Evaluating the implementation of personalised outcomes forecasts to optimise supervised exercise therapy in patients with intermittent claudication in the Netherlands:a multimethods study

BACKGROUND: To support the optimisation of supervised exercise therapy (SET) in patients with intermittent claudication, we developed personalised outcomes forecasts (POFs), which visualise estimated walking distance and quality of life for individual patients. The POFs may enable healthcare professionals, such as physical and exercise therapists, to improve shared decision-making and patient outcomes. OBJECTIVES: To assess differences in patient outcomes (functional walking distance, maximal walking distance and health-related quality of life) and the level of shared decision-making before an... Mehr ...

Verfasser: Marcellis, Laura H M
Sinnige, Anneroos
Rutgers, Katrien M
Kittelson, Andrew
Spruijt, Steffie
Teijink, Joep A W
van der Wees, Philip J
Hoogeboom, Thomas J
Dokumenttyp: Artikel
Erscheinungsdatum: 2024
Reihe/Periodikum: Marcellis , L H M , Sinnige , A , Rutgers , K M , Kittelson , A , Spruijt , S , Teijink , J A W , van der Wees , P J & Hoogeboom , T J 2024 , ' Evaluating the implementation of personalised outcomes forecasts to optimise supervised exercise therapy in patients with intermittent claudication in the Netherlands : a multimethods study ' , BMJ Open Quality , vol. 13 , no. 1 , e002594 . https://doi.org/10.1136/bmjoq-2023-002594
Schlagwörter: Exercise / Implementation science / Shared decision making / Humans / Intermittent Claudication/therapy / Quality of Life / Netherlands / Walking / Exercise Therapy/methods
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-29187358
Datenquelle: BASE; Originalkatalog
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Link(s) : https://cris.maastrichtuniversity.nl/en/publications/a1228f89-5e1a-444c-ba06-2bbacf34b09d

BACKGROUND: To support the optimisation of supervised exercise therapy (SET) in patients with intermittent claudication, we developed personalised outcomes forecasts (POFs), which visualise estimated walking distance and quality of life for individual patients. The POFs may enable healthcare professionals, such as physical and exercise therapists, to improve shared decision-making and patient outcomes. OBJECTIVES: To assess differences in patient outcomes (functional walking distance, maximal walking distance and health-related quality of life) and the level of shared decision-making before and after the implementation of POFs in the conservative treatment of patients with intermittent claudication. METHODS: An interrupted time series design was used to compare preimplementation and postimplementation differences on patient outcomes. Using routinely collected data, differences from baseline to 6?months were compared between patients before and patients after the implementation. To compare levels of shared decision-making, we conducted observations of initial consults within a sample of physical or exercise therapists both before and after the implementation. Audiorecords of observations were scored on shared decision-making using the OPTION-5 instrument. RESULTS: Differences in improvements between patients with whom POFs were discussed (n=317) and patients before the implementation of POFs (n=721) did not reach statistical significance for both functional walking distance (experimental vs. control=+23%, p=0.11) and maximal walking distance (experimental vs. control=+21%, p=0.08). For health-related quality of life, the POFs-informed patients showed a statistically significant greater improvement of 4% (p=0.04). Increased levels of shared decision-making were observed in postimplementation consults (n=20) when compared with preimplementation consults (n=36), as the median OPTION-5 total score showed a statistically significant increase from 45 to 55 points (p=0.01). CONCLUSIONS: Integrating POFs into daily ...