1. ABC-tool reinvented: development of a disease-specific 'Assessment of Burden of Chronic Conditions (ABCC)-tool' for multiple chronic conditions.
- Author
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Boudewijns, Esther A., Claessens, Danny, van Schayck, Onno C. P., Keijsers, Lotte C. E. M., Salomé, Philippe L., in 't Veen, Johannes C. C. M., Bilo, Henk J. G., and Gidding-Slok, Annerika H. M.
- Subjects
ASTHMA ,DECISION making ,EXPERIMENTAL design ,INTERVIEWING ,OBSTRUCTIVE lung diseases ,RESEARCH methodology ,TYPE 2 diabetes ,HEALTH outcome assessment ,QUESTIONNAIRES ,SELF-management (Psychology) ,COMORBIDITY ,PATIENT-centered care ,PATIENTS' attitudes - Abstract
Background: Numerous instruments have been developed to assess patient reported outcomes; most approaches however focus on a single condition. With the increasing prevalence of multimorbidity, this might no longer be appropriate. Moreover, a more comprehensive approach that facilitates shared decision making and stimulates self-management is most likely more valuable for clinical practice than a questionnaire alone. This study aims to transform the Assessment of Burden of Chronic Obstructive Pulmonary Disease (COPD) (ABC)-tool into the Assessment of Burden of Chronic Conditions (ABCC)-tool for COPD, asthma, and diabetes mellitus type 2 (DM2). The tool consists of a scale, a visualisation of the outcomes, and treatment advice. Methods: Requirements for the tool were formulated. Questionnaires were developed based on a literature study of existing questionnaires, clinical guidelines, interviews with patients and healthcare providers, and input from an expert group. Cut-off points and treatment advice were determined to display the results and to provide practical recommendations. Results: The ABCC-scale consists of a generic questionnaire and disease-specific questionnaires, which can be combined into a single individualized questionnaire for each patient. Results are displayed in one balloon chart, and each domain includes practical recommendations. Conclusions: The ABCC-tool is expected to facilitate conversations between a patient and a healthcare provider, and to help formulate treatment plans and care plans with personalised goals. By facilitating an integrated approach, this instrument can be applied in a variety of circumstances and disease combinations. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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