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RCT web COMPAR-EU
Effectiveness of community-based integrated care in frail COPD patients: a randomised controlled trial
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: Home-care, Outpatient care (hospital) Professionals delivering the intervention: Nurses, Physicians, Social worker Targeted self-management behaviours: Communication with healthcare and/or social care providers, Condition-specific behaviours, Handling /managing emotions, Medication use and adherence, 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.
Social support (SS)
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
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 | Medical Research Council Prion Disease Rating Scale (MRC Scale) |
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 | Emergency room/department visits | 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
Résultat | Random sequence generation | Allocation concealment | Blinding performance | Blinding detection objective outcomes assessment | Attrition incomplete outcome | Incorrect statistical methods | Recruitment bias | Selective outcome reporting |
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COPD symptoms (short term) - Dyspnea or breathlessness | ||||||||
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 - COPD-related hospital admissions | ||||||||
Number of emergency room visits and admissions - Emergency room/department visits | ||||||||
Qualiy of life - Quality of life (specific-disease instruments) |
Other publications associated with this study
Learn more about the intervention: Social support
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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