Breadcrumb
COMPAR-EU RCTs Web
Self management of patients with mild COPD in primary care: 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: Primary care centers (GPs) Professionals delivering the intervention: Nurses Targeted self-management behaviours: Condition-specific behaviours, Device management, 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)
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
Remote
When patients (and/or caregivers) are not in the same place as the health care providers. This interaction can take place through different communication means or tools (e.g., telephone, smartphone, Internet).
Outcomes measured in the study
Outcome | Measure | Tool |
---|---|---|
Adherence to treatment and recommended visits | Adherence to medication | N/A |
Adherence to treatment and recommended visits | Adherence to regular visits | N/A |
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 |
Number of emergency room visits and admissions | All-cause hospital admissions | 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 |
Physical activity / Muscle strenght | Physical activity (minutes a day) | N/A |
Physical activity / Muscle strenght | Physical activity (minutes a day) | International Physical Activity Questionnaire-Short Form (IPAQ-SF) |
Qualiy of life | Quality of life (specific-disease instruments) | N/A |
Qualiy of life | Quality of life (generic instruments) | N/A |
Self-efficacy | Self-efficacy | Self-Efficacy for Managing Chronic Disease (SMCD) |
Smoking Cessation | Smoking cessation | 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 |
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Adherence to treatment and recommended visits - Adherence to medication | ||||||||
Adherence to treatment and recommended visits - Adherence to regular visits | ||||||||
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 | ||||||||
Number of emergency room visits and admissions - All-cause hospital admissions | ||||||||
Number of emergency room visits and admissions - COPD-related hospital admissions | ||||||||
Number of emergency room visits and admissions - Emergency room/department visits | ||||||||
Physical activity / Muscle strenght - Physical activity (minutes a day) | ||||||||
Physical activity / Muscle strenght - Physical activity (minutes a day) | ||||||||
Qualiy of life - Quality of life (generic instruments) | ||||||||
Qualiy of life - Quality of life (specific-disease instruments) | ||||||||
Self-efficacy - Self-efficacy | ||||||||
Smoking Cessation - Smoking cessation |
Learn more about the intervention: Monitoring and action-based behavioural techniques delivered remotely
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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