Breadcrumb
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Age: 71.6 years (+/- a standard deviation of 7.81)
Gender: N/A
Time since diagnosis of COPD: N/A
Severity of the disease: N/A
Multi-morbidity: N/A
COMPAR-EU RCTs Web
Effect of a Health Belief Model-based nursing intervention on Chinese patients with moderate to severe chronic obstructive pulmonary disease: a randomised controlled trial
Link:
10.1111/jocn.12394
Author: Wang, Y.
Country/countries: China
Number of patients participating in the study: 92
This study was focused on patients living with COPD
Intervention analysed in the study: Usual Care Plus
Intervention components: UCP
See more Setting of implementation: N/A Professionals delivering the intervention: Nurses Targeted self-management behaviours: Condition-specific behaviours, Eating behaviours, Medication use and adherence, Smoking cessation or reduction
See more Setting of implementation: N/A Professionals delivering the intervention: Nurses Targeted self-management behaviours: Condition-specific behaviours, Eating behaviours, Medication use and adherence, Smoking cessation or reduction
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.
Intervention analysed in the study: Monitoring, action-based and emotional-based behavioural techniques
Intervention components: E+MT+AB+EB
See more Setting of implementation: Hospital care (hospitalized), Outpatient care (hospital) Professionals delivering the intervention: Nurses Targeted self-management behaviours: Condition-specific behaviours, Early recognition of symptoms, Eating behaviours, Medication use and adherence, Physical activity /exercise, Physical management, Self-monitoring, Smoking cessation or reduction
See more Setting of implementation: Hospital care (hospitalized), Outpatient care (hospital) Professionals delivering the intervention: Nurses Targeted self-management behaviours: Condition-specific behaviours, Early recognition of symptoms, Eating behaviours, Medication use and adherence, Physical activity /exercise, Physical management, Self-monitoring, Smoking cessation or reduction
Components
Education (E)
Monitoring techniques (MT)
Action-based behavioural change techniques (AB)
Emotional-based change techniques (EB)
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
| Outcome | Measure | Tool |
|---|---|---|
| Activities of daily living | Activities of daily living (specific disease instruments) | Barthel Index |
| COPD symptoms (short term) | Dyspnea or breathlessness | Modified Medical Research Council (MMRC) |
| Exacerbation | Exacerbations | N/A |
| 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 | COPD-related hospital readmissions | N/A |
| Physical activity / Muscle strenght | Exercise capacity | 6-min walking test (6MWT) |
| Self-efficacy | Self-efficacy | COPD self efficacy scale (CSES) |
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 |
|---|---|---|---|---|---|---|---|---|
| Activities of daily living - Activities of daily living (specific disease instruments) | ||||||||
| COPD symptoms (short term) - Dyspnea or breathlessness | ||||||||
| Exacerbation - Exacerbations | ||||||||
| 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 - COPD-related hospital readmissions | ||||||||
| Physical activity / Muscle strenght - Exercise capacity | ||||||||
| Self-efficacy - Self-efficacy |
Learn more about the intervention: Monitoring, action-based and emotional-based behavioural techniques
Summary of findings | |
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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