Implementing a General Practice-Based Link Worker Intervention for People with Multimorbidity During the Covid-19 Pandemic- a Mixed Methods Process Evaluation of the LinkMM RCT
2024

Evaluating a General Practice-Based Link Worker Intervention for People with Multimorbidity During COVID-19

Sample size: 238 publication 10 minutes Evidence: moderate

Author Information

Author(s): Kiely Bridget, Keenan Ivana, Loomba Sonali, Mack Natalie, Byers Vivienne, Galvin Emer, O’Shea Muireann, O’Donnell Patrick, Boland Fiona, Clyne Barbara, O’Shea Eamon, Smith Susan M., Connolly Deirdre

Primary Institution: Royal College of Surgeons, Ireland

Hypothesis

What factors influence the implementation of link worker interventions for patients with multimorbidity during the COVID-19 pandemic?

Conclusion

A longer intervention is needed to effectively connect patients with community resources, especially for those with complex needs.

Supporting Evidence

  • Over 80% of patients completed key components of the intervention.
  • 51% of participants rated their primary goal as achieved.
  • Patients valued the tailored support provided by link workers.

Takeaway

This study looked at how link workers help people with multiple health problems connect to community resources, but found that a one-month program wasn't long enough to make a real difference.

Methodology

A mixed methods process evaluation combining qualitative interviews and quantitative data analysis.

Potential Biases

Potential bias in participant selection and response rates due to the nature of the intervention and pandemic restrictions.

Limitations

The one-month duration of the intervention was insufficient for complex needs, and recruitment was challenging due to COVID-19.

Participant Demographics

Participants were adults aged 18 and over with multimorbidity, primarily from deprived urban areas.

Statistical Information

P-Value

p = 0.02

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.5334/ijic.8586

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