Journal article
Impact of a Boot Camp Translation Intervention on Self-Management Support in Primary Care: A Report From the INSTTEPP
Journal of patient-centered research and reviews, Vol.5(4), pp.256-266
10/29/2018
DOI: 10.17294/2330-0698.1635
PMCID: PMC6676770
PMID: 31414011
Abstract
Purpose: Self-management support (SMS) is a pillar of the well-established chronic care model and a key component of improving outcomes for patients with chronic illnesses. The Implementing Networks’ Self-management Tools Through Engaging Patients and Practices (INSTTEPP) trial sought to determine whether a boot camp translation process could assist small to medium-sized primary care practices with care managers implement SMS tools.
Methods: INSTTEPP used a stepped-wedge design across 16 practices from 4 practice-based research networks over 12 months. Each network completed a 2-month boot camp translation for creating SMS tools with 16 participants (2 patients, a clinician, and a care manager from each of 4 practices) and subsequent implementation. Outcome measures for patients were the Patient Activation Measure (PAM), self-rated health, and Patient Assessment of Chronic Illness Care (PACIC) process-of-care items at baseline, 1 and 2 months. Clinician Support for Patient Activation Measure (CS-PAM) and theory of planned behavior outcomes were assessed at 5 points over 10 months for clinicians and staff.
Results: A total of 297 patients and 89 practice staff and clinicians completed surveys during the study. Over successive 2-month sampling periods, intervention patients experienced greater improvement in PACIC process of care and self-rated health compared to control patients (P < 0.0001 and P = 0.0273, respectively). PAM (P = 0.3515), CS-PAM (P = 0.7464), and theory of planned behavior outcomes (P > 0.10 for all) were not significantly different.
Conclusions: Significant effects on process of care and self-rated health are evidence that the boot camp translation intervention impacted SMS. A larger trial with a typical 6-month boot camp intervention may show significant effects on other outcomes.
Details
- Title: Subtitle
- Impact of a Boot Camp Translation Intervention on Self-Management Support in Primary Care: A Report From the INSTTEPP
- Creators
- Donald E. Nease - University of Colorado DenverJeanette M. Daly - University of IowaL. Miriam Dickinson - University of Colorado DenverDouglas H. Fernald - University of Colorado DenverDavid L. Hahn - University of Wisconsin–MadisonBarcey T. Levy - University of IowaLeAnn C. Michaels - Oregon Health & Science UniversityMatthew J. Simpson - University of Colorado DenverJohn M. Westfall - University of Colorado DenverLyle J. Fagnan - Oregon Health & Science University
- Resource Type
- Journal article
- Publication Details
- Journal of patient-centered research and reviews, Vol.5(4), pp.256-266
- Publisher
- Aurora Health Care, Inc
- DOI
- 10.17294/2330-0698.1635
- PMID
- 31414011
- PMCID
- PMC6676770
- ISSN
- 2330-068X
- eISSN
- 2330-0698
- Language
- English
- Date published
- 10/29/2018
- Academic Unit
- Epidemiology; Family and Community Medicine
- Record Identifier
- 9984297550302771
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