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198 A virtual community of practice for the empowerment of patients with ischemic heart disease (e-mpodera2): a randomized controlled trial
  1. Lilisbeth Perestelo-Pérez1,2,
  2. Helena Vall-Roqué3,4,
  3. Vanesa Ramos-García2,5,
  4. Amado Rivero-Santana2,5,
  5. Alezandra Torres-Castaño2,5,
  6. Patricia Cifuentes6,
  7. Débora Koatz4,7,
  8. Javier García-García8,
  9. Valeria Pacheco-Huergo9,
  10. Pau Rello Sabaté10,
  11. Anthea Santos-Álvarez5,
  12. Alba Campillejo García6,
  13. Sofía Garrido Elustondo4,11,
  14. Ana Isabel González-González4,12,
  15. Carola Orrego4,7
  1. 1Evaluation Unit (SESCS), Canary Islands Health Service (SCS), Tenerife, Spain
  2. 2Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Tenerife, Spain The Spanish Network of Agencies for Health Technology Assessment and Services of the National Health System (RedETS), Tenerife, Spain
  3. 3Avedis Donabedian Research Institute (FAD), Spain Universidad Autónoma de Barcelona, Spain
  4. 4Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Barcelona, Spain
  5. 5Canary Islands Health Research Institute Foundation, Tenerife, Spain
  6. 6Fundación para la Investigación e Innovación Biosanitaria de Atención Primaria (FIIBAP), Madrid,Spain
  7. 7Avedis Donabedian Research Institute (FAD), Spain Universidad Autónoma de Barcelona, Spain
  8. 8Unidad de Calidad y Seguridad del Paciente Hospital U. Nuestra Señora de Candelaria, Spain, Tenerife, Spain
  9. 9Centro de Atención Primaria Turó-Vilapicina, Institut Català de la Salut, Barcelona, Spain Avedis Donabedian Research Institute (FAD), Spain
  10. 10Servicio de Cardiología del Hospital Universitari de la Vall d’Hebron de Barcelona Universitat Autònoma de Barcelona, Barcelona, Spain
  11. 11Gerencia Asistencial de Atención Primaria de la Comunidad de Madrid
  12. 12Innovation and International Projects Unit. Vice-Directorate for Health Research and Documentation. Directorate General for Research, Education and Innovation. Madrid Health Ministry, Spain

Abstract

Introduction Virtual Communities of Practice (vCoP) may play a key role connecting like- minded individuals and fostering knowledge sharing and growth. vCoPs offer valuable information, peer support, and resource sharing. The aim of this study was to evaluate the effectiveness and cost-effectiveness of a vCoP in the improvement of the activation of patients with Ischemic Heart Disease (IHD).

Methods We conducted a randomized controlled trial. 282 patients with IHD from Madrid, Catalonia and Canary Islands were randomly allocated to intervention or control group. Patients were anonymized and the statistician was blinded to group allocation. The intervention was a multicomponent tailored vCoP built on the Web 2.0 concept and focused on skills toward patient empowerment. The primary outcome was the Patient Activation Measure score. Secondary outcomes were: Attitudes towards disease (Self-efficacy Managing Chronic Disease Scale); adherence to Mediterranean diet (Mediterranean Diet Adherence Screener); level of physical activity (International Physical Activity Questionnaire); depression (Patient Health Questionnaire-9); anxiety (Hospital Anxiety and Depression Scale-A); medication adherence (Adherence to Refill and Medication Scale-e); and health-related quality of life (EQ-5D-5L). A linear regression model of mixed effects was carried out to estimate the effect of participating in the VCoP.

Results Significant differences in adherence to Mediterranean diet were found favoring the intervention at 6 months (B = 0.48, 95%CI: 0.06, 0.90), 12 months (B = 0.78, 95%CI: 0.34, 1.22), and 18 months (B = 0.86, 95%CI: 0.36, 1.35). No significant changes among data collection points were found for the other variables.

Discussion and Conclusions Our results suggest that VCoP can be useful to promote healthy habits.

Nonetheless, aspects such as patient activation might require other types of interventions.

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