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COMPAR-EU RCTs Web
A community-based exercise programme in COPD self-management: two years follow-up of the COPE-II study
See more Setting of implementation: Outpatient care (hospital) Professionals delivering the intervention: Nurses, Physiotherapists Targeted self-management behaviours: Condition-specific behaviours, Early recognition of symptoms, 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: Home-care, Outpatient care (hospital) Professionals delivering the intervention: Physiotherapists Targeted self-management behaviours: Condition-specific behaviours, Early recognition of symptoms, 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.
Monitoring techniques (MT)
Monitoring techniques (MT)
Self-monitoring training and feedback. Training and encouraging people to recognize, monitor, and record behaviours, symptoms, or clinical data. This process may include regular feedback from a clinician, or a synopsis of information registered in a digital tool to encourage you to continue monitoring your illness and behaviours.
Example: Showing a patient how to record blood sugar levels, physical activity, or pain.
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
| Outcome | Measure | Tool |
|---|---|---|
| COPD symptoms (short term) | Dyspnea or breathlessness | Chronic respiratory disease questionnaire (CRQ) - Dyspnea |
| 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 |
| Physical activity / Muscle strenght | Exercise capacity | Incremental Shuttle Walking Test (ISWT) |
| Physical activity / Muscle strenght | Exercise capacity | The endurance shuttle walk (ESWT) |
| Physical activity / Muscle strenght | Steps a day | steps a day (pedometer) |
| 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
| Outcome | 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 | ||||||||
| Coping with the disease, including depression and anxiety - Anxiety | ||||||||
| Coping with the disease, including depression and anxiety - Depression | ||||||||
| Physical activity / Muscle strenght - Exercise capacity | ||||||||
| Physical activity / Muscle strenght - Exercise capacity | ||||||||
| Physical activity / Muscle strenght - Steps a day | ||||||||
| Qualiy of life - Quality of life (specific-disease instruments) | ||||||||
| Qualiy of life - Quality of life (specific-disease instruments) |
Other publications associated with this study
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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Learn more about the intervention: Monitoring techniques delivered in groups
Summary of findings | |
RCTs that also analysed this type of intervention | |
Related cost-effectiveness analysis |
|
|
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 |
|
|
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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