One year follow-up and exploratory analysis of a patient-centered interdisciplinary care intervention for multimorbidity. 2021

Martin Fortin, and Moira Stewart, and José Almirall, and Djamal Berbiche, and Mathieu Bélanger, and Alan Katz, and Bridget L Ryan, and Sabrina T Wong, and Merrick Zwarenstein
Université de Sherbrooke, Chicoutimi, QC, Canada.

Interventions for people with multimorbidity have obtained mixed results. We aimed to document the long-term effect of an intervention for people with multimorbidity. 284 patients (18-80 years) presenting three or more chronic conditions were recruited from seven family medicine groups in the Saguenay-Lac St-Jean region, Quebec, Canada. The patient-centered intervention was based on motivational approach and self-management support. Outcomes were evaluated in a one-year pre-post study design with questionnaires that included the Health Education Questionnaire (heiQ), the Self-Efficacy for Managing Chronic Diseases, the Veteran RAND-12 Health Survey (VR-12), the EuroQoL 5-Domains questionnaire, the Kessler six item Psychological Stress Scale, and measures of smoking habit, physical activity, healthy eating and alcohol consumption. Subgroup analyses by age, number of conditions, sex, and income were also conducted. The heiQ domain of emotional wellbeing improved significantly. Improvement was also observed for the VR-12 and the K6. Among the health behaviours, only healthy eating was improved. Subgroup analyses in this exploratory study suggest that younger patients, those with lower number of chronic conditions or higher incomes may respond better in relation to self-management, health status and health behaviours. One year after the intervention, participants significantly improved a variety of outcomes. Subgroup analyses suggest that younger patients, those with lower number of chronic conditions or higher incomes may respond better in relation to self-management, health status and health behaviours. This suggests that future interventions should be tailored to patients' characteristics including age, sex, income and number of conditions.

UI MeSH Term Description Entries

Related Publications

Martin Fortin, and Moira Stewart, and José Almirall, and Djamal Berbiche, and Mathieu Bélanger, and Alan Katz, and Bridget L Ryan, and Sabrina T Wong, and Merrick Zwarenstein
January 2012, Perspective infirmiere : revue officielle de l'Ordre des infirmieres et infirmiers du Quebec,
Martin Fortin, and Moira Stewart, and José Almirall, and Djamal Berbiche, and Mathieu Bélanger, and Alan Katz, and Bridget L Ryan, and Sabrina T Wong, and Merrick Zwarenstein
May 2014, BMC geriatrics,
Martin Fortin, and Moira Stewart, and José Almirall, and Djamal Berbiche, and Mathieu Bélanger, and Alan Katz, and Bridget L Ryan, and Sabrina T Wong, and Merrick Zwarenstein
February 2014, Japanese journal of clinical oncology,
Martin Fortin, and Moira Stewart, and José Almirall, and Djamal Berbiche, and Mathieu Bélanger, and Alan Katz, and Bridget L Ryan, and Sabrina T Wong, and Merrick Zwarenstein
April 2020, Basic & clinical pharmacology & toxicology,
Martin Fortin, and Moira Stewart, and José Almirall, and Djamal Berbiche, and Mathieu Bélanger, and Alan Katz, and Bridget L Ryan, and Sabrina T Wong, and Merrick Zwarenstein
August 2021, Journal of dental education,
Martin Fortin, and Moira Stewart, and José Almirall, and Djamal Berbiche, and Mathieu Bélanger, and Alan Katz, and Bridget L Ryan, and Sabrina T Wong, and Merrick Zwarenstein
July 2014, Current opinion in HIV and AIDS,
Martin Fortin, and Moira Stewart, and José Almirall, and Djamal Berbiche, and Mathieu Bélanger, and Alan Katz, and Bridget L Ryan, and Sabrina T Wong, and Merrick Zwarenstein
December 2023, International journal of qualitative studies on health and well-being,
Martin Fortin, and Moira Stewart, and José Almirall, and Djamal Berbiche, and Mathieu Bélanger, and Alan Katz, and Bridget L Ryan, and Sabrina T Wong, and Merrick Zwarenstein
January 2012, Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses,
Martin Fortin, and Moira Stewart, and José Almirall, and Djamal Berbiche, and Mathieu Bélanger, and Alan Katz, and Bridget L Ryan, and Sabrina T Wong, and Merrick Zwarenstein
January 2011, Revue de l'infirmiere,
Martin Fortin, and Moira Stewart, and José Almirall, and Djamal Berbiche, and Mathieu Bélanger, and Alan Katz, and Bridget L Ryan, and Sabrina T Wong, and Merrick Zwarenstein
January 2012, The Journal of psychology,
Copied contents to your clipboard!