Effectiveness of the Assessment of Burden of Chronic Conditions (ABCC)-tool in patients with asthma, COPD, type 2 diabetes mellitus, and heart failure: A pragmatic clustered quasi-experimental study in the Netherlands (2024)

Boudewijns, E. A., Claessens, D., van Schayck, O. C. P., Twellaar, M., Winkens, B., Joore, M. A., Keijsers, L. C. E. M., Krol, S., Urlings, M. (2024). Effectiveness of the Assessment of Burden of Chronic Conditions (ABCC)-tool in patients with asthma, COPD, type 2 diabetes mellitus, and heart failure: A pragmatic clustered quasi-experimental study in the Netherlands. European Journal of General Practice, 30(1), Article 2343364. https://doi.org/10.1080/13814788.2024.2343364

Boudewijns, Esther A. ; Claessens, Danny ; van Schayck, Onno C. P. et al. / Effectiveness of the Assessment of Burden of Chronic Conditions (ABCC)-tool in patients with asthma, COPD, type 2 diabetes mellitus, and heart failure : A pragmatic clustered quasi-experimental study in the Netherlands. In: European Journal of General Practice. 2024 ; Vol. 30, No. 1.

@article{9f30f2d1c2624e729f4b4acd61f9c8d5,

title = "Effectiveness of the Assessment of Burden of Chronic Conditions (ABCC)-tool in patients with asthma, COPD, type 2 diabetes mellitus, and heart failure: A pragmatic clustered quasi-experimental study in the Netherlands",

abstract = "Background: The Assessment of Burden of Chronic Conditions (ABCC)-tool was developed to optimise chronic care.Objectives: This study aimed to assess the effectiveness of the ABCC-tool in patients with COPD, asthma, type 2 diabetes, and/or heart failure in primary care in the Netherlands.Methods: The study had a pragmatic, clustered, two-armed, quasi-experimental design. The intervention group (41 general practices; 176 patients) used the ABCC-tool during routine consultations and the control group (14 general practices; 61 patients) received usual care. The primary outcome was a change in perceived quality of care (PACIC; Patient Assessment of Chronic Illness Care) after 18 months. Secondary outcomes included change in the PACIC after 6 and 12 months, and in quality of life (EQ-5D-5L; EuroQol-5D-5L), capability well-being (ICECAP-A; ICEpop CAPability measure for Adults), and patients' activation (PAM; Patient Activation Measure) after 6, 12, and 18 months for the total group and conditions separately.Results: We observed a significant difference in the PACIC after 6, 12, and 18 months (18 months: 0.388 points; 95%CI: 0.089-0.687; p = 0.011) for the total group and after 6 and 12 months for type 2 diabetes. After 18 months, we observed a significant difference in the PAM for the total group but not at 6 and 12 months, and not for type 2 diabetes. All significant effects were in favour of the intervention group. No significant differences were found for the EQ-5D-5L and the ICECAP-A.Conclusion: Use of the ABCC-tool has a positive effect on perceived quality of care and patients' activation, which makes the tool ready for use in clinical practice. Healthcare providers (e.g. general practitioners and practice nurses) can use the tool to provide person-centred care.",

keywords = "Chronic conditions, person-centred care, self-management, shared decision making, general practice, CARE, ACTIVATION",

author = "Boudewijns, {Esther A.} and Danny Claessens and {van Schayck}, {Onno C. P.} and Mascha Twellaar and Bjorn Winkens and Joore, {Manuela A.} and Keijsers, {Lotte C. E. M.} and Stijn Krol and Mathijs Urlings and Gidding-Slok, {Annerika H. M.}",

year = "2024",

month = dec,

day = "31",

doi = "10.1080/13814788.2024.2343364",

language = "English",

volume = "30",

journal = "European Journal of General Practice",

issn = "1381-4788",

publisher = "Routledge/Taylor & Francis Group",

number = "1",

}

Boudewijns, EA, Claessens, D, van Schayck, OCP, Twellaar, M, Winkens, B, Joore, MA, Keijsers, LCEM, Krol, S, Urlings, M 2024, 'Effectiveness of the Assessment of Burden of Chronic Conditions (ABCC)-tool in patients with asthma, COPD, type 2 diabetes mellitus, and heart failure: A pragmatic clustered quasi-experimental study in the Netherlands', European Journal of General Practice, vol. 30, no. 1, 2343364. https://doi.org/10.1080/13814788.2024.2343364

Effectiveness of the Assessment of Burden of Chronic Conditions (ABCC)-tool in patients with asthma, COPD, type 2 diabetes mellitus, and heart failure: A pragmatic clustered quasi-experimental study in the Netherlands. / Boudewijns, Esther A.; Claessens, Danny; van Schayck, Onno C. P. et al.
In: European Journal of General Practice, Vol. 30, No. 1, 2343364, 31.12.2024.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - Effectiveness of the Assessment of Burden of Chronic Conditions (ABCC)-tool in patients with asthma, COPD, type 2 diabetes mellitus, and heart failure

T2 - A pragmatic clustered quasi-experimental study in the Netherlands

AU - Boudewijns, Esther A.

AU - Claessens, Danny

AU - van Schayck, Onno C. P.

AU - Twellaar, Mascha

AU - Winkens, Bjorn

AU - Joore, Manuela A.

AU - Keijsers, Lotte C. E. M.

AU - Krol, Stijn

AU - Urlings, Mathijs

AU - Gidding-Slok, Annerika H. M.

PY - 2024/12/31

Y1 - 2024/12/31

N2 - Background: The Assessment of Burden of Chronic Conditions (ABCC)-tool was developed to optimise chronic care.Objectives: This study aimed to assess the effectiveness of the ABCC-tool in patients with COPD, asthma, type 2 diabetes, and/or heart failure in primary care in the Netherlands.Methods: The study had a pragmatic, clustered, two-armed, quasi-experimental design. The intervention group (41 general practices; 176 patients) used the ABCC-tool during routine consultations and the control group (14 general practices; 61 patients) received usual care. The primary outcome was a change in perceived quality of care (PACIC; Patient Assessment of Chronic Illness Care) after 18 months. Secondary outcomes included change in the PACIC after 6 and 12 months, and in quality of life (EQ-5D-5L; EuroQol-5D-5L), capability well-being (ICECAP-A; ICEpop CAPability measure for Adults), and patients' activation (PAM; Patient Activation Measure) after 6, 12, and 18 months for the total group and conditions separately.Results: We observed a significant difference in the PACIC after 6, 12, and 18 months (18 months: 0.388 points; 95%CI: 0.089-0.687; p = 0.011) for the total group and after 6 and 12 months for type 2 diabetes. After 18 months, we observed a significant difference in the PAM for the total group but not at 6 and 12 months, and not for type 2 diabetes. All significant effects were in favour of the intervention group. No significant differences were found for the EQ-5D-5L and the ICECAP-A.Conclusion: Use of the ABCC-tool has a positive effect on perceived quality of care and patients' activation, which makes the tool ready for use in clinical practice. Healthcare providers (e.g. general practitioners and practice nurses) can use the tool to provide person-centred care.

AB - Background: The Assessment of Burden of Chronic Conditions (ABCC)-tool was developed to optimise chronic care.Objectives: This study aimed to assess the effectiveness of the ABCC-tool in patients with COPD, asthma, type 2 diabetes, and/or heart failure in primary care in the Netherlands.Methods: The study had a pragmatic, clustered, two-armed, quasi-experimental design. The intervention group (41 general practices; 176 patients) used the ABCC-tool during routine consultations and the control group (14 general practices; 61 patients) received usual care. The primary outcome was a change in perceived quality of care (PACIC; Patient Assessment of Chronic Illness Care) after 18 months. Secondary outcomes included change in the PACIC after 6 and 12 months, and in quality of life (EQ-5D-5L; EuroQol-5D-5L), capability well-being (ICECAP-A; ICEpop CAPability measure for Adults), and patients' activation (PAM; Patient Activation Measure) after 6, 12, and 18 months for the total group and conditions separately.Results: We observed a significant difference in the PACIC after 6, 12, and 18 months (18 months: 0.388 points; 95%CI: 0.089-0.687; p = 0.011) for the total group and after 6 and 12 months for type 2 diabetes. After 18 months, we observed a significant difference in the PAM for the total group but not at 6 and 12 months, and not for type 2 diabetes. All significant effects were in favour of the intervention group. No significant differences were found for the EQ-5D-5L and the ICECAP-A.Conclusion: Use of the ABCC-tool has a positive effect on perceived quality of care and patients' activation, which makes the tool ready for use in clinical practice. Healthcare providers (e.g. general practitioners and practice nurses) can use the tool to provide person-centred care.

KW - Chronic conditions

KW - person-centred care

KW - self-management

KW - shared decision making

KW - general practice

KW - CARE

KW - ACTIVATION

U2 - 10.1080/13814788.2024.2343364

DO - 10.1080/13814788.2024.2343364

M3 - Article

SN - 1381-4788

VL - 30

JO - European Journal of General Practice

JF - European Journal of General Practice

IS - 1

M1 - 2343364

ER -

Boudewijns EA, Claessens D, van Schayck OCP, Twellaar M, Winkens B, Joore MA et al. Effectiveness of the Assessment of Burden of Chronic Conditions (ABCC)-tool in patients with asthma, COPD, type 2 diabetes mellitus, and heart failure: A pragmatic clustered quasi-experimental study in the Netherlands. European Journal of General Practice. 2024 Dec 31;30(1):2343364. doi: 10.1080/13814788.2024.2343364