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RCT web COMPAR-EU
Chronic disease self-management and exercise in COPD as pulmonary rehabilitation: a randomized controlled trial
See more Setting of implementation: Outpatient care (hospital) Professionals delivering the intervention: Nurses, Physiotherapists Targeted self-management behaviours: Asking for professional help or emergency care when needed, Communication with healthcare and/or social care providers, Condition-specific behaviours, Eating behaviours, Medication use and adherence, Physical activity /exercise, Self-monitoring
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.
See more Setting of implementation: Outpatient care (hospital) Professionals delivering the intervention: Nurses, Physiotherapists Targeted self-management behaviours: Asking for professional help or emergency care when needed, Condition-specific behaviours, Eating behaviours, Medication use and adherence, Physical activity /exercise, Self-monitoring
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
| Résultat | Mesure | Tool |
|---|---|---|
| COPD symptoms (short term) | Dyspnea or breathlessness | Dyspnea VAS score |
| Physical activity / Muscle strenght | Exercise capacity | 6-min walking test (6MWT) |
| Qualiy of life | Quality of life (generic instruments) | N/A |
| Qualiy of life | Quality of life (generic instruments) | N/A |
| Self-efficacy | Self-efficacy | Partners in Health Scale (PIH- overall score) |
| Self-efficacy | Self-efficacy | Self-efficacy for exercise (SEE) |
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 | ||||||||
| Physical activity / Muscle strenght - Exercise capacity | ||||||||
| Qualiy of life - Quality of life (generic instruments) | ||||||||
| Qualiy of life - Quality of life (generic instruments) | ||||||||
| Self-efficacy - Self-efficacy | ||||||||
| Self-efficacy - Self-efficacy |
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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