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COMPAR-EU Web RCTs
[Effectiveness of a specific program for patients with chronic obstructive pulmonary disease and frequent exacerbations]
See more Setting of implementation: Outpatient care (hospital) Professionals delivering the intervention: Physicians Targeted self-management behaviours: Eating behaviours, Physical activity /exercise
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 Targeted self-management behaviours: Eating behaviours, Healthy sleep habits, Physical activity /exercise, Smoking cessation or reduction
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.
In group
Two or more patients or caregivers receive a self-management intervention. Group interventions are normally organized for efficiency purposes or to facilitate learning and knowledge exchange among peers (people living with the same health condition). For example, peer-led education group to enhance physical activity in obese individuals.
Face-to-face
Self-management support delivered in a face-to-face encounter between the providers and patients and/or caregivers.
Outcomes measured in the study
| Desenlace | Medida | Tool |
|---|---|---|
| COPD symptoms (short term) | Dyspnea or breathlessness | Medical Research Council Prion Disease Rating Scale (MRC Scale) |
| Lung Function | FEV1 (L/min) - forced expiratory volume | N/A |
| Lung Function | FVC (L/min) - forced vital capacity | N/A |
| Lung Function | FEV1/FVC ratio - forced expiratory volume in the first one second to the forced vital capacity of the lungs | N/A |
| Number of emergency room visits and admissions | All-cause hospital admissions | N/A |
| Number of emergency room visits and admissions | Hospital days (Lenght of stay) | N/A |
| Qualiy of life | Quality of life (specific-disease instruments) | 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 |
|---|---|---|---|---|---|---|---|---|
| COPD symptoms (short term) - Dyspnea or breathlessness | ||||||||
| Lung Function - FEV1 (L/min) - forced expiratory volume | ||||||||
| Lung Function - FEV1/FVC ratio - forced expiratory volume in the first one second to the forced vital capacity of the lungs | ||||||||
| Lung Function - FVC (L/min) - forced vital capacity | ||||||||
| Number of emergency room visits and admissions - All-cause hospital admissions | ||||||||
| Number of emergency room visits and admissions - Hospital days (Lenght of stay) | ||||||||
| Qualiy of life - Quality of life (specific-disease instruments) |
Learn more about the intervention: Education delivered in groups
Recommendations for this type of intervention | |
Summary of findings | |
Evidence to Decision frameworks | |
RCTs that also analysed this type of intervention | |
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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