Evidence map›Paper›PMID 32035012›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2020

Patients, caregivers and health-care professionals' experience with an interdisciplinary intervention for people with multimorbidity in primary care: A qualitative study.

Patrice Alain Ngangue, Catherine Forgues, Tu Nguyen, Maxime Sasseville, Frances Gallagher, Christine Loignon, Moira Stewart, Judith Belle Brown, Maud-Christine Chouinard, Martin Fortin

Abstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Multimorbidity Management: A Scoping Review of Interventions and Health Outcomes.International journal of environmental research and public health · 2025
    Article
  6. Article
  7. Review
  8. Article
  9. User Testing of the Veteran Delegation Tool: Qualitative Inquiry.Journal of medical Internet research · 2023
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Patrice Alain NgangueFaculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, QC, Canada.ORCID 0000-0002-5204-7420
Catherine ForguesFaculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, QC, Canada.ORCID 0000-0003-4699-6504
Tu NguyenWestmead Applied Research Centre, The University of Sydney, Camperdown, NSW, Australia.ORCID 0000-0002-8836-8920
Maxime SassevilleDepartment of health sciences, Université du Québec à Chicoutimi, Chicoutimi, Québec, Canada.ORCID 0000-0003-1694-1414
Frances GallagherFaculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, QC, Canada.ORCID 0000-0001-7784-9852
Christine LoignonFaculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, QC, Canada.ORCID 0000-0002-9828-3090
Moira StewartCentre for Studies in Family Medicine, Department of Family Medicine, Schulich School of Medicine & Dentistry, Western University, London, Canada.ORCID 0000-0002-5552-0762
Judith Belle BrownCentre for Studies in Family Medicine, Department of Family Medicine, Schulich School of Medicine & Dentistry, Western University, London, Canada.ORCID 0000-0002-3661-9361
Maud-Christine ChouinardDepartment of health sciences, Université du Québec à Chicoutimi, Chicoutimi, Québec, Canada.ORCID 0000-0001-8114-9146
Martin FortinFaculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, QC, Canada.ORCID 0000-0002-9874-3771

Funding

CIHR 297943
6 · The paper itself

Abstract

backgroundMultimorbidity challenges the health-care system and requires innovative approaches. In 2015, a 4-month patient-centred interdisciplinary pragmatic intervention was implemented in primary care with the aim of supporting self-management for patients with multimorbidity.

objectiveTo explore the perceptions and experiences of health-care professionals, patients and their caregivers with a 4-month patient-centred interdisciplinary pragmatic intervention in primary care.

designA descriptive, qualitative study using semi-structured interviews was conducted. SETTING AND

participantsA purposive sample of 30 participants was recruited from seven family medicine groups including patients, caregivers and health-care professionals (HCPs). Interviews were analysed using Thorne's interpretive description approach.

resultsFindings were grouped into the benefits and challenges of participating in the intervention. The programme allowed patients to adopt realistic and adapted objectives; to customize interventions to the patient's reality; and to help patients gain confidence, improve their knowledge, skills and motivation to manage their condition. Interprofessional collaboration eased the exchange of information via team meetings and electronic medical records. Challenges were related to collaboration, communication, coordination of work and integration of newly relocated HCPs mainly due to part-time assignments and staff turnover. HCPs part-time schedules limited their availability and hindered patients' follow-up. DISCUSSION AND

conclusionThis intervention was useful and rewarding from the HCPs, patients and caregivers' perspective. However, to ensure the success of this complex interdisciplinary intervention, implementers and managers should anticipate organizational barriers such as availability and time management of relocated HCPs.

Indexed as

CaregiversMultimorbidityHealth PersonnelHumansPrimary Health CareQualitative Researchchronic diseasemultimorbiditypatient care teampatient-centred careprimary health carequalitative researchself-management

Identifiers

PMID32035012
PMCPMC7104629

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.