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Self-care in primary care: findings from a longitudinal comparison study
Anne-Marie Bagnall1, Jane South, Mark J Forshaw
1Senior Research Fellow, Faculty of Health and Social Sciences, Leeds Metropolitan University, Leeds, UK. a.bagnall@leedsmet.ac.uk
Primary Health Care Research & Development
|June 22, 2012
Summary
Self-care training for primary healthcare workers did not improve frequent patient attendance or self-care behaviors. Competing demands and low staff engagement hindered the initiative
Area of Science:
- Primary Health Care
- Self-Care Interventions
- Health Services Research
Background:
- Interventions to promote self-care in frequent primary care users have yielded inconsistent outcomes.
- This study evaluates a practice-based strategy designed to enhance self-care support within primary care settings.
Purpose of the Study:
- To assess the impact of self-care training workshops for primary healthcare workers on patients with frequent attendance.
- To evaluate the effectiveness of a practice-based self-care support strategy.
Main Methods:
- A 12-month longitudinal-matched comparison study involving seven intervention and four comparison primary care practices.
- A multidisciplinary training package delivered via three workshops to primary care staff.
- Data collection included psychometric scores, healthcare service utilization, and qualitative interviews with 1454 frequently attending patients.
Main Results:
- Low recruitment (20%) and retention (75%) rates were observed.
- Poor uptake and implementation of the training program occurred due to limited staff engagement and competing priorities.
- No significant changes were detected in patients' healthcare service use, psychometric scores, or self-care beliefs and behaviors.
Conclusions:
- The self-care training initiative demonstrated no significant effects during its pilot phase.
- Implementation challenges included time and resource constraints in primary care and a lack of engagement from healthcare professionals.
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