Work Packages

PECC-WE

On September 9th 2011, the minor revision of the WONCA Europe definition of general practice included as its 12th characteristic “Promotion of patient empowerment and self-care”. There is a need to enable GPs to fulfill this specific element of general practice. 
 
In order to create a structured approach in primary care to effective patient self management of chronic conditions, it is necessary to specifically assess which educational interventions aimed at health professionals in primary care produce improvement in effective self management by patients of their own chronic conditions. 

Summary of Project Work Packages

Work Package 1a: Systematic review 

Responsible project partner: Irish College of General Practitioners.

Aim

To identify studies which report on the effectiveness of educational interventions for primary care health professionals where the interventions were designed to improve self-management of chronic conditions by patients.

To inform the development of a template educational package (WP2) for primary healthcare professionalt across Europe.

Method

PECC-WE WP1

Core findings
  • Training primary healthcare professionals is critical for patient empowerment in chronic disease.
  • Key elements of training include motivational interviewing, goal setting, reflective listening and patient partnerships. 
Final Analysis and Write Up stage by ICGP June 2014.
 
Status: Completed.

Work Package 1b: Create an Online Repository of Information for Education, Research, and Exploration of the Concept of Patient Empowerment

Responsible project partner: Danish College of General Practitioners.

Status: Ongoing. Read much more here.


Work Package 1c: EQuiP Working Group on Patient Empowerment for Self-Management in Chronic Conditions.

Responsible project partner: EQuiP.

Aim
To explore concepts of 'empowerment', including clinician perspective.
To include the 'patient' perspective.
 
Factors in General Practice that can facilitate 'Patient Empowerment':
  • Longitudinal care
  • A multi-disciplinary approach
  • A strong relationship based on a unique consultation process of trust
  • A person-centered approach
These factors prove to be helpful for a continuous educational process aimed to empower the patient.
Therefore, General Practice is in a strategic position to promote the goals of patient empowerment and self-management.
 
The EQuiP members Adrian Rohrbasser (Switzerland), Zlata Ozvacic Adzic (Croatia), Zalika Klemenc Ketis (Slovenia), Isabelle Dupie (France), Janecke Thesen (Norway), Ayse Caylan (Turkey),  Ulrik Bak Kirk (Denmark), Andree Rochfort (Ireland), Jochen Gensichen (Germany), Ilkka Kunnamo (Finland) and Ernesto Mola (Italy) are working on two papers for publication:
  • One on an Exploration of the Concept of Patient Empowerment for Chronic Conditions.
  • Another on the Patient Perspective of Empowerment from Self-Management in Chronic Conditions.
Next steps
The EQuiP Working Group meets again at the 52th EQuiP Assembly Meeting in Zagreb, Croatia.
Tell us if you would like to share information on 'patient empowerment' or to input. Thank you. 
 
Status: Ongoing. 

Work Package 2: Development of the Evidence Based Summaries and Educational Framework 

Responsible project partner: The Finnish Medical Society Duodecim.

An online course has been produced as a product of WP2 based on WP1 outputs. This consists of online access to slides including animated dialogue between patient and primary care health professional and links to two videos of consultations specifically created for this project, one between a GP and patient and another between a practice based/ community based nurse and the same patient (actor).
 
Publishing of this e-learning course/tool was possible using the authoring tools of Duodecim e-learning portal. 
 
This will be demonstrated during Wonca Europe Lisbon 2014 at the Wonca Open Forum Meeting and at the EQuiP Workshop on Patient Empowerment on Saturday morning 11.00. 
Further translation of the course into other languages is planned during 2014. 
 
Status: Completed.

Work Package 3: Evaluation of the online course for Patient Empowerment for Patient Self-Management of Chronic Conditions

Responsible project partner: Institute of General Practice & Family Medicine Jena

Aim
To design a) an explorative evaluation (mostly focus groups or meetings) analyzing the data, supporting EQuiP to design b) a systematic evaluation of the self management package in different European countries, managing the pilot/the survey in German practices, to manage the data, analyzing the data, drafting papers. 
 
Core findings
597 respondents completed the survey (449 took the English eCourse and 148 used the German tool). 60% were GPs, 21% were GP trainees, 14% were medicine students and 5% had other professions.
  • 99% (570 out of 576 respondents) stated that the course helped to improve their skills and competence.
  • 97% (557 out of 575 respondents) found that the course motivated them to learn and reflect upon the topic.
  • 88% (505 out of 575 respondents) found the applicability of skills and knowledge obtained from the course in clinical practice to be either 'Excellent' or 'Good'.
Status: Completed