Trialling of an optimal health programme (OHP) across chronic disease.
Population ageing is a worldwide phenomenon, most advanced in developed countries and expected to continue over the next few decades. As people are surviving longer with age-associated disease and disability, there is an imperative to identify innovative solutions for an already overburdened health care system. Such innovations need to be focused on disease management, taking into consideration the strong associations that have been established between psychosocial factors and pathophysiological mechanisms associated with chronic disease. Aside from personal and community costs, chronic diseases produce a significant economic burden due to the culmination of health care costs and lost productivity. This commentary reports on a programme of research, Translating Research, Integrated Public Health Outcomes and Delivery, which will evaluate an optimal health programme that adopts a person-centred approach and engages collaborative therapy to educate, support and improve the psychosocial health of those with chronic disease. The effectiveness of the optimal health programme will be evaluated across three of the most significant contributors to disease burden: diabetes mellitus, chronic kidney disease and stroke. Cost-effectiveness will also be evaluated. The findings derived from this series of randomised controlled trials will also provide evidence attesting to the potential applicability of the optimal health programme in other chronic conditions.
Centre for the Heart and Mind, Australian Catholic University, Melbourne, VIC, 3000, Australia. chantal.ski@acu.edu.au.|Department of Psychiatry, University of Melbourne, Melbourne, VIC, 3010, Australia. chantal.ski@acu.edu.au.|Mental Health Service, St. Vincent's Hospital, Melbourne, VIC, 3065, Australia. chantal.ski@acu.edu.au.
Chantal F
CF
Ski
Centre for the Heart and Mind, Australian Catholic University, Melbourne, VIC, 3000, Australia.|Department of Psychiatry, University of Melbourne, Melbourne, VIC, 3010, Australia.
David R
DR
Thompson
Centre for the Heart and Mind, Australian Catholic University, Melbourne, VIC, 3000, Australia.|Department of Psychiatry, University of Melbourne, Melbourne, VIC, 3010, Australia.|Mental Health Service, St. Vincent's Hospital, Melbourne, VIC, 3065, Australia.
David J
DJ
Castle
D000223:Adaptation, Psychological; D002908:Chronic Disease; D017281:Cost of Illness; D003362:Cost-Benefit Analysis; D003920:Diabetes Mellitus / Q000175:diagnosis / Q000191:economics / Q000523:psychology / Q000628:therapy*; D017048:Health Care Costs; D007722:Health Knowledge, Attitudes, Practice; D006304:Health Status; D006801:Humans; D008603:Mental Health; D010348:Patient Care Team; D010353:Patient Education as Topic; D018802:Patient-Centered Care / Q000191:economics / Q000379:methods*; D015397:Program Evaluation; D011788:Quality of Life; D016032:Randomized Controlled Trials as Topic / Q000379:methods*; D051436:Renal Insufficiency, Chronic / Q000175:diagnosis / Q000191:economics / Q000523:psychology / Q000628:therapy*; D012107:Research Design; D012648:Self Care; D020521:Stroke / Q000175:diagnosis / Q000191:economics / Q000523:psychology / Q000628:therapy*; D016896:Treatment Outcome
Chronic disease; Collaborative therapy; Cost-effectiveness; Psychoeducational; Psychosocial; Randomised controlled trial