Health outcome priorities of people with multiple long-term conditions using the outcome prioritisation tool in the UK: a survey study and feasibility assessment
2024

Health outcome priorities of people with multiple long-term conditions in the UK

Sample size: 2454 publication 10 minutes Evidence: high

Author Information

Author(s): Sathanapally Harini, Chudasama Yogini V., Zaccardi Francesco, Rizzi Alessandro, Seidu Samuel, Khunti Kamlesh

Primary Institution: Diabetes Research Centre, Leicester General Hospital, University of Leicester, Leicester, United Kingdom

Hypothesis

The COVID-19 pandemic may have had a further impact on the health outcome priorities of people with multiple long-term conditions.

Conclusion

The outcome prioritisation tool is feasible and acceptable for use to elicit the health outcome priorities of people with multiple long-term conditions across both middle-aged and older age groups in a UK setting.

Supporting Evidence

  • Participants aged over 65 were most likely to prioritize maintaining independence.
  • Participants aged under 65 were most likely to prioritize keeping alive.
  • Statistically significant differences in prioritization were observed by age and employment status.

Takeaway

This study asked people with multiple long-term health conditions what was most important to them, like staying independent or staying alive, and found that these priorities can change based on age and other factors.

Methodology

This was a multi-centre cross-sectional study using a questionnaire for online self-completion by people aged 45 years or above with multiple long-term conditions in 19 primary care settings across the East Midlands, UK.

Potential Biases

Self-reported status of NHS identification as being at very high risk or extremely vulnerable from COVID-19 could introduce bias.

Limitations

The study is subject to recall bias as participants reported their health outcome priorities retrospectively from before the COVID-19 pandemic.

Participant Demographics

The mean age was 63.6 years, 58% were female, and 92% were of White ethnicity.

Statistical Information

Confidence Interval

95% CI

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pone.0301740

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