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Patients allocated in control group will receive routine care for long term users of BZDs.
The intervention also faced competing demands in care for long term conditions.
Conclusions An intervention to enhance self management support in routine primary care did not add noticeable value to existing care for long term conditions.
With this in mind, the AIM programme was funded by the Department of Health in order to introduce general practice to the potential of digital delivery of care for long term conditions on a wide scale.
Self management is increasingly seen as critical to the delivery of effective and efficient care for long term conditions, but achieving effective self management is a considerable challenge in patients with multimorbidity.
Supporting self-care is being explored across health care systems internationally as an approach to improving care for long term conditions in the context of ageing populations and economic constraint.
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Self-care for long term health conditions has been described as those activities performed independently by an individual to promote and maintain personal health and wellbeing [ 2].
There has been significant research and development in furtherance of the objective to support a collaborative approach to managed self-care for long term conditions [ 8, 9].
The need for improved systems to support self-care for long term conditions has been identified internationally, especially where populations are aging and at a time of economic constraint [ 3, 4].
This paper reports on a multisite, mixed method study which aimed to explore the implementation of generic United Kingdom (UK) policy guidance on supporting self-care for long term conditions in the context of mental health services for people with long term, severe mental health problems [ 1].
Research indicates that self-care for long term conditions requires many skills and resources; in a recent study, patients with diabetes were found to spend a mean of 58 minutes each day on specific self-care practices [ 4], and the Department of Health report that over three quarters of adults with long term conditions play an active role in caring for themselves 'all or most of the time' [ 5].
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