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lessons learnt from the Patient Engagement And Coaching for Health (PEACH) study

Pragmatic costs associated with engaging Practice Nurses in general practice based clinical trial:. lessons learnt from the Patient Engagement And Coaching for Health (PEACH) study. Irene Blackberry , John Furler, Doris Young, Kitty Novy On behalf of the PEACH study team.

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lessons learnt from the Patient Engagement And Coaching for Health (PEACH) study

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  1. Pragmatic costs associated with engaging Practice Nurses in general practice based clinical trial: lessons learnt from the Patient Engagement And Coaching for Health (PEACH) study Irene Blackberry, John Furler, Doris Young, Kitty Novy On behalf of the PEACH study team

  2. What is PEACH study? • A pragmatic trial • using existing Practice Nurses (PNs) • in general practices • to deliver an intensive multifactorial diabetes • self-management program • to patients with poorly controlled type 2 diabetes (T2D) • by regular telephone coaching

  3. Background • Role of nurses in general practice • Research emerging in primary care • Funding through PEACH study to up skill • Practice Nurses

  4. Objective • To describe pragmatic costs of setting up a clinical trial using practice nurses based in general practice Sample size: 32 practices 60 practices

  5. PEACH study flowchart Generate list of up to 40 eligible patients from each Practice Inclusion Criteria Type 2 diabetes patients >18yrs & HbA1c>7.5% Exclusion Criteria No phone number & Other complex debilitating medical condition Mail out from Practices Optional follow-up phone calls by PN Second mail out from Practices Recruit eligible participants Appointment with PN Explain study, Obtain consent & Baseline data collection Randomise Practices Intervention Usual GP care + COACH program Control Usual GP care Follow-up assessments at 12 and 18 months

  6. Methods • Calculation of average direct research and personnel costs for establishing a general practice based research involving PNs including: • - Identification of eligible practices through GP Divisions and APNA • Recruitment of 60 general practices with PNs from urban and regional Victorian GP Divisions • Recruitment of eligible patients • PNs’ research time, training, support and engagement

  7. Identification of eligible practices with PNs through GP Divisions and APNA

  8. Recruitment of 60 general practices with PNs from urban and regional Victorian GP Divisions

  9. Recruitment of eligible patients

  10. PNs’ research time, training, support & engagement

  11. Conclusions • Average costs to establish a general practice based research using practice nurses are over $90K • Direct research and personnel costs are higher than anticipated • Lack of research skills in general practice requires more hands-on support

  12. Contact : PEACH Study Coordinator Department of General Practice, The University of Melbourne 200 Berkeley St Carlton 3053 P 03-83443373; E i.blackberry@unimelb.edu.au Dr Irene Blackberry PEACH study is funded by NHMRC GP Clinical Research Grant Irene is supported by CCRE in Clinical Science in Diabetes www.peach.unimelb.edu.au

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