Table 8 MyComrade outcome variables
Item | Definition | Data source (and reference) |
|---|---|---|
MyComrade outcome variables—data collection set | ||
PHC practice demographics | ||
 PHC location | Location of GP practice—NI or ROI | Practice Profile Tool |
 PHC target Population | Total number of patients registered with PHC—ROI:(GMS, PP), NI:(NHS) | |
 PHC MIS | GP practice patient management system (e.g. Socrates, HealthOne) | |
 PHC setting | Demographic profile of the PHC clients if urban, rural, mixed based | |
 Staffing quota | PHC Staffing—numbers of full and part time GPs, Trainee GPs, Practice Nurses, Practice Managers and admin staff | |
 Staff sessions | PHC staff sessions for GPs, practice nurses, practice managers and admin | |
 Target populations | Total number of patients registered to practice | |
 Repeat prescribing policy document | Has the practice a repeat prescribing policy? On average how long is spent each day with repeat prescriptions? How are repeat prescriptions requested by patients? (e.g. telephone, e-mail) Who generates repeat prescriptions? (e.g. GP, Admin Staff) Is there a specific time assigned to management of repeat prescriptions? Is the patient’s medical record routinely checked prior to signing the repeat prescription? Do patients in receipt of repeat prescriptions get at least an annual face-to-face medication review? | |
 Adverse events policy | Has the GP practice have a method of reporting/recording adverse event or near misses Yes/No | |
MC + outcomes anonymised participant (patient) level data collected at baseline and 4 and 8 months | ||
Participant (patient) demographics | ||
 Date of birth | Participant date of birth | Patient PHC medical records—Questionnaire Round 1 |
 Gender | Sex of participant—male/female/other—describe | |
 Marital status | Participant marital status? | |
 Native language | Language spoken at home—English—Yes/No | |
 Education Attainment | Patients highest level of education | |
 Employment Status | Current job title or title of last paid job | |
 Health care Cover | Participant health cover—if private, public or combined | |
 Access to HCP | Distance patients home is from GP practice Method of travel to GP practice | |
Healthcare utilisation | ||
 Patient utilisation of PHC services | Number of: - GP face to face consultations at practice - GP telephone consultations - GP patient management - GP house calls to participant - GP out of hours visits to participant - Repeat prescriptions without GP face to face consultation - Practice Nurse face to face consultations - Practice Nurse telephone consultations - Practice Nurse management session by GP - Outpatient (OPD) visits - Emergency department presentations (i.e. not admitted) - Hospital admissions—day cases (i.e. discharged same day) - Hospital admissions—inpatient nights ( i.e. overnight stays) | Patient PHC medical records—MyComrade Prescribing Outcomes Tool—Baseline, Round 1 & 2 |
Potential inappropriate prescribing | ||
 Potential inappropriate prescribing | Has the patient any of the following PIP and how many of each? - PIP 1: Has the patient a medical history of ever or currently having a peptic ulcer? If yes, are they currently prescribed a NSAID drug? Are they currently prescribed a PPI? - PIP 2: Has the patient a medical history of asthma? If yes, has the patient a medical history of coronary heart disease? If yes are they currently prescribed a Beta Blocker? - PIP 3: For patients aged 75 years or older—has this patient been prescribed an angiotensin converting enzyme inhibitor or a loop diuretic long-term? If yes, has a eGFR and/or ACR being taken in the past 6 months? - PIP 4: Does this patient have a prescription for the combined oral contraceptive pill? If yes, has the patient a medical history of venous or arterial thrombus - PIP 5: Are they currently prescribed a Methotrexate for at least the last 3 months? If yes, has a Full Blood Count being taken in the past 3 months - PIP 6: Are they currently prescribed a Warfarin methotrexate for at least the last 3 months? If yes, has an International Ratio being taken in past 3 months? - PIP 7: Are they currently prescribed Lithium for at least the last 3 months? If yes, Has a lithium level been taken in past 6 months? - PIP 8: Are they currently prescribed Amiodarone for at least 6 month? If prescribed amiodarone for at least 1 month, are they receiving a dose of more than 200 mg per day? If yes what dosage? Has a TFTt been taken in past 6 months? | Patient PHC medical records—Potential Inappropriate Prescribing [2]—MyComrade Prescribing Outcomes Tool—Baseline, Round 1 & 2 |
Medication prescribing history | ||
 Patient PHC medication prescribing history | Number of repeat medication prescribed per patient across study timeline | Patient PHC medical records—MyComrade Prescribing Outcomes Tool—Baseline, Round 1 & 2 |
Number of repeat medication commenced and discontinued per patient across study timeline | ||
Number of repeat medication deprescribed per patient across study timeline | ||
EQ-5D-3L—Quality of Life Questionnaire | ||
 Self-reported assessment on burden of care | Self-reported assessment of own quality of life that best describe health state in relation to - Mobility - Performing self-care - Performing usual activities - Having pain & discomfort - Having anxiety and/or depression - Rating health and well being | Self-reported—EQ5D Tool[16]—Baseline, Round 1 & 2 Questionnaires |
Multimorbidity Treatment Burden Questionnaire (MTBQ) | ||
 Self-reported assessment on medical treatment burden | Self-reported assessment on difficulty in: - Taking lots of medications - Remembering how and when to take medications Paying for prescriptions, over the counter medicines or equipment - Collecting prescription medication - Monitoring your medical conditions (e.g. checking your blood pressure or blood sugar) - Arranging appointments with health professionals - Seeing lots of different healthcare professionals - Attending appointments with health professionals (e.g. getting time off work, arranging transport) - Getting health care in the evenings at weekends - Getting help from community services (e.g. Physiotherapists, Public Health Nurse) - Obtaining clear and up to date information about your condition - Making recommended lifestyle changes (e.g. diet, exercise) - Having to rely on help from family and friends | Self-reported—Multimorbidity Treatment Burden Questionnaire (MTBQ; [13]—Baseline, Round 1 & 2 Questionnaires |
Process evaluation data | ||
 Key stakeholder perspectives | Key Stakeholder—GPs and patients’ perspectives on living with multimorbidity, MC + intervention and research processes | Qualitative interview transcripts |