Breadcrumb
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Age: 72.95 years (+/- a standard deviation of 9.29)
Gender: N/A
Time since diagnosis of COPD: N/A
Severity of the disease: 33.51 (+/- a standard deviation of 9.67)
Multi-morbidity: Charlson Comorbidity Index (CCI)
Long term effects of an integrated care intervention on hospital utilization in patients with severe COPD: a single centre controlled study
Link:
10.1186/s12931-015-0170-1
The development of an integrated care model for patients with severe or very severe chronic obstructive pulmonary disease (COPD): the COPD–Home model
Link:
10.1111/scs.12069
COMPAR-EU RCTs Web
Does an integrated care intervention for COPD patients have long-term effects on quality of life and patient activation? A prospective, open, controlled single-center intervention study
Author: Titova, E.
Country/countries: Norway
Number of patients participating in the study: 171
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: N/A Targeted self-management behaviours: N/A
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.
Intervention analysed in the study: Monitoring, action-based and emotional-based behavioural techniques
Intervention components: E+MT+AB+EB
See more Setting of implementation: Home-care, Outpatient care (hospital) Professionals delivering the intervention: Nurses, Physicians Targeted self-management behaviours: Condition-specific behaviours, Early recognition of symptoms, Eating behaviours, Handling /managing emotions, Medication use and adherence, Physical activity /exercise, Self-monitoring, Smoking cessation or reduction
See more Setting of implementation: Home-care, Outpatient care (hospital) Professionals delivering the intervention: Nurses, Physicians Targeted self-management behaviours: Condition-specific behaviours, Early recognition of symptoms, Eating behaviours, Handling /managing emotions, Medication use and adherence, Physical activity /exercise, 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 |
|---|---|---|
| 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 |
| Number of emergency room visits and admissions | COPD-related hospital admissions | N/A |
| Number of emergency room visits and admissions | Hospital days (Lenght of stay) | N/A |
| Patient activation | Patient activation | Patient Activation Measure (PAM) |
| 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 |
|---|---|---|---|---|---|---|---|---|
| Coping with the disease, including depression and anxiety - Anxiety | ||||||||
| Coping with the disease, including depression and anxiety - Depression | ||||||||
| Number of emergency room visits and admissions - COPD-related hospital admissions | ||||||||
| Number of emergency room visits and admissions - Hospital days (Lenght of stay) | ||||||||
| Patient activation - Patient activation | ||||||||
| Qualiy of life - Quality of life (specific-disease instruments) |
Other publications associated with this study
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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