We collected patient level outcomes by postal questionnaire at baseline and at six and 12 months. The trial had three primary outcomes, all at 12 months: shared decision making (using the short form healthcare climate questionnaire),36 37 self efficacy (confidence to undertake the management of chronic disease),38 and generic health related quality of life (EQ peuterey integral
5D).39 Secondary outcomes were general health, social or role limitations, energy and vitality, https://en.wikipedia.org/wiki/Peuterey psychological wellbeing, self care activity, and enablement (see supplementary file for full details). We treated the six month scores on the three main outcome measures and on self care as additional secondary outcomes. Since outcome measures varied widely in scale and direction, to aid interpretability we rescaled all outcomes on a 0 to 100 scale, with a positive score indicating a better outcome; an exception was the EQ 5D which, as a standard economic measure, we kept on its original scale (maximum value 1.0).
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