Breadcrumb
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Age: 69.89 years (+/- a standard deviation of 9.85)
Gender: N/A
Time since diagnosis of COPD: N/A
Severity of the disease: 35.48 (+/- a standard deviation of 16.0)
Multi-morbidity: Charlson Comorbidity Index (CCI)
COMPAR-EU RCTs Web
Does early pulmonary rehabilitation reduce acute health-care utilization in COPD patients admitted with an exacerbation? A randomized controlled study
Author: Eaton, T.
Country/countries: New Zealand
Number of patients participating in the study: 97
This study was focused on patients living with COPD
Intervention analysed in the study: Usual Care
Intervention components: UC
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: Action-based and emotional-based behavioural techniques
Intervention components: E+AB+EB
See more Setting of implementation: Outpatient care (hospital) Professionals delivering the intervention: Educator Targeted self-management behaviours: Condition-specific behaviours, Early recognition of symptoms, Eating behaviours, Handling /managing emotions, Medication use and adherence, Physical activity /exercise
See more Setting of implementation: Outpatient care (hospital) Professionals delivering the intervention: Educator Targeted self-management behaviours: Condition-specific behaviours, Early recognition of symptoms, Eating behaviours, Handling /managing emotions, Medication use and adherence, Physical activity /exercise
Components
Education (E)
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 |
|---|---|---|
| COPD symptoms (short term) | Dyspnea or breathlessness | Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index (BODE index) |
| COPD symptoms (short term) | Dyspnea or breathlessness | Borg Rating of Perceived Exertion Scale (Borg RPE or BORG CR10) |
| COPD symptoms (short term) | Dyspnea or breathlessness | Modified Medical Research Council (MMRC) |
| 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 readmissions | N/A |
| Number of emergency room visits and admissions | Hospital days (Lenght of stay) | N/A |
| Physical activity / Muscle strenght | Exercise capacity | 6-min walking test (6MWT) |
| Qualiy of life | Quality of life (specific-disease instruments) | N/A |
| Qualiy of life | Quality of life (generic instruments) | N/A |
| Qualiy of life | Quality of life (generic instruments) | N/A |
Patient characteristics
3.15 (+/- a standard deviation of 1.3)
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 | ||||||||
| COPD symptoms (short term) - Dyspnea or breathlessness | ||||||||
| 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 - COPD-related hospital readmissions | ||||||||
| Number of emergency room visits and admissions - Hospital days (Lenght of stay) | ||||||||
| Physical activity / Muscle strenght - Exercise capacity | ||||||||
| Qualiy of life - Quality of life (generic instruments) | ||||||||
| Qualiy of life - Quality of life (generic instruments) | ||||||||
| Qualiy of life - Quality of life (specific-disease instruments) |
Learn more about the intervention: 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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