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Educational Outreach with an Integrated Clinical Tool for Nurse-Led Non-communicable Chronic Disease Management in Primary Care in South Africa: A Pragmatic Cluster Randomised Controlled Trial


In a cluster-randomized trial done in South Africa, Lara Fairall and co-workers investigate the effectiveness of a clinical management tool for non-communicable diseases in primary care.


Vyšlo v časopise: Educational Outreach with an Integrated Clinical Tool for Nurse-Led Non-communicable Chronic Disease Management in Primary Care in South Africa: A Pragmatic Cluster Randomised Controlled Trial. PLoS Med 13(11): e32767. doi:10.1371/journal.pmed.1002178
Kategorie: Research Article
prolekare.web.journal.doi_sk: https://doi.org/10.1371/journal.pmed.1002178

Souhrn

In a cluster-randomized trial done in South Africa, Lara Fairall and co-workers investigate the effectiveness of a clinical management tool for non-communicable diseases in primary care.


Zdroje

1. Mayosi BM, Flisher AJ, Lalloo UG, Sitas F, Tollman SM, Bradshaw D. The burden of non-communicable diseases in South Africa. Lancet. 2009;374:934–47. doi: 10.1016/S0140-6736(09)61087-4 19709736

2. Bradshaw D, Dorrington RE, Laubscher R. Rapid mortality surveillance report 2011. Cape Town: South African Medical Research Council; 2012.

3. Rehle TM, Hallett TB, Shisana O, Pillay-van Wyk V, Zuma K, Carrara H, et al. A decline in new HIV Infections in South Africa: estimating HIV incidence from three national HIV surveys in 2002, 2005 and 2008. PLoS ONE. 2010;5:e11094. doi: 10.1371/journal.pone.0011094 20559425

4. Bradshaw D, Groenewald P, Laubscher R, Nannan N, Nojilana B, Norman R, et al. Initial burden of disease estimates for South Africa, 2000. S Afr Med J. 2003;93:682–88. 14635557

5. Pillay-van Wyk V, Msemburi W, Laubscher R, Dorrington RE, Groenewald P, Matzopoulos R, et al. Second national burden of disease study South Africa: national and subnational mortality trends, 1997–2009. Lancet. 2013;381:S113.

6. Mash B, Fairall L, Adejayan O, Ikpefan O, Kumari J, Mathee S, et al. A morbidity survey of South African primary care. PLoS ONE. 2012;7:e32358. doi: 10.1371/journal.pone.0032358 22442666

7. Steyn K, Levitt NS, Patel M, Fourie J, Gwebushe N, Lombard C, et al. Hypertension and diabetes: poor care for patients at community health centres. S Afr Med J. 2008;98:618–22. 18928041

8. Williams DR, Herman A, Stein DJ, Heeringa SG, Jackson PB, Moomal H, et al. Twelve-month mental disorders in South Africa: prevalence, service use and demographic correlates in the population-based South African Stress and Health Study. Psychol Med. 2008;38:211–20. doi: 10.1017/S0033291707001420 17903333

9. Fairall L, Bachmann MO, Lombard C, Timmerman V, Uebel K, Zwarenstein M, et al. Task shifting of antiretroviral treatment from doctors to primary-care nurses in South Africa (STRETCH): a pragmatic, parallel, cluster-randomised trial. Lancet. 2012;380:889–98. doi: 10.1016/S0140-6736(12)60730-2 22901955

10. Colvin CJ, Fairall L, Lewin S, Georgeu D, Zwarenstein M, Bachmann MO, et al. Expanding access to ART in South Africa: the role of nurse-initiated treatment. S Afr Med J. 2010;100:210–2. 20459957

11. Uebel KE, Fairall LR, van Rensburg DH, Mollentze WF, Bachmann MO, Lewin S, et al. Task shifting and integration of HIV care into primary care in South Africa: the development and content of the streamlining tasks and roles to expand treatment and care for HIV (STRETCH) intervention. Implement Sci. 2011;6:86. doi: 10.1186/1748-5908-6-86 21810242

12. Georgeu D, Colvin CJ, Lewin S, Fairall L, Bachmann MO, Uebel K, et al. Implementing nurse-initiated and managed antiretroviral treatment (NIMART) in South Africa: a qualitative process evaluation of the STRETCH trial. Implement Sci. 2012;7:66. doi: 10.1186/1748-5908-7-66 22800379

13. Zwarenstein M, Fairall LR, Lombard C, Mayers P, Bheekie A, English RG, et al. Outreach education for integration of HIV/AIDS care, antiretroviral treatment, and tuberculosis care in primary care clinics in South Africa: PALSA PLUS pragmatic cluster randomised trial. BMJ. 2011;342:d2022. doi: 10.1136/bmj.d2022 21511783

14. Barton GR, Fairall L, Bachmann MO, Uebel K, Timmerman V, Lombard C, et al. Cost-effectiveness of nurse-led versus doctor-led antiretroviral treatment in South Africa: pragmatic cluster randomised trial. Trop Med Int Health. 2013;18:769–77. doi: 10.1111/tmi.12093 23480523

15. Fairall LR, Zwarenstein M, Bateman ED, Bachmann MO, Lombard C, Majara BP, et al. Effect of educational outreach to nurses on tuberculosis case detection and primary care of respiratory illness: pragmatic cluster randomised controlled trial. BMJ. 2005;331:750–4. doi: 10.1136/bmj.331.7519.750 16195293

16. Department of Health. National Department of Health strategic plan 2010/11–2012/13: Pretoria: Department of Health; 2010 [cited 2016 Oct 19]. Available from: http://www.nationalplanningcycles.org/sites/default/files/country_docs/South%20Africa/south_africa_strategic_health_plan_2010-2013.pdf.

17. Fairall L, Bateman E, Cornick R, Faris G, Timmerman V, Folb N, et al. Innovating to improve primary care in less developed countries: towards a global model. BMJ Innov. 2015;1:196–203. doi: 10.1136/bmjinnov-2015-000045 26692199

18. Coventry PA, Small N, Panagioti M, Adeyemi I, Bee P. Living with complexity; marshalling resources: a systematic review and qualitative meta-synthesis of lived experience of mental and physical multimorbidity. BMC Fam Pract. 2015;16:171. doi: 10.1186/s12875-015-0345-3 26597934

19. Déruaz-Luyet A, N’Goran AA, Tandjung R, Frey P, Zeller A, Haller DM, et al. Multimorbidity in primary care: protocol of a national cross-sectional study in Switzerland. BMJ Open. 2015;5:e009165. doi: 10.1136/bmjopen-2015-009165 26510730

20. Foguet-Boreu Q, Violán C, Rodriguez-Blanco T, Roso-Llorach A, Pons-Vigués M, Pujol-Ribera E, et al. Multimorbidity patterns in elderly primary health care patients in a south Mediterranean European region: a cluster analysis. PLoS ONE. 2015;10:e0141155. doi: 10.1371/journal.pone.0141155 26524599

21. Luijks H, Lucassen P, van Weel C, Loeffen M, Lagro-Janssen A, Schermer T. How GPs value guidelines applied to patients with multimorbidity: a qualitative study. BMJ Open. 2015;5:e007905. doi: 10.1136/bmjopen-2015-007905 26503382

22. Moffat K, Mercer SW. Challenges of managing people with multimorbidity in today’s healthcare systems. BMC Fam Pract. 2015;16:129. doi: 10.1186/s12875-015-0344-4 26462820

23. Nicholson K, Terry A, Fortin M, Williamson T, Thind A. Understanding multimorbidity in primary health care. Can Fam Physician. 2015;61:918. 26472799

24. Laurant M, Harmsen M, Wollersheim H, Grol R, Faber M, Sibbald B. The impact of nonphysician clinicians: do they improve the quality and cost-effectiveness of health care services? Med Care Res Rev. 2009;66(6 Suppl):36S–89S. doi: 10.1177/1077558709346277 19880672

25. Labhardt ND, Balo J-R, Ndam M, Grimm J-J, Manga E. Task shifting to non-physician clinicians for integrated management of hypertension and diabetes in rural Cameroon: a programme assessment at two years. BMC Health Serv Res. 2010;10:339. doi: 10.1186/1472-6963-10-339 21144064

26. Kengne AP, Awah PK, Fezeu LL, Sobngwi E, Mbanya J-C. Primary health care for hypertension by nurses in rural and urban sub-Saharan Africa. J Clin Hypertens (Greenwich). 2009;11:564–72.

27. Coleman R, Gill G, Wilkinson D. Noncommunicable disease management in resource-poor settings: a primary care model from rural South Africa. Bull World Health Organ. 1998;76:633–40. 10191559

28. Gill GV, Price C, Shandu D, Dedicoat M, Wilkinson D. An effective system of nurse-led diabetes care in rural Africa. Diabet Med. 2008;25:606–11. doi: 10.1111/j.1464-5491.2008.02421.x 18445175

29. Craig P, Dieppe P, Macintyre S, Michie S, Nazareth I, Petticrew M, et al. Developing and evaluating complex interventions: the new Medical Research Council guidance. BMJ. 2008;337:a1655. doi: 10.1136/bmj.a1655 18824488

30. English RG, Bateman ED, Zwarenstein MF, Fairall LR, Bheekie A, Bachmann MO, et al. Development of a South African integrated syndromic respiratory disease guideline for primary care. Prim Care Respir J. 2008;17:156–63. doi: 10.3132/pcrj.2008.00044 18701971

31. Radloff LS. The CES-D scale: a self-report depression scale for research in the general population. Appl Psychol Meas. 1977;1:385–401.

32. Andresen EM, Malmgren JA, Carter WB, Patrick DL. Screening for depression in well older adults: evaluation of a short form of the CES-D (Center for Epidemiologic Studies Depression Scale). Am J Prev Med. 1994;10:77–84. 8037935

33. Myer L, Smit J, Roux LL, Parker S, Stein DJ, Seedat S. Common mental disorders among HIV-infected individuals in South Africa: prevalence, predictors, and validation of brief psychiatric rating scales. AIDS Patient Care STDS. 2008;22:147–58. doi: 10.1089/apc.2007.0102 18260806

34. Zhang W, O’Brien N, Forrest JI, Salters KA, Patterson TL, Montaner JSG, et al. Validating a shortened depression scale (10 item CES-D) among HIV-positive people in British Columbia, Canada. PLoS ONE. 2012;7:e40793. doi: 10.1371/journal.pone.0040793 22829885

35. Miller WC, Anton HA, Townson AF. Measurement properties of the CESD scale among individuals with spinal cord injury. Spinal Cord. 2008;46:287–92. doi: 10.1038/sj.sc.3102127 17909558

36. Cheung YB, Liu KY, Yip PSF. Performance of the CES-D and its short forms in screening suicidality and hopelessness in the community. Suicide Life Threat Behav. 2007;37:79–88. doi: 10.1521/suli.2007.37.1.79 17397282

37. O’Connor PJ, Desai J, Solberg LI, Reger LA, Crain AL, Asche SE, et al. Randomized trial of quality improvement intervention to improve diabetes care in primary care settings. Diabetes Care. 2005;28:1890–7. 16043728

38. Grant R, Adams AS, Trinacty CM, Zhang F, Kleinman K, Soumerai SB, et al. Relationship between patient medication adherence and subsequent clinical inertia in type 2 diabetes glycemic management. Diabetes Care. 2007;30:807–12. doi: 10.2337/dc06-2170 17259469

39. Rahman A, Malik A, Sikander S, Roberts C, Creed F. Cognitive behaviour therapy-based intervention by community health workers for mothers with depression and their infants in rural Pakistan: a cluster-randomised controlled trial. Lancet. 2008;372:902–9. doi: 10.1016/S0140-6736(08)61400-2 18790313

40. Zwarenstein M, Treweek S, Gagnier J, Altman DG, Tunis S, Haynes B, et al. Improving the reporting of pragmatic trials: an extension of the CONSORT statement. BMJ 2008;337:a2390. doi: 10.1136/bmj.a2390 19001484

41. Department of Health. Standard treatment guidelines and essential medicines list for South Africa: Primary Health Care. Pretoria: Department of Health; 2008.

42. Stein J, Lewin S, Fairall L, Mayers P, English R, Bheekie A, et al. Building capacity for antiretroviral delivery in South Africa: a qualitative evaluation of the PALSA PLUS nurse training programme. BMC Health Serv Res. 2008;8:240. doi: 10.1186/1472-6963-8-240 19017394

43. Sanne I, Orrell C, Fox M, Conradie F, Ive P, Zeinecker J, et al. Nurse management is not inferior to doctor management of antiretroviral patients: the CIPRA South Africa randomised trial. Lancet. 2010;376:33–40. doi: 10.1016/S0140-6736(10)60894-X 20557927

44. O’Brien MA, Rogers S, Jamtvedt G, Oxman AD, Odgaard-Jensen J, Kristoffersen DT, et al. Educational outreach visits: effects on professional practice and health care outcomes. Cochrane Database Syst Rev. 2007;4:CD000409.

45. Van Der Stuyf RR. Scaffolding as a teaching strategy. SlideShare; 2002 [cited 2016 Oct 19]. Available from: http://www.slideshare.net/valms1/vygotsky-17272530.

46. Swinton L. Kolb’s Learning Style Inventory and Kolb’s Learning Cycle explained—no fluff, no filler, just facts. Mftrou.com; 2016 [cited 2016 Oct 19]. Available from: http://www.mftrou.com/kolb-learning-style-inventory.html.

47. Folb N, Timmerman V, Levitt NS, Steyn K, Bachmann MO, Lund C, et al. Multimorbidity, control and treatment of non-communicable diseases among primary healthcare attenders in the Western Cape, South Africa. S Afr Med J. 2015;105:642–7. 26449692

48. Jones PW, Quirk FH, Baveystock CM. The St George’s Respiratory Questionnaire. Respir Med. 1991;85(Suppl B):25–31.

49. Van Bruggen R, Gorter K, Stolk R, Klungel O, Rutten G. Clinical inertia in general practice: widespread and related to the outcome of diabetes care. Fam Pract. 2009;26:428–36. doi: 10.1093/fampra/cmp053 19729401

50. Schmittdiel JA, Uratsu CS, Karter AJ, Heisler M, Subramanian U, Mangione CM, et al. Why don’t diabetes patients achieve recommended risk factor targets? Poor adherence versus lack of treatment intensification. J Gen Intern Med. 2008;23:588–94. doi: 10.1007/s11606-008-0554-8 18317847

51. Berlowitz DR, Ash AS, Hickey EC, Friedman RH, Glickman M, Kader B, et al. Inadequate management of blood pressure in a hypertensive population. N Engl J Med. 1998;339:1957–63. doi: 10.1056/NEJM199812313392701 9869666

52. Berlowitz DR, Ash AS, Glickman M, Friedman RH, Pogach LM, Nelson AL, et al. Developing a quality measure for clinical inertia in diabetes care. Health Serv Res. 2005;40:1836–53. doi: 10.1111/j.1475-6773.2005.00436.x 16336551

53. Carter BL, Bergus GR, Dawson JD, Farris KB, Doucette WR, Chrischilles EA, et al. A cluster-randomized trial to evaluate physician/pharmacist collaboration to improve blood pressure control. J Clin Hypertens (Greenwich). 2008;10:260–71.

54. Seedat S, Stein DJ, Herman A, Kessler R, Sonnega J, Heeringa S, et al. Twelve-month treatment of psychiatric disorders in the South African Stress and Health Study (World Mental Health Survey Initiative). Soc Psychiatry Psychiatr Epidemiol. 2008;43:889–97. doi: 10.1007/s00127-008-0399-9 18677573

55. Bachmann MO, Louwagie G, Fairall L. Quality of life and financial measures in HIV/AIDS in Southern Africa. In: Preedy VR, Watson RR, editors. Handbook of disease burdens and quality of life measures. New York: Springer Science + Business Media; 2010. p. 3223–3243.

56. Garin O, Ayuso-Mateos JL, Almansa J, Nieto M, Chatterji S, Vilagut G, et al. Validation of the ‘World Health Organization Disability Assessment Schedule, WHODAS-2’ in patients with chronic diseases. Health Qual Life Outcomes. 2010;19:51.

57. Sheikh A, Panesar SS, Larizgoitia I, Bates DW, Donaldson LJ. Safer primary care for all: a global imperative. Lancet Glob Health. 2013;1:e182–3. doi: 10.1016/S2214-109X(13)70030-5 25104342

58. Billue KL, Safford MM, Salanitro AH, Houston TK, Curry W, Kim Y, et al. Medication intensification in diabetes in rural primary care: a cluster-randomised effectiveness trial. BMJ Open. 2012;2:e000959. doi: 10.1136/bmjopen-2012-000959 22991217

59. Fairall L, Bachmann MO, Zwarenstein M, Bateman ED, Niessen LW, Lombard C, et al. Cost-effectiveness of educational outreach to primary care nurses to increase tuberculosis case detection and improve respiratory care: economic evaluation alongside a randomised trial. Trop Med Int Health. 2010;15:277–86. doi: 10.1111/j.1365-3156.2009.02455.x 20070633

60. Lewin S, Green J. Ritual and the organisation of care in primary care clinics in Cape Town, South Africa. Soc Sci Med. 2009;68:1464–71. doi: 10.1016/j.socscimed.2009.02.013 19278764

61. Mahomed OH, Asmall S. Development and implementation of an integrated chronic disease model in South Africa: lessons in the management of change through improving the quality of clinical practice. Int J Integr Care. 2015;15:e038. 26528101

62. Mahomed OH, Naidoo S, Asmall S, Taylor M. Evaluation of PC 101 training for professional nurses in 3 districts in South Africa. Pretoria: National Department of Health; 2015.

63. Kruk ME, Yamey G, Angell SY, Beith A, Cotlear D, Guanais F, et al. Transforming global health by improving the science of scale-up. PLoS Biol. 2016;14:e1002360. doi: 10.1371/journal.pbio.1002360 26934704

64. Lund C, Tomlinson M, De Silva M, Fekadu A, Shidhaye R, Jordans M, et al. PRIME: a programme to reduce the treatment gap for mental disorders in five low- and middle-income countries. PLoS Med. 2012;9:e1001359. doi: 10.1371/journal.pmed.1001359 23300387

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