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Health and Quality of Life Outcomes
Published in: Health and Quality of Life Outcomes 1/2011

Open Access 01-12-2011 | Research

Development and validation of a short version of the Assessment of Chronic Illness Care (ACIC) in Dutch Disease Management Programs

Authors: Jane M Cramm, Mathilde MH Strating, Apostolos Tsiachristas, Anna P Nieboer

Published in: Health and Quality of Life Outcomes | Issue 1/2011

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Abstract

Background

In the Netherlands the extent to which chronically ill patients receive care congruent with the Chronic Care Model is unknown. The main objectives of this study were to (1) validate the Assessment of Chronic Illness Care (ACIC) in the Netherlands in various Disease Management Programmes (DMPs) and (2) shorten the 34-item ACIC while maintaining adequate validity, reliability, and sensitivity to change.

Methods

The Dutch version of the ACIC was tested in 22 DMPs with 218 professionals. We tested the instrument by means of structural equation modelling, and examined its validity, reliability and sensitivity to change.

Results

After eliminating 13 items, the confirmatory factor analyses revealed good indices of fit with the resulting 21-item ACIC (ACIC-S). Internal consistency as represented by Cronbach's alpha ranged from 'acceptable' for the 'clinical information systems' subscale to 'excellent' for the 'organization of the healthcare delivery system' subscale. Correlations between the ACIC and ACIC-S subscales were also good, ranging from .87 to 1.00, indicating acceptable coverage of the core areas of the CCM. The seven subscales were significantly and positively correlated, indicating that the subscales were conceptually related but also distinct. Paired t-tests results show that the ACIC scores of the original instrument all improved significantly over time in regions that were in the process of implementing DMPs (all components at p < 0.0001).

Conclusion

We conclude that the psychometric properties of the ACIC and the ACIC-S are good and the ACIC-S is a promising alternate instrument to assess chronic illness care.
Literature
1.
Wagner EH, Austin BT, Davis C, Hindmarsh M, Schaefer J, Bonomi A: Improving chronic illness care: translating evidence into action. Health Aff 2001,20(6):64–78. 10.1377/hlthaff.20.6.64CrossRef
2.
MMWR: Resources and Priorities for Chronic Disease Prevention and Control 1994. Morbidity and Mortality Weekly Reports 1997,46(13):286–7.
3.
Jacobs RP: Hypertension and Managed Care. American Journal of Managed Care 1998,4(12):S749–52.
4.
Desai MM, Zhang P, Hennessy CH: Surveillance for Morbidity and Mortality among Older Adults--United States, 1995–1996. Morbidity and Mortality Weekly Reports 1999,48(8):7–25.
5.
Renders CM, Valk GD, Griffin SJ, Wagner EH, Eijk Van JT, Assendelft WJ: Interventions to improve the management of diabetes in primary care, outpatient, and community settings: a systematic review. Diabetes Care 2001,24(10):1821–33. 10.2337/diacare.24.10.1821PubMedCrossRef
6.
Roland M, Dusheiko M, Gravelle H, Parker S: Follow-up of people aged 65 and over with a history of emergency admissions: analysis of routine admission data. BMJ 2005, 330: 289–92. 10.1136/bmj.330.7486.289PubMedCentralPubMedCrossRef
7.
McCulloch DK, Price MJ, Hindmarsh M, Wagner EH: Improvement in Diabetes Care Using an Integrated Population-based Approach in a Primary Care Setting. Disease Management 2000,3(2):75–82. 10.1089/109350700415078CrossRef
8.
Lorig KR, Sobel DS, Stewart AL, Brown BW, Bandura A, Ritter P, Gonzalez VM, Laurent DD, Holman HR: Evidence Suggesting That a Chronic Disease Self-management Program Can Improve Health Status While Reducing Hospitalization: A Randomized Trial. Med Care 1999,37(1):5–14. 10.1097/00005650-199901000-00003PubMedCrossRef
9.
Weinberger M, Tierney WM, Booher P, Katz BP: Can the Provision of Information to Patients with Osteoarthritis Improve Functional Status: A Randomized, Controlled Trial. Arthritis Rheum 1989,32(12):1577–83. 10.1002/anr.1780321212PubMedCrossRef
10.
VonKorff M, Gruman J, Schaefer J, Curry SJ, Wagner EH: Collaborative Management of Chronic Illness. Ann Intern Med 1997, 127: 1097–102.CrossRef
11.
Wagner EH, Austin BT, Von Korff M: Improving Outcomes in Chronic Illness. Manag Care Q 1996,4(2):12–25.PubMed
12.
Wagner EH, Austin BT, Von Korff M: Organizing Care for Patients with Chronic Illness. Milbank Q 1996, 74: 511–44. 10.2307/3350391PubMedCrossRef
13.
Nolte E, McKee M: Caring for people with chronic conditions: a health system perspective. Maidenhead: Open University Press; 2008.
14.
Wagner EH, Davis C, Schaefer J, Milbank Quarterly Von Korff M, Austin BT: A Survey of Leading Chronic Disease Management Programs: Are They Consistent with the Literature? Manag Care Q 1999,7(3):56–66.PubMed
15.
Norris SL, Glasgow RE, Engelgau MM, O'Connor PJ, McCulloch D: Chronic disease management: A definition and systematic approach to component interventions. Dis Manage Health Outcomes 2003,11(8):477–488. 10.2165/00115677-200311080-00001CrossRef
16.
Lemmens K, Nieboer A, Disease-management en ketenzorg: Ketenzorg, Praktijk in perspectief. Edited by: Rosendal H, Ahaus K, Huijsman R, Raad C. Elsevier Gezondheidszorg: Maarssen; 2009:23–33.
17.
Vrijhoef HJM, Steuten LMG: Innovatieve zorgconcepten op een rij: afrondend overzicht (1). Tijdschrift voor Sociale Geneeskunde 2005,83(5):305–306.
18.
Lemmens KM, Nieboer AP, van Schayck CP, Asin JD, Huijsman R: A model to evaluate quality and effectiveness of disease management. Qual Saf Health Care 2008,17(6):447–453. 10.1136/qshc.2006.021865PubMedCrossRef
19.
Bourbeau J, Collet JP, Schwartzman K, et al.: Integrating rehabilitative elements into a COPD self-management program reduces exacerbations and health service utilization: a randomized clinical trial. Am J Respir Crit Care Med 2000, 161: A254.
20.
Bonomi AE, Wagner EH, Glasgow RE, VonKorff M: Assessment of Chronic Illness Care (ACIC): A Practical Tool to Measure Quality Improvement. BMC Health Serv Res 2002,37(3):791–820. 10.1111/1475-6773.00049CrossRef
21.
Bonomi AE, Glasgow R, Wagner EH, Davis C, Sandhu N: Assessment of Chronic Illness Care: How Well Does Your Organization Provide Care for Chronic Illness? Paper presented at the Institute for Healthcare Improvement National Congress: Seattle, Wash; 2000.
22.
Lemmens KM, Rutten-Van Mölken MP, Cramm JM, Huijsman R, Bal RA, Nieboer AP: Evaluation of a large scale implementation of disease management programmes in various Dutch regions: a study protocol. BMC Health Serv Res 2011,11(1):6. 10.1186/1472-6963-11-6PubMedCentralPubMedCrossRef
23.
24.
Jöreskog K, Sörbom D: User's Reference Guide. Chicago: Scientific Software International; 1996.
25.
Hu L, Bentler PM: Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Structural Equation Modeling 1999, 6: 1–55.CrossRef
26.
Hayduk LA: Structural Equation Modeling with LISREL: Essentials and Advances. Baltimore: Johns Hopkins University Press; 1987.
27.
Bagozzi RP, Yi Y, Phillips LW: Assessing Construct Validity in Organizational Research. Administrative Science Quarterly 1991, 36: 421–458. 10.2307/2393203CrossRef
28.
Steurer-Stey C, Frei A, Schmid-Mohler G, Malcolm-Kohler S, Zoller M, Rosemann T: Assessment of Chronic Illness Care with the German version of the ACIC in different primary care settings in Switzerland. Health and Quality of Life Outcomes 2010, 8: 122. 10.1186/1477-7525-8-122PubMedCentralPubMedCrossRef
29.
Muthe'n BO: Multilevel covariance structure analysis. Sociol Methods Res 1994, 22: 376–98. 10.1177/0049124194022003006CrossRef
30.
Dyer NG, Hanges PJ, Hall RJ: Applying multilevel confirmatory factor analysis techniques to the study of leadership. Leadership Q 2005, 16: 149–67. 10.1016/j.leaqua.2004.09.009CrossRef
Metadata
Title
Development and validation of a short version of the Assessment of Chronic Illness Care (ACIC) in Dutch Disease Management Programs
Authors
Jane M Cramm
Mathilde MH Strating
Apostolos Tsiachristas
Anna P Nieboer
Publication date
01-12-2011
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2011
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/1477-7525-9-49

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