RT Journal Article
SR Electronic
T1 Feasibility and potential effectiveness of a primary care consultation tool: a pilot controlled trial
JF BJGP Open
JO BJGP Open
FD Royal College of General Practitioners
SP BJGPO.2026.0078
DO 10.3399/BJGPO.2026.0078
A1 Postma, Simone
A1 Schers, Henk
A1 Akkermans, Reinier
A1 van Boven, Kees
A1 Gerritsen, Debby
A1 olde Hartman, Tim
YR 2026
UL http://bjgpopen.org/content/early/2026/08/19/BJGPO.2026.0078.abstract
AB Background The Primary Care Functioning Consultation Tool (PCFCT) supports the integration of different aspects of health related functioning for patients with multimorbidity in disease management programs.Aim To assess feasibility, satisfaction, and potential effectiveness of the PCFCT on functioning, self-efficacy, illness perceptions, and disease performance indicators in daily general practice.Design & setting Pilot non-randomized controlled trial in Dutch general practicesMethod Patients with multimorbidity were allocated to the intervention group (consultations with the practice nurse using the consultation tool) or to the control group (regular consultations). Feasibility was assessed by recruitment, retention, and identified patients at baseline and 3 months. After 3 months, satisfaction of patients and nurses was measured. Potential treatment effects were assessed using the Primary Care Functioning Scale, Self-efficacy Questionnaire, Brief Illness Perception Questionnaire, and disease-related outcomes.Results Sixty-five patients were included (31 intervention, 34 control). Both patients and practice nurses reported high satisfaction and acceptability. Nineteen control patients (59%) and 24 intervention patients (80%) completed all questionnaires at baseline and 3 months. Between-group differences were not statistically significant, however intervention patients showed small exploratory differences towards better functioning, higher self-efficacy, and more adaptive illness perceptions. Missing data ranged from 25% to>90% across disease performance indicators, precluding reliable comparisons.Conclusion The PCFCT is feasible, acceptable, and can be embedded within existing chronic disease management, with the potential to improve patient outcomes.