TY - JOUR
AU - J. Schulze
AU - D. Lühmann
AU - J. Nagel
AU - C. Regner
AU - C. Zelenak
AU - K. Bersch
AU - C. Herrmann-Lingen
AU - M. M. Burg
AU - B. Herbeck-Belnap
A1 - 
AB - Multimorbidity poses significant challenges for patients and healthcare systems, often exacerbated by fragmented care and insufficient collaboration across providers. Blended Collaborative Care (BCC) is a promising strategy to address care complexity by partnering care managers (CMs) with primary care providers (PCPs) and specialists. This study aimed to adapt and pilot a BCC intervention for patients aged 65+ with heart failure and physical-mental multimorbidity. Our objectives were to assess the feasibility of the study procedures, patient recruitment, participant satisfaction and acceptability, and to identify necessary adjustments for improving intervention delivery. We evaluated goal attainment and intervention fidelity through standardised electronic documentation by CMs, and patient acceptance and satisfaction through semi-structured interviews. A monocentric, one-arm pilot study involved nine patients with a mean of 6.7 contacts with their CM over three months. Patients' health goals primarily focused on lifestyle changes and psychosocial support. The intervention was generally well-accepted, with no reported negative consequences. Difficulties in establishing working alliances with PCPs were a barrier to effective implementation. The analysis indicated the need for minor procedural adjustments. Next steps include launching the ESCAPE trial, a large randomised-controlled trial across different European healthcare systems and developing strategies to facilitate PCP involvement.
AD - Department of General Practice and Primary Care, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, Germany.; Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Göttingen, 37073 Göttingen, Germany.; Clinical Trials Unit, University Medical Center Göttingen, 37075 Göttingen, Germany.; German Center for Cardiovascular Research (DZHK), Partner Site Lower Saxony, 37075 Göttingen, Germany.; Section of Cardiovascular Medicine, Yale School of Medicine, New Haven, CT 06520, USA.; Division of General Internal Medicine, Center for Behavioral Health and Technology, University of Pittsburgh School of Medicine, Pittsburgh, PA 15261, USA.
AN - 39851883
BT - Behav Sci (Basel)
C5 - Education & Workforce; Healthcare Disparities
CP - 1
DA - Jan 17
DO - 10.3390/bs15010079
DP - NLM
ET - 20250117
IS - 1
JF - Behav Sci (Basel)
LA - eng
N2 - Multimorbidity poses significant challenges for patients and healthcare systems, often exacerbated by fragmented care and insufficient collaboration across providers. Blended Collaborative Care (BCC) is a promising strategy to address care complexity by partnering care managers (CMs) with primary care providers (PCPs) and specialists. This study aimed to adapt and pilot a BCC intervention for patients aged 65+ with heart failure and physical-mental multimorbidity. Our objectives were to assess the feasibility of the study procedures, patient recruitment, participant satisfaction and acceptability, and to identify necessary adjustments for improving intervention delivery. We evaluated goal attainment and intervention fidelity through standardised electronic documentation by CMs, and patient acceptance and satisfaction through semi-structured interviews. A monocentric, one-arm pilot study involved nine patients with a mean of 6.7 contacts with their CM over three months. Patients' health goals primarily focused on lifestyle changes and psychosocial support. The intervention was generally well-accepted, with no reported negative consequences. Difficulties in establishing working alliances with PCPs were a barrier to effective implementation. The analysis indicated the need for minor procedural adjustments. Next steps include launching the ESCAPE trial, a large randomised-controlled trial across different European healthcare systems and developing strategies to facilitate PCP involvement.
PY - 2025
SN - 2076-328X (Print); 2076-328x
ST - Adapting and Implementing a Blended Collaborative Care Intervention for Older Adults with Multimorbidity: Quantitative and Qualitative Results from the ESCAPE Pilot Study
T1 - Adapting and Implementing a Blended Collaborative Care Intervention for Older Adults with Multimorbidity: Quantitative and Qualitative Results from the ESCAPE Pilot Study
T2 - Behav Sci (Basel)
TI - Adapting and Implementing a Blended Collaborative Care Intervention for Older Adults with Multimorbidity: Quantitative and Qualitative Results from the ESCAPE Pilot Study
U1 - Education & Workforce; Healthcare Disparities
U3 - 10.3390/bs15010079
VL - 15
VO - 2076-328X (Print); 2076-328x
Y1 - 2025
ER -