By Martin Fortin
The objective of this study was to analyze the effect of a multidisciplinary self-management intervention among patients with multimorbidity and the impact of socioeconomic factors on the results.
Participants of this study were multimorbid patients from of a pragmatic randomized trial evaluating an intervention that included patients (18 to 75 yrs.) from eight primary care practices in Quebec, Canada. The intervention included self-management support and patient-centered motivational approaches.
Self-management was evaluated using the Health Education Impact Questionnaire (heiQ) which measures eight different domains.
The effect of the intervention on the likelihood of an improvement in self-management was significant in six heiQ domains in the univariate analysis: Health-directed behavior, Emotional well-being, Self-monitoring and insight, Constructive attitudes and approaches, Skill and technique acquisition, and Health services navigation. After controlling for age and gender the results remained essentially the same.
After additional adjustments for family income, education and self-perceived financial status, the likelihood of an improvement was no longer significant in the domains Emotional well-being and Self-monitoring and insight.
It was concluded that the intervention produced significant improvements in multimorbid patients for most domains of self-management but socioeconomic factors had a minor impact on the results.
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