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COMPAR-EU Web RCTs
Nurse-initiated telephone follow-up on patients with chronic obstructive pulmonary disease improves patient empowerment, but cannot prevent readmissions
See more Setting of implementation: N/A Professionals delivering the intervention: N/A Targeted self-management behaviours: N/A
Components
Individual sessions
A single person receives the self-management support. Examples: self-guided actions (without the participation of any other person) during a clinical visit or within the context of a support or educational session
Face-to-face
Self-management support delivered in a face-to-face encounter between the providers and patients and/or caregivers.
See more Setting of implementation: Outpatient care (hospital) Professionals delivering the intervention: Nurses, Physicians Targeted self-management behaviours: Condition-specific behaviours, Early recognition of symptoms
Components
Education (E)
Education (E)
Sharing information. This form of support consists in sharing of information about self-management topics like coping with symptoms, diet, exercise, medication, information about what other people are doing, and information about the disease itself, or about any other relevant aspects that could lead to improved self-management, and ultimately better health. This information can be told or distributed in printed materials like a folder or workbook, or via website or DVD.
Examples: Educational session on healthy eating for people with obesity, provision of a printed leaflet on the importance of foot care in diabetes, or a link to a website with information on chronic obstructive pulmonary disease care.
Shared decision making (SD)
Social support (SS)
Helping you to think through how you could obtain social support from others to help them achieve behavioural or outcome goals. It could also include the actual provision of social support or discussions about social support networks suited to your preferences, needs, disease burden, or additional life burdens. Part of this support would include linking you to relevant community services to enhance socialization and make the most of support mechanisms in the local community.
Examples: Encouraging family members to become involved in helping you to manage your disease or encouraging you to participate in a local exercise group.
Individual sessions
A single person receives the self-management support. Examples: self-guided actions (without the participation of any other person) during a clinical visit or within the context of a support or educational session
Remote
When patients (and/or caregivers) are not in the same place as the health care providers. This interaction can take place through different communication means or tools (e.g., telephone, smartphone, Internet).
Outcomes measured in the study
| Desenlace | Medida | Tool |
|---|---|---|
| Mortality | All causes of mortality | N/A |
| Number of emergency room visits and admissions | All-cause hospital readmissions | N/A |
Patient characteristics
Number of co-morbidities: N/A
Tool: N/A
Risk of Bias of this study
| Desenlace | Random sequence generation | Allocation concealment | Blinding performance | Blinding detection objective outcomes assessment | Attrition incomplete outcome | Incorrect statistical methods | Recruitment bias | Selective outcome reporting |
|---|---|---|---|---|---|---|---|---|
| Mortality - All causes of mortality | ||||||||
| Number of emergency room visits and admissions - All-cause hospital readmissions |
Learn more about the intervention: Shared decision making delivered remotely
Summary of findings | |
Related cost-effectiveness analysis |
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To learn more about the cost-effectiveness of self-management interventions check our section on the topic: Cost-effectiveness
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Related contextual analysis |
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To learn more about the contextual factors that can facilitate or hinder the implementation of a self-management intervention check our section on the topic: Contextual factors
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