Grant: Travel Awards - Institute Community Support

Context: Research on the factors associated with the successes of chronic disease prevention and management (CDPM) interventions is scarce. Objectives: To identify the factors associated with the success of an interprofessional CDPM intervention among adult patients in primary healthcare (PHC) settings. Design: Secondary analysis of data from the PR1MaC project; a pragmatic randomized controlled trial looking at the effects of an intervention involving the integration of CDPM services in PHC. Settings: Eight PHC practices in the Saguenay region of Quebec, Canada. Participants: A sample of 160 patients (84 males) referred by PHC providers constituted the sample (mean age 52.66 ± 11.5 years); 98.5% presented two or more chronic conditions (Analysis focused on the intervention arm only). Main and secondary outcome measures: Dichotomic substantive improvement in the eight domains of the Health Education Impact Questionnaire (heiQ) measured at baseline and three months later. Results: Multivariate logistic regression analysis showed that being younger, being single and having a lower family income led to a better improvement in the emotional wellbeing domain; having healthy eating habits and less objectives during the intervention led to improvement in the constructive attitudes and approaches domain; being younger, a longer intervention and a consensus of professionals led to improvement in the health services navigation domain; a longer intervention led to improvement in the positive and active engagement in life domain and having more professionals involved led to improvement in the skills and techniques acquisition domain. No predictive factors were identified for the health-directed behaviour, social interaction and support and self-monitoring and insight domains. Only significant results are presented here (p-value less than 0.05) Conclusion: CDPM services for patients in primary healthcare represent an innovation for the future of care delivery.