Integration of chronic disease prevention and management services into primary care (PR1MaC): findings from an embedded qualitative study

Martin Fortin, Maud-Christine Chouinard, Bayero Boubacar Diallo, Tarek Bouhali, Martin Fortin, Maud-Christine Chouinard, Bayero Boubacar Diallo, Tarek Bouhali

Abstract

Background: The PR1MaC study was conducted to evaluate the integration of Chronic Disease Prevention and Management services into primary care practices and was reported effective. The aim of this study was to further explore the effects of the PR1MaC intervention on patients and their family.

Methods: We conducted a qualitative study embedded in a randomized controlled trial. The trial was implemented in eight primary health care practices in the Saguenay region, Quebec, Canada. The interdisciplinary patient-centred team-based intervention included self-management support and a motivational approach. We conducted focus groups and semi-directed individual interviews with patients, family members and healthcare professionals.

Results: Perceived positive effects can be grouped into six major themes: awareness, improved knowledge, improved motivation and empowerment, adoption of healthy behaviours, improvement of health status and improvement of quality of life. On the negative side, some participants reported lack of sustainability of newly acquired benefits in the months following the intervention.

Conclusions: Integrating chronic disease prevention and management services into primary care settings had impacts on patients and their family members. These findings are consistent with findings that were reported in the quantitative study. Further studies should address longterm sustainabilility in terms of benefits for the patients.

Trial registration: ClinicalTrials.gov, no.: NCT01319656 .

Keywords: Chronic diseases; Disease management; Intervention; Primary health care; Program evaluation; Qualitative research.

Conflict of interest statement

Ethics approval and consent to participate

Approval was obtained from the Ethics Committee of the Centre de Santé et de Services Sociaux de Chicoutimi (reference number: 2010–044). All the participants completed and signed an informed consent form.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

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Source: PubMed

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