Effects of a Person-Centered eHealth Intervention for Patients on Sick Leave Due to Common Mental Disorders (PROMISE Study): Open Randomized Controlled Trial

Cederberg, Matilda; Alsén, Sara; Ali, Lilas; Ekman, Inger; Glise, Kristina; Jonsdottir, Ingibjörg H.; Gyllensten, Hanna; Swedberg, Karl; Fors, Andreas

doi:10.2196/30966

Cited by 7 publications

(10 citation statements)

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“…The translation and cultural adaptation of the SEMCD was performed according to international recommendations [ 31 ]. The data used in this study derived from baseline assessments from two different interventional studies: a single-center quasi-experimental study evaluating a person-centered practice after surgery for patients with pituitary tumors (PT) [ 32 ]; hereafter, this sample is referred to as the PT-cohort; and a randomized controlled study evaluating the effects of a person-centered eHealth intervention (combined digital platform and phone support) for patients on sick leave due to common mental disorders (CMD) [ 16 , 33 ]; hereafter, this sample is referred to as the CMD-cohort. …”

Section: Methodsmentioning

confidence: 99%

“…a randomized controlled study evaluating the effects of a person-centered eHealth intervention (combined digital platform and phone support) for patients on sick leave due to common mental disorders (CMD) [ 16 , 33 ]; hereafter, this sample is referred to as the CMD-cohort.…”

Section: Methodsmentioning

confidence: 99%

“…Exclusion criteria were: sick leave > 14 days due to depression, anxiety disorders, stress reactions and disorders during the past 3 months; severe impairments impeding use of the eHealth intervention; ongoing alcohol or drug abuse; severe disease with an expected survival of < 12 months or that could interfere with follow-up or if the intervention was assessed as a burden; or the patient was participating in a conflicting study. Details about the data collection can be found in Cederberg et al [ 16 , 33 ].…”

Section: Methodsmentioning

confidence: 99%

“…a single-center quasi-experimental study evaluating a person-centered practice after surgery for patients with pituitary tumors (PT) [32]; hereafter, this sample is referred to as the PT-cohort; and ii. a randomized controlled study evaluating the effects of a person-centered eHealth intervention (combined digital platform and phone support) for patients on sick leave due to common mental disorders (CMD) [16,33]; hereafter, this sample is referred to as the CMD-cohort.…”

Section: Study Design and Settingmentioning

confidence: 99%

“…Although self-efficacy is primarily considered task-specific, meaning a person´s belief in their ability to deal with a specific situation at hand [ 11 ], it may also be perceived as a general concept, which instead refers to a person´s global confidence in their ability to perform across a variety of situations [ 12 ]. Several PCC interventions, addressing various conditions and performed in different health care contexts, have been shown to increase both illness-specific [ 13 , 14 ] and general levels of self-efficacy [ 15 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

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Self-Efficacy to Manage Chronic Disease (SEMCD) scale: translation and evaluation of measurement properties for a swedish version

et al. 2023

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Background Reinforcing self-efficacy in patients is important in person-centered care; therefore, reliable and valid measures of a person’s self-efficacy is of clinical relevance. A questionnaire suitable for self-efficacy and patient engagement that is not limited to a particular condition is the Self-efficacy to Manage Chronic Disease (SEMCD). This study aims to evaluate the measurement properties of a Swedish translation of the SEMCD with a Rasch analysis. Methods The translation and cultural adaptation of the SEMCD was performed according to the International Society for Pharmacoeconomics and Outcomes Research (ISPOR) recommendations. Self-reported data was collected from two cohorts: patients with pituitary tumors (n = 86) and patients on sick leave due to common mental disorders (n = 209). Measurement properties were evaluated with a Rasch analysis in RUMM2030. Results The original six-item SEMCD did not fit to a unidimensional scale. Two items, item 5 and item 6, deviated both statistically and conceptually and were removed. A four-item solution, the SEMCD-4 with collapsed thresholds for mid-range response options, showed good targeting and unidimensionality, no item misfit, and a reliability of 0.83. Conclusion In a Swedish context with a mix of patients with pituitary tumors or common mental disorders, SEMCD-4 showed satisfactory measurement properties. Thus, SEMCD-4 could be used to identify patient self-efficacy in long-term illnesses. This knowledge about patient self-efficacy may be of importance to tailor person-centered support based on each patient´s resources, needs and goals.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Study Design and Settingmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Self-Efficacy to Manage Chronic Disease (SEMCD) scale: translation and evaluation of measurement properties for a swedish version

et al. 2023

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Effectiveness of a person-centred eHealth intervention in reducing symptoms of burnout in patients with common mental disorders – secondary outcome analysis of a randomized controlled trial

Alsén,

Hadžibajramović,

Jonsdottir

et al. 2023

BMC Prim. Care

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Background The number of people with common mental disorders (CMDs), especially stress-related disorders, has increased in several countries, including Sweden, during the past decade. Patients seeking care for long-term stress report severe symptoms. Although person-centred care (PCC) has shown several benefits, studies evaluating the effects of a PCC eHealth intervention on patients with CMDs are scarce. Objective The aim of this study was to compare levels of self-reported symptoms of burnout between a control group receiving treatment as usual (TAU) and an intervention group receiving TAU with the addition of a person-centred eHealth intervention, in patients on sick leave for CMDs. Methods This study reports analysis of a secondary outcome measure from a randomized controlled trial. Patients (n = 209) on sick leave for CMDs were recruited from nine primary health care centres and allocated to either a control group (n = 107) or an intervention group (n = 102). The intervention consisted of phone support and an interactive digital platform built on PCC principles. Self-reported symptoms of burnout were assessed using the Shirom-Melamed Burnout Questionnaire (SMBQ) at baseline and at 3 and 6 months. Results Our findings showed changes in SMBQ scores over time in both the control and the intervention group. There was no significant difference in SMBQ scores between the groups; however, a difference in change over time between the groups was observed. The SMBQ scores decreased significantly more in the intervention group than in the controls between 0 and 3 months and between 0 and 6 months. No differences in change between the two groups were seen between the 3- and 6-month follow-ups. Conclusion This person-centred eHealth intervention for patients on sick leave for CMDs showed a slight initial effect in reducing symptoms of burnout. Taking into account that both groups reported comparable SMBQ scores throughout the study period, the overall effect may be considered limited. Trial registration : The trial was registered in ClinicalTrials.gov (Identifier NCT03404583). Date of registration: 19/01/2018. https://clinicaltrials.gov/ct2/show/NCT03404583.

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Integrating health promotion with and for older people - eHealth (IHOPe) – evaluating remote integrated person-centred care

et al. 2023

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Background Healthcare and welfare systems worldwide are unprepared to accommodate the growing population of older people. Simultaneously, the cost of reactive care for older people is increasing. However, healthcare systems in many countries are reforming towards integrated and person-centred care with a focus on health promotion and proactive actions. The Integrating Health Promotion with and for Older People – eHealth (IHOPe) project aims to describe and evaluate a person-centred e-support intervention that promotes a sustainable partnership between community-dwelling frail older people and health and social care professionals. Methods The IHOPe project is designed as a randomised controlled trial comparing a control group receiving standard care with an intervention group receiving standard care and add-on person-centred care through telephone support and a digital platform. The primary outcome measure is a composite score of changes in general self-efficacy and the need for unscheduled hospital care. The project is conducted in Gothenburg, Sweden. At least 220 participants aged ≥ 75 years will be included after being screened using a frailty instrument. The study design, intervention components, digital platform, and questionnaires were developed in close collaboration with an advisory group of inter-professional researchers, stakeholders, clinicians, and older representatives. Data will mainly be collected through questionnaires at baseline and 3, 6, and 12 months after inclusion in the study. Recruitment is ongoing and should be completed during 2023. Data will be analysed using quantitative and qualitative methods. The evaluation will include effectiveness, process, and health economics. The study was approved by the Regional Ethical Review Board in Gothenburg, Sweden (Dnr 2019–05364, Dnr 2020–03550, Dnr 2021–03255). Discussion The findings will expand our knowledge of remotely integrated person-centred care for frail older people. Thereby, the IHOPe project is expected to fill highlighted knowledge gaps on intervention evaluations including the triad of person-centred, digital, and integrated care elements, as well as economic evaluations of remote health services for frail older people. The study is ongoing, and the results are not completed but if they turn out to be positive, implementation is not limited to time or location. Trial registration ClinicalTrial.gov: NCT04416815. Registered 07/06/2021.

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Effects of a Person-Centered eHealth Intervention for Patients on Sick Leave Due to Common Mental Disorders (PROMISE Study): Open Randomized Controlled Trial

Cited by 7 publications

References 55 publications

Self-Efficacy to Manage Chronic Disease (SEMCD) scale: translation and evaluation of measurement properties for a swedish version

Self-Efficacy to Manage Chronic Disease (SEMCD) scale: translation and evaluation of measurement properties for a swedish version

Effectiveness of a person-centred eHealth intervention in reducing symptoms of burnout in patients with common mental disorders – secondary outcome analysis of a randomized controlled trial

Integrating health promotion with and for older people - eHealth (IHOPe) – evaluating remote integrated person-centred care

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