An exploratory randomised trial investigating feasibility, potential impact and cost effectiveness of link workers for people living with multimorbidity attending general practices in deprived urban communities

Exploring the Impact of Link Workers on Multimorbidity in Deprived Communities

Overview

An exploratory trial was conducted to assess the feasibility, impact, and cost effectiveness of using link workers to connect individuals with multiple health conditions to non-clinical supports in deprived urban communities. The study aimed to evaluate the benefits of this approach on health outcomes and cost effectiveness, particularly during the COVID-19 pandemic.

Key Findings

251 patients from 13 general practices participated in the trial, with an 80% retention rate at the one-month mark. Although no significant differences were found in health-related quality of life and mental health outcomes, the trial demonstrated that robust evaluations and cost utility analyses are possible. Furthermore, potential cost effectiveness indicated the probability of effectiveness at a certain threshold value.

Implications

The trial highlights the challenges of recruiting participants during the pandemic and emphasizes the need for further evaluations to establish cost effectiveness. It also recommends the use of specific wellbeing measures for cost utility analysis.

Practical Solutions and Value

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