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. 2022 Sep 29;12(9):e059966.
doi: 10.1136/bmjopen-2021-059966.

Protocol for a pragmatic feasibility randomised controlled trial of peer coaching for adults with long-term conditions: PEER CONNECT

Rachel Dennett  1   2 , Tom Thompson  2   3 , Wendy Clyne  2   3 , Agne Straukiene  4 , Helen Davies-Cox  4 , Joanne Hosking  5 , Krystina Bones  4 , Olivia Weight  4 , Julian Elston  4   2
Affiliations

Protocol for a pragmatic feasibility randomised controlled trial of peer coaching for adults with long-term conditions: PEER CONNECT

Rachel Dennett et al. BMJ Open. .

Abstract

Introduction: Patients with low levels of knowledge, skills and confidence to manage their health and well-being (activation) are more likely to have unmet health needs, delay seeking healthcare and need emergency care. National Health Service England estimates that this may be applicable to 25%-40% of patients with long-term health conditions. Volunteer peer coaching may support people to increase their level of activation. This form of intervention may be particularly effective for people with low levels of activation.

Methods and analysis: This single site, two-arm randomised controlled trial has been designed to assess the feasibility of conducting a definitive trial of volunteer peer health and well-being coaching for people with long-term health conditions (multiple sclerosis, rheumatic diseases or chronic pain) and low activation. Feasibility outcomes include recruitment and retention rates, and intervention adherence. We will measure patient activation, mental health and well-being as potential outcomes for a definitive trial. These outcomes will be summarised descriptively for each time point by allocated group and help to inform sample size calculation for the definitive trial. Criteria for progression to a full trial will be used.

Ethics and dissemination: Ethical approval has been granted by the London - Surrey Research Ethics Committee, reference 21/LO/0715. Results from this feasibility trial will be shared directly with participants, presented at local, regional and national conferences and published in an open-access journal.

Trial registration number: ISRCTN12623577.

Keywords: Neurology; Protocols & guidelines; Quality in health care; Rheumatology.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Volunteer peer coaching logic model. HCS, Health Confidence Score; ICECAP-A, ICEpop CAPability measure for Adults; LTCQ, Long-Term Conditions Questionnaire; PAM, Patient Activation Measure; QoL, Quality of Life; RUQ, Resource Use Questionnaire; WEMWBS, Warwick Edinburgh Mental Well-Being Scale.
Figure 2
Figure 2
Trial flow diagram: volunteer coach.
Figure 3
Figure 3
Trial flow diagram—peer.
See this image and copyright information in PMC

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References

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