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COMPAR-EU RCTs Web

Telemonitoring for chronic obstructive pulmonary disease: a cost and cost-utility analysis of a randomised controlled trial

Author: Stoddart, A. Country/countries: United Kingdom Number of patients participating in the study: 256 This study was focused on patients living with COPD
Intervention analysed in the study: Monitoring techniques Intervention components: E+MT
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Setting of implementation: Outpatient care (hospital) Professionals delivering the intervention: Nurses, Physicians, Physiotherapists Targeted self-management behaviours: Medication use and adherence, Self-monitoring
Intervention analysed in the study: Monitoring techniques Intervention components: E+MT
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Setting of implementation: Home-care Professionals delivering the intervention: Healthcare assistant, Nurses, Physicians, Physiotherapists, Service Targeted self-management behaviours: Device management, Early recognition of symptoms, Medication use and adherence, Self-monitoring

Outcomes measured in the study

Effekt Messgröße Tool
Adherence to treatment and recommended visits Adherence to medication Medication Adherence Report Scale (MARS)
Coping with the disease, including depression and anxiety Anxiety Hospital Anxiety and Depression Scale (HADS)-Anxiety subscale
Coping with the disease, including depression and anxiety Depression Hospital Anxiety and Depression Scale (HADS) -depression subscale
Mortality All causes of mortality N/A
Number of emergency room visits and admissions COPD-related hospital admissions N/A
Number of emergency room visits and admissions All-cause hospital admissions N/A
Qualiy of life Quality of life (specific-disease instruments) N/A
Self-efficacy Self-efficacy Self-Efficacy for Managing Chronic Disease (SMCD)

Patient characteristics

Age: 69.4 years (+/- a standard deviation of 8.6) Gender: N/A Time since diagnosis of COPD: N/A Severity of the disease: 42.0 (+/- a standard deviation of 17.9) Multi-morbidity: N/A
  • Number of co-morbidities: N/A

Level of health literacy: N/A
  • Tool: N/A

Socio-economic characteristics: N/A

Risk of Bias of this study

Effekt Random sequence generation Allocation concealment Blinding performance Blinding detection objective outcomes assessment Attrition incomplete outcome Incorrect statistical methods Recruitment bias Selective outcome reporting
Adherence to treatment and recommended visits - Adherence to medication
Coping with the disease, including depression and anxiety - Anxiety
Coping with the disease, including depression and anxiety - Depression
Mortality - All causes of mortality
Number of emergency room visits and admissions - All-cause hospital admissions
Qualiy of life - Quality of life (specific-disease instruments)
Self-efficacy - Self-efficacy

Other publications associated with this study

Effectiveness of telemonitoring integrated into existing clinical services on hospital admission for exacerbation of chronic obstructive pulmonary disease: researcher blind, multicentre, randomised controlled trial Link: 10.1136/bmj.f6070 The impact of a telemetric chronic obstructive pulmonary disease monitoring service: randomised controlled trial with economic evaluation and nested qualitative study Link: 10.4104/pcrj.2009.00040.