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The feasibility of assessing the Flinders Program(TM) of patient self-management in New Zealand primary care settings

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Show simple record Horsburgh, Margaret Bycroft, Janine Mahony, Faith Roy, Dianne Miller, Denise Goodyear-Smith, Felicity Donnell, Erin 2011-12-05T20:16:54Z 2011-12-05T20:16:54Z 2010-12
dc.identifier.issn 1172-6164
dc.description.abstract Introduction: The Flinders Program(TM) has been adopted in New Zealand as a useful and appropriate approach for self-management with primary care clients who have chronic conditions. The Flinders Program(TM) has not been evaluated in New Zealand settings. Aim: To assess the feasibility of undertaking a substantive long-term trial to gauge the effectiveness of primary care nurses using the Flinders Program(TM) to improve health outcomes for New Zealand populations. Methods: A pilot study was undertaken considering four components of feasibility of conducting a long-term trial: practice recruitment, participant recruitment, delivery of the intervention and outcome measures. This included comparing 27 intervention and 30 control patients with long-term health conditions with respect to change in self-management capacity—Partners in Health (PIH) scale—quality of care using the Patient Assessment of Chronic Illness Care (PACIC) scale and self-efficacy across six months. Intervention participants received care planning with practice nurses using the Flinders Program(TM) in general practices, while control participants received usual care in comparable practices. Results: General practice and participant recruitment was challenging, together with a lack of organisational capacity and resources in general practice for the Flinders Program(TM). The measures of self-management capacity (PIH), quality of care (PACIC) and self-efficacy were useful and valuable primary outcome measures. Discussion: The overall findings do not support a substantive trial of the Flinders Program(TM) in primary care. Difficulties associated with participant recruitment and ability of practice nurses to undertake the Flinders Program(TM) within general practice need to be resolved. en_NZ
dc.language.iso en en_NZ
dc.publisher Royal New Zealand College of General Practitioners en_NZ
dc.relation.uri en_NZ
dc.subject Self-management en_NZ
dc.subject Long-term conditions en_NZ
dc.subject Chronic conditions en_NZ
dc.subject Chronic illness en_NZ
dc.subject Primary care en_NZ
dc.subject Nurses en_NZ
dc.title The feasibility of assessing the Flinders Program(TM) of patient self-management in New Zealand primary care settings en_NZ
dc.type Journal Article en_NZ
dc.rights.holder Royal New Zealand College of General Practitioners en_NZ
dc.subject.marsden 111002 Clinical Nursing: Primary (Preventative) en_NZ
dc.identifier.bibliographicCitation Horsburgh, M., Bycroft, J., Mahony, F., Roy, D., Miller, D., Goodyear-Smith, F., & Donnell, E. (2010). Journal of Primary Health Care, 2(4), 294-302. Retrieved from en_NZ
unitec.institution Unitec Institute of Technology en_NZ
unitec.institution University of Auckland en_NZ
unitec.publication.spage 294 en_NZ
unitec.publication.lpage 302 en_NZ
unitec.publication.volume 2 en_NZ
unitec.publication.title Journal of Primary Health Care en_NZ
unitec.peerreviewed yes en_NZ

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