Evidence map›Paper›PMID 38803252›Full record

ArticleBMJ open2024

Implementation of a virtual community of practice to promote the empowerment of middle-aged people with multimorbidity: study protocol of a randomised controlled trial.

Alba Campillejo, Ileana Gefaell-Larrondo, Vanesa Ramos-García, Débora Koatz, Anthea Santos-Álvarez, Jaime Barrio-Cortes, Sara Gómez-Rueda, Amaia Calderón-Larrañaga, Patricia Cifuentes, Consuelo Company-Sancho and 27 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06046326 (Evaluate the Effectiveness of a Virtual Community of Practice Via a Web-based Application Versus Individual and Self-administered Online Education to Improve the Activation of Middle-aged People with Multimorbidity.), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

NCT06046326 narecruitingnot on this map

Evaluate the Effectiveness of a Virtual Community of Practice Via a Web-based Application Versus Individual and Self-administered Online Education to Improve the Activation of Middle-aged People with Multimorbidity.

TypeinterventionalSponsorGerencia de Atención Primaria, MadridRan2024 to 2026Enrolled240ConditionsChronic DiseasesArmsvirtual community of practice
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

37 authors.

Alba Campillejo *Foundation for Biosanitary Research and Innovation in Primary Care, Community of Madrid Madrid Health Service, Madrid, Spain.ORCID 0009-0008-5729-179X
Ileana Gefaell-Larrondo *Foundation for Biosanitary Research and Innovation in Primary Care, Community of Madrid Madrid Health Service, Madrid, Spain.
Vanesa Ramos-García *Canary Islands Health Research Institute Foundation, Canary Islands Health Service, Santa Cruz de Tenerife, Spain.ORCID 0000-0002-9106-2420
Débora Koatz *Avedis Donabedian Research Institute (FAD), Autonomous University of Barcelona, Barcelona, Spain.
Anthea Santos-ÁlvarezCanary Islands Health Research Institute Foundation, Canary Islands Health Service, Santa Cruz de Tenerife, Spain.
Jaime Barrio-CortesFoundation for Biosanitary Research and Innovation in Primary Care, Community of Madrid Madrid Health Service, Madrid, Spain.
Sara Gómez-RuedaGregorio Marañón Research Institute, Community of Madrid Madrid Health Service, Madrid, Spain.
Amaia Calderón-LarrañagaAging Research Center, Department of Neurobiology, Care Science and Society, Karolinska Institutet and Stockholm University, Stockholm, Sweden.ORCID 0000-0001-9064-9222
Patricia CifuentesUniversity Hospital of Alcorcón, Community of Madrid Ministry of Health, Madrid, Spain.
Consuelo Company-SanchoGeneral Directorate of Public Health, Canary Islands Health Service, Santa Cruz de Tenerife, Spain.
Santiago Domínguez-CoelloLa Laguna Health Care Center - Family and Community Care teaching unit, Canary Islands Health Service, Santa Cruz de Tenerife, Canarias, Spain.
Francisco Javier García-GarcíaQuality Care Unit - Nuestra Señora de La Candelaria University Hospital (HUNSC), Canary Islands Health Service, Santa Cruz de Tenerife, Spain.
Sofía Garrido-ElustondoCentre Family and Community Care Teaching Multiprofessional Unit, Comunidad de Madrid Consejeria de Sanidad, Madrid, Spain.
Beatriz González de LeónTenerife Primary Care Management, Canary Islands Health Service, Santa Cruz de Tenerife, Spain.
José Ramón-VazquezTenerife Primary Care Management, Canary Islands Health Service, Santa Cruz de Tenerife, Spain.
Candelaria MartínInternal Medicine Department, Hospital Universitario de Canarias, La Laguna, Spain.
Carmen Suárez-FernándezLa Princesa Hospital, Community of Madrid Madrid Health Service, Madrid, Spain.
Pedro Parra-CaballeroLa Princesa Hospital, Community of Madrid Madrid Health Service, Madrid, Spain.
Esther F Vicente-RabanedaLa Princesa Hospital, Community of Madrid Madrid Health Service, Madrid, Spain.
Patricia Quiroga-ColinaLa Princesa Hospital, Community of Madrid Madrid Health Service, Madrid, Spain.
Ana Belén Ramírez-PuertaTechnical Support Unit, Primary Care Management, Community of Madrid Madrid Health Service, Madrid, Spain.
Marta Ruíz-LópezVicente Muzas Health Center, Community of Madrid Madrid Health Service, Madrid, Spain.
María-Eugenia Tello-BernabéEl Espinillo Health Center, Community of Madrid Madrid Health Service, Madrid, Spain.
Estrella Sanchez-GamborinoRafael Alberti Health Center, Community of Madrid Madrid Health Service, Madrid, Spain.
Beatriz Ugalde-AbiegaRamón y Cajal University Hospital, Community of Madrid Madrid Health Service, Madrid, Spain.
Helena Vall-RoquéAvedis Donabedian Research Institute (FAD), Autonomous University of Barcelona, Barcelona, Spain.
Andrea Duarte-DíazCanary Islands Health Research Institute Foundation, Canary Islands Health Service, Santa Cruz de Tenerife, Spain.
Analía Abt-SacksCanary Islands Health Research Institute Foundation, Canary Islands Health Service, Santa Cruz de Tenerife, Spain.
Aránzazu Hernández-YumarCanary Islands Health Research Institute Foundation, Canary Islands Health Service, Santa Cruz de Tenerife, Spain.
Alezandra Torres-CastañoCanary Islands Health Research Institute Foundation, Canary Islands Health Service, Santa Cruz de Tenerife, Spain.
Yolanda Álvarez-PérezCanary Islands Health Research Institute Foundation, Canary Islands Health Service, Santa Cruz de Tenerife, Spain.
Christiane MuthDepartment of General Practice and Family Medicine, University Hospital OWL of Bielefeld University Campus Hospital Lippe, Detmold, Germany.
Marjan van den AkkerInstitute of General Practice, University of Frankfurt, Frankfurt am Main, Germany.ORCID 0000-0002-1022-8637
Victor M MontoriKnowledge and Encounter Research Unit, Mayo Clinic, Rochester, Minnesota, USA.
Carola OrregoResearch Network on Chronicity Primary Care and Prevention and Health Promotion, Barcelona, Spain.ORCID 0000-0002-2978-6268
Lilisbeth Perestelo-PérezResearch Network on Chronicity Primary Care and Prevention and Health Promotion, Barcelona, Spain.
Ana Isabel González-GonzálezGregorio Marañón Research Institute, Community of Madrid Madrid Health Service, Madrid, Spain aisabel.gonzalezg@salud.madrid.org.ORCID 0000-0001-7167-4211

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEmpowering people living with multimorbidity (multiple chronic conditions) to gain greater confidence in managing their health can enhance their quality of life. Education focused on self-management is a key tool for fostering patient empowerment and is mostly provided on an individual basis. Virtual communities of practice (VCoP) present a unique opportunity for online education in chronic condition self-management within a social context. This research aims to evaluate the effectiveness/cost-effectiveness of individualised, online self-management education compared with VCoP among middle-aged individuals living with multiple chronic conditions. METHODS AND ANALYSIS: People aged 30-60, living with ≥2 chronic conditions and receiving care in primary care (PC) centres and outpatient hospital-based clinics in Madrid and Canary Islands will enrol in an 18-month parallel-design, blinded (intervention assessment and data analysts), pragmatic (adhering to the intention-to-treat principle), individually randomised trial. The trial will compare two 12-month web-based educational offers of identical content; one delivered individually (control) and the other with online social interaction (VCoP, intervention). Using repeated measures mixed linear models, with the patient as random effect and allocation groups and time per group as fixed effects, we will estimate between-arm differences in the change in Patient Activation Measure from baseline to 12 months (primary endpoint), including measurements at 6-month and 18-month follow-up. Other outcomes will include measures of depression and anxiety, treatment burden, quality of life. In addition to a process evaluation of the VCoP, we will conduct an economic evaluation estimating the relative cost-effectiveness of the VCoP from the perspectives of both the National Health System and the Community. ETHICS AND DISSEMINATION: The trial was approved by Clinical Research Ethics Committees of Gregorio Marañón University Hospital in Madrid/Nuestra Señora Candelaria University Hospital in Santa Cruz de Tenerife. The results will be disseminated through workshops, policy briefs, peer-reviewed publications and local/international conferences. TRIAL REGISTRATION NUMBER: NCT06046326.

Indexed as

EmpowermentMultimorbidityQuality of LifeAdultCommunity of PracticeCost-Benefit AnalysisFemaleHumansMaleMiddle AgedPatient Education as TopicPragmatic Clinical Trials as TopicRandomized Controlled Trials as TopicSelf-ManagementSpainChronic DiseaseClinical TrialCommunity-Based Participatory ResearchGENERAL MEDICINE (see Internal Medicine)Self-Management

Identifiers

PMID38803252
PMCPMC11129026

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Registered trials

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.