Planning and optimising CHAT&PLAN: A conversation-based intervention to promote person-centred care for older people living with multimorbidity

Abstract

Background Older people are more likely to be living with cancer and multiple long-term conditions, but their needs, preferences for treatments, health priorities and lifestyle are often not identified or well-understood. There is a need to move towards a more comprehensive person-centred approach to care that focuses on the cumulative impact of a number of conditions on daily activities and quality of life. This paper describes the intervention planning process for CHAT& PLAN TM , a structured conversation intervention to promote personalised care and support self-management in older adults with complex conditions. Methods A theory-, evidence-and person-based approach to intervention development was undertaken. The intervention planning and development process included reviewing relevant literature and existing guidelines, developing guiding principles, conducting a behavioural analysis and constructing a logic model. Optimisation of the intervention and its implementation involved qualitative interviews with older adults with multimorbidity (n = 8), family

Self-management by older people living with cancer and multi-morbidity: a qualitative study

“…Such findings highlight variations in the fit between an individuals' needs and available services, raising questions about a "onesize-fits-all" model of healthcare. This demonstrates a need for services that are better integrated and more tailored, with care plans developed collaboratively with health serviceusers, something our ongoing work seeks to achieve [20].…”

“…As noted elsewhere [20], we planned to recruit approximately 30 participants. Despite efforts to contact several potentially eligible individuals over a period of some months, many opted not to participate.…”

“…This study formed part of a larger project targeted at the development of a structured conversational intervention to promote personalised care and support self-management by older adults with complex conditions [20]. One-to-one face-to-face qualitative interviews were conducted with older people or their informal carers between March and June 2019.…”

Teaching and Learning Core Values in General Practice/Family Medicine: A Narrative Review

“…Our review showed that some studies are specifically dealing with GP/FM education or training to improve person-centered care (22)(23)(24). However, in most of the studies retained, personcentered care as a learning objective is usually mentioned together with other topics such as shared decision making, comprehensive approach, empowerment, compassionate care, etc.…”

“…(25)(26)(27)(28)(29)(30)(31). Moreover, person-centered care and these other topics are often seen as indirect objectives to be taught when organizing training programs around themes as dementia, multimorbidity, or clinical care of refugees (22)(23)(24). Gillies pleas for medical humanity as an academic discipline and resource for education (32).…”