Co-developing a theory of change to evaluate integrated working in two Locality Partnerships – Part 1

Dr Natalia Lewis

 

 

 

By Dr Natalia Lewis, Senior Research Fellow in Primary Care, Centre for Academic Primary Care, University of Bristol and Researcher in Residence, Bristol, North Somerset and South Gloucestershire Integrated Care Board.

This blog is in two parts. Read the second blog on the project final stage and report.

Since December 2022, I have been working part-time as a researcher in residence at the Bristol, North Somerset and South Gloucestershire Integrated Care Board (BNSSG ICB).

The Researcher-in-Residence (otherwise known as Embedded Researcher) model involves co-locating researchers within non-academic organisations to enhance the role of research evidence in informing decision-making. I applied for this job because I wanted to understand how decision-making in the real-world health system happens and how my research skills and expertise can be used to make local policies and practices evidence informed.

My post was established to support development of an evaluation … Read more

Multimorbidity Treatment Burden Questionnaire (MTBQ) – a new measure of treatment burden

By Dr Polly Duncan
and
Professor Chris Salisbury
Centre for Academic Primary Care
@polly_duncan
@prof_tweet

We have developed a new, simply-worded, concise questionnaire – the Multimorbidity Treatment Burden Questionnaire (MTBQ) – to measure treatment burden in patients with multimorbidity (multiple long-term conditions).

Treatment burden is the perceived effort of looking after one’s health and the impact this has on day-to-day life. It includes everything that the patient has to do to look after their health including: ordering, collecting and taking medicines; coordinating and arranging transport for, and attending, health appointments with multiple health professionals; monitoring blood sugar or blood pressure levels; learning about own health conditions; and taking on lifestyle advice.

To understand how new health care interventions impact on treatment burden, we need to be able to measure it. A recent study published in the Annals of Family Medicine highlighted treatment burden as one of the core outcome measures … Read more