Institute of Health and Wellbeing, College of Medical, Veterinary and Life Sciences, University of Glasgow, 1 Lilybank Gardens, Glasgow G12 8RZ, UK.
BMC Public Health. 2012 Oct 30;12:927. doi: 10.1186/1471-2458-12-927.
A requirement of the Government's Pathways to Work (PtW) agenda was to introduce a Condition Management Programme (CMP). The aim of the present study was to identify the differences between those who engaged and made progress in this telephone-based biopsychosocial intervention, in terms of their health, and those who did not and to determine the client and practitioner characteristics and programme elements associated with success in a programme aimed at improving health.
Data were obtained from the CMP electronic spreadsheets and clients paper-based case records. CMP standard practice was that questionnaires were administered during the pre- and post-assessment phases over the telephone. Each client's record contains their socio-demographic data, their primary health condition, as well as the pre- and post-intervention scores of the health assessment tool administered. Univariate and multivariate statistical analysis was used to investigate the relationships between the database variables. Clients were included in the study if their records were available for analysis from July 2006 to December 2007.
On average there were 112 referrals per month, totalling 2016 referrals during the evaluation period. The majority (62.8%) of clients had a mental-health condition. Successful completion of the programme was 28.5% (575 "completers"; 144 "discharges"). Several factors, such as age, health condition, mode of contact, and practitioner characteristics, were significant determinants of participation and completion of the programme. The results showed that completion of the CMP was associated with a better mental-health status, by reducing the number of clients that were either anxious, depressed or both, before undertaking the programme, from 74% to 32.5%.
Our findings showed that an individual's characteristics are associated with success in the programme, defined as completing the intervention and demonstrating an improved health status. This study provides some evidence that the systematic evaluation of such programmes and interventions could identify ways in which they could be improved.
政府“工作之路”计划的要求之一是引入疾病管理计划（CMP）。本研究的目的是确定那些参与并在基于电话的生物心理社会干预中取得进展的人与那些没有参与的人在健康方面的差异，并确定与旨在改善健康的计划成功相关的客户和从业者特征和计划要素。
数据来自 CMP 电子电子表格和客户基于纸张的病例记录。CMP 的标准做法是在电话中的预评估和后评估阶段进行问卷调查。每个客户的记录都包含他们的社会人口统计数据、他们的主要健康状况以及管理的健康评估工具的干预前后得分。使用单变量和多变量统计分析来调查数据库变量之间的关系。如果客户的记录可用于从 2006 年 7 月到 2007 年 12 月的分析，则将其纳入研究。
平均每月有 112 个转介，评估期间共转介 2016 个。大多数（62.8%）客户患有心理健康状况。该计划的成功完成率为 28.5%（575 名“完成者”；144 名“出院者”）。年龄、健康状况、联系方式和从业者特征等几个因素是参与和完成计划的重要决定因素。结果表明，通过减少参与计划前焦虑、抑郁或两者兼有的客户数量（从 74%降至 32.5%），完成 CMP 与改善心理健康状况有关。
我们的研究结果表明，个人特征与计划的成功相关，成功定义为完成干预并显示健康状况改善。这项研究提供了一些证据，表明对这些计划和干预措施的系统评估可以确定改进它们的方法。
