Outputs  Nurses attend the course  Patients attend the consultations  Accept and use of the tools recommended in the course Department of General Practice Research Unit for General Practice U N I V E R S I T Y OF A A R H U S Initial outcomes  Patients  reflect about living with diabetes  in the framework of recommended diabetes care, identify goals that are meningful for them  take action to meet them Department of General Practice Research Unit for General Practice U N I V E R S I T Y OF A A R H U S Intermediate outcomes  Improved health behaviour, e.g.      more compliant to pharmalogical treatment more physically active more appropriate diet smoking cessation improved control (blood- and visiontests) Department of General Practice Research Unit for General Practice U N I V E R S I T Y OF A A R H U S Longer-Term outcomes       Improved HbA1c-values Improved Total-cholesterol-values Less Improved blood pressure Complications Weight loss Less perceived problems in relation to diabetes Improved quality of life Department of General Practice Research Unit for General Practice U N I V E R S I T Y OF A A R H U S Design & studypopulation   Cluster randomized controlled trial 30 general practices from the former county of Aarhus - nurses About 1200 patients with type 2 diabetes - age 40-70  Department of General Practice Research Unit for General Practice U N I V E R S I T Y OF A A R H U S Follow-up  All patients will be followed 15 months  The invitations will be send over a 3 month-period within each practice Department of General Practice Research Unit for General Practice U N I V E R S I T Y OF A A R H U S Main points  An upcoming intervention study:  A training course for practice nurses with autonomy support as the core component carried out in an implementation strategy  Improved chance of behaviour change and maintenance if the behaviour is felt self chosen and meaningful. Department of General Practice Research Unit for General Practice U N I V E R S I T Y OF A A R H U S Thank you Department of General Practice Research Unit for General Practice U N I V E R S I T Y OF A A R H U S

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