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- Title
Effect of a comprehensive intervention program targeting general practice staff on quality of life in patients at high cardiovascular risk: a randomized controlled trial.
- Authors
Lobo, C. M.; Frijling, B. D.; Hulscher, M. E. J. L.; Bernsen, R. M. D.; Grol, R. T. M.; Prins, A.; van der Wouden, J. C.; Grol, R P T M
- Abstract
<bold>Background: </bold>We implemented a comprehensive intervention program targeting general practice staff, that proved successful in optimizing practice organization and clinical decision-making. In this paper, health-related quality of life (HRQL) is investigated as a clinical outcome.<bold>Objective: </bold>To evaluate the effect of the implementation of an intervention program on the HRQL in patients at high cardiovascular risk.<bold>Research Design: </bold>Randomized controlled trial. Intervention practices (n = 62) received a comprehensive intervention program (by means of outreach visitors) lasting 21 months. HRQL of patients at high cardiovascular risk was assessed by the MOS 36-Item Short-Form Health Survey (SF-36), at baseline and after intervention. Three patient categories were distinguished: diabetes mellitus, cardiovascular disease and hypertension.<bold>Results: </bold>HRQL deteriorated in all respondents, but more pronounced in the control group. In diabetes patients the differences between intervention and control group were significant for the Vitality and Mental Health scales, with mean difference in change of 3.93 (95% CI: 1.08-6.78) and 3.71 (95% CI: 0.73-6.68), respectively. Patients with cardiovascular disease had significantly different changes on three scales: physical functioning (3.57, 95% CI: 0.71-6.43), vitality (3.01, 95% CI: 0.72-5.30) and social functioning (3.96, 95% CI: 0.50-7.42). In patients with hypertension, there were no differences between the intervention and control group.<bold>Conclusion: </bold>Our comprehensive intervention program resulted in changes in HRQL on several domains, particularly in patients with diabetes and cardiovascular disease.
- Subjects
NETHERLANDS; QUALITY of life; HEALTH; CARDIOVASCULAR diseases; PATIENTS; HYPERTENSION; DIABETES; MENTAL health; CARDIOVASCULAR disease prevention; DIABETES prevention; DIABETES &; psychology; HYPERTENSION &; psychology; MEDICAL care standards; COMPARATIVE studies; FAMILY medicine; HEALTH surveys; RESEARCH methodology; MEDICAL cooperation; PUBLIC relations; QUESTIONNAIRES; RESEARCH; RISK assessment; STATISTICAL sampling; SELF-evaluation; SICKNESS Impact Profile; EVALUATION research; RANDOMIZED controlled trials; EVALUATION of human services programs; PSYCHOLOGY; PREVENTION
- Publication
Quality of Life Research, 2004, Vol 13, Issue 1, p73
- ISSN
0962-9343
- Publication type
journal article
- DOI
10.1023/B:QURE.0000015285.08673.42