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PRAXARTH PACIC (German validation – Arthritis, N=236)

Measurement of provider-support for chronic illness care Arthritis, Depression and Diabetes Bellagio, April 2008. PRAXARTH Patient Assessment of Chronic Illness Care (PACIC) (German validation – Arthritis, N=236, sample characteristics).

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PRAXARTH PACIC (German validation – Arthritis, N=236)

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  1. Measurement of provider-support for chronic illness care Arthritis, Depression and Diabetes Bellagio, April 2008

  2. PRAXARTH Patient Assessment of Chronic Illness Care(PACIC)(German validation – Arthritis, N=236, sample characteristics) Rosemann T, Laux G,  Droesemeyer S, Gensichen J, Szecsenyi J. Evaluation of a culturally adapted German version of the Patient Assessment of Chronic Illness Care (PACIC 5A) questionnaire in a sample of osteoarthritis patients. J Eval Clin Pract 2007; 13: 806-813

  3. PRAXARTH PACIC(German validation – Arthritis, N=236)

  4. PROMPT PACIC (12 months, cluster randomised intervention trial on simple case management for Major depression, N=555, sample) Gensichen J et al. Case Management improves clinical outcome for patients with major depression in primary care mini-practices: The PRoMPT project. Abstract. Conference of the North American Primary Care Research Group, 20-23 Okt 2007, Vancouver, Canada

  5. PROMPT PACIC (12 months simple case management, Major depression, N=555, sample characteristics) ** „linear mixed model“, Adjustiered for Cluster-Effects; N=520

  6. ELSID PACIC (Evaluation of a large scale implementation of disease management programmes DMP, Diabetes, N=1399 sample characteristics) A random, heterogeneous sample of 3,546 patients received a mailed questionnaire from their regional health fund. DMP enrolled verus not enrolled Szecsenyi J, Rosemann T, Joos S, Peters-Klimm F, Miksch A. German diabetes disease management programs are appropriate to restructure care according to the Chronic Care Model. An evaluation withthe Patient Assessment of Chronic Illness Care (PACIC-5A) instrument. Diabetes Care Publish Ahead of Print, published online February 25, 2008

  7. decision support Mean SD Ceiling, % Floor, % Item-scale-correlation Reliability (Cronbach’s alpha) Test-retest correlation (ICC) Overall PACIC 2.44 (1.1) 0 0 0.90 0.81 Patient activation 2.79 (1.1) 0.4 3.8 0.65-0.88 0.85 0.77 Delivery system/ 2.56 (1.2) 0.8 2.9 0.71-0.89 0.78 0.78 Goal setting/tailoring 2.31 (1.1) 1.2 3.4 0.63-0.90 0.81 0.82 Problem solving/contextual 2.48 (1.2 0.8 2.1 0.66-0.87 0.86 0.79 Follow up/coordination 2.01 (1.3) 0.4 4.6 0.59-0.91 0.81 0.85 ELSID PACIC (Evaluation of a large scale implementation of disease management programmes, Diabetes, N=1399)

  8. PACIC - Experiences from PRAXARTH, PROMPT and ELSID Provider support for chronic illness care: • German primary care validation (Arthritis): age, female -> pos. correlation; education -> neg. correlation in PACIC • PACIC as a outcome in a randomized intervention trial (Depression): significant higher ratings in intervention, major effects in „problem solving“ scale • PACIC as a outcome in a large scale disease management evaluation (Diabetes): significant higher ratings in intervention, all subscales -> The PACIC is a reliable and valid instrument to assess the congruency of care to the CCM of patients with chronic diseases.

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