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Patient experiences with the Assessment of Burden of Chronic Conditions (ABCC) tool in primary care: a qualitative

Loraine H L Peters1, Lotte C E M Keijsers1, Onno C P van Schayck1

  • 1Family Medicine, Care and Public Health Research Institute (CAPHRI), Maastricht Universityhttps://ror.org/02jz4aj89, Maastricht, Netherlands.

Primary Health Care Research & Development
|March 27, 2026
PubMed

Insights

Patients found the Assessment of Burden of Chronic Conditions (ABCC) tool helpful for managing chronic conditions and improving discussions with healthcare providers. Further refinements can enhance its utility in primary care settings.

Area of Science:

  • Primary care research
  • Health services research
  • Patient-reported outcomes

Background:

  • Rising prevalence of chronic conditions and multimorbidity challenges primary care.
  • Effective chronic disease management is key to improving quality of life.
  • The Assessment of Burden of Chronic Conditions (ABCC) tool supports shared decision-making and self-management.

Purpose of the Study:

  • To evaluate patient perspectives on the ABCC tool in primary care.
  • To understand patient experiences with the ABCC tool during consultations.
  • To identify areas for improvement in the ABCC tool.

Main Methods:

  • Qualitative phenomenological study utilizing semi-structured interviews.
  • Fourteen patients with COPD, asthma, T2DM, and/or CHF participated.
  • Participants were recruited from a prior study on the ABCC tool's effectiveness.

Main Results:

  • Patients were generally satisfied with the ABCC tool's design, visualization, and questionnaire.
  • The tool facilitated patient-provider discussions and aided monitoring.
  • Some confusion existed regarding specific features (e.g., grey balloons), and awareness of advanced functions was limited.

Conclusions:

  • The ABCC tool shows promise for enhancing clinical practice and patient consultations.
  • Patient feedback indicates satisfaction but highlights needs for clearer explanations and feature awareness.
  • Further development and support for the ABCC tool are recommended to maximize its potential.
Abstract

Keywords:
ABCC toolchronic conditionsperson-centred careprimary careself-managementshared decision making

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