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Does pulmonary rehabilitation give additional benefit over tiotropium therapy in primary care management of chronic obstructive pulmonary disease? Randomized controlled clinical trial in Hong Kong Chinese
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: Community Rehabilitation Network (CRN) Targeted self-management behaviours: Asking for professional help or emergency care when needed, Condition-specific behaviours, Early recognition of symptoms, Handling /managing emotions, Physical activity /exercise, Self-monitoring
Components
Education (E)
Action-based behavioural change techniques (AB)
Emotional-based change techniques (EB)
Social support (SS)
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
| Résultat | Mesure | Tool |
|---|---|---|
| COPD symptoms (short term) | Dyspnea or breathlessness | Dyspnea VAS score |
| COPD symptoms (short term) | Dyspnea or breathlessness | Chronic respiratory disease questionnaire (CRQ) - Dyspnea |
| Lung Function | FEV1 (L/min) - forced expiratory volume | N/A |
| Physical activity / Muscle strenght | Exercise capacity | 6-min walking test (6MWT) |
| 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
| Résultat | 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 | ||||||||
| COPD symptoms (short term) - Dyspnea or breathlessness | ||||||||
| Lung Function - FEV1 (L/min) - forced expiratory volume | ||||||||
| Physical activity / Muscle strenght - Exercise capacity | ||||||||
| Qualiy of life - Quality of life (specific-disease instruments) |
Learn more about the intervention: Action-based and emotional-based behavioural techniques and social support 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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