Patient Engagement

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Patient Engagement

• Co Creating Health Initiative
• Patient Self Management Programme
• Ayrshire Arran
• Donald McIntosh
• Hans Hartung

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Why?

• Traditional and paternalistic model is
  ineffective
• Adherence to long term therapy 501 only
• Rise of long term conditions
• Patient preference
• 1 World Health Organization 2003

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National and local agenda

• A mutual NHS patients and the general public
  to get involved in the design and delivery of
  health services. Better Health, Better Care 2007
• The key to successful management of long term
  conditions lies in the hands of the person who
  lives with the condition. Self Management
  Strategy for Long Term Conditions in Scotland
  2008
• NHS Ayrshire Arran patient focus and public
  involvement strategic plan 2009 - 2011

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Expert Patient Programme

• Chronic disease self management programme
• Lay led
• Self efficacy as predictor of successful
  behaviour change
• Aim 100000 patients
• Evidence
• Self efficacy ?
• Psychological health ?
• Use of health care ?

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Co Creating Health

• Journey of involvement and engagement
• Levels of activation
• Passive recipient ??Active participant and
  partner
• Importance and Confidence
• Explorative and tailored approach
• Self management support

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Self Management Program (SMP)

• 7 week course for people with COPD
• Co delivery by lay tutor and respiratory health
  care professional
• Generic and condition specific content
• Self management skills
• problem solving, goal setting and action plans
• building confidence
• exploring beliefs
• partnership working, collaborative decision
  making
• appreciation of peer support
• physical activity and breathing exercises

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SMPAyrshire Arran2007 - 2010

• 16 SMPs
• 5 lay tutors, 7 health care professional tutors
• 227 registered participants, 102 completed
• 6 monthly reunion
• Patient reference group
• Evaluation 0, 3, 6 12 months
• EUROQOL Health Status ?
• Patient Activation Measure ?
• Health Education Impact Questionnaire ?
• Hospital Anxiety and Depression Scale ?
• Medical Care
• Chronic Respiratory Questionnaire