Breadcrumb
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Age: 67.0 years (+/- a standard deviation of 8.0)
Gender: 1 females
Time since diagnosis of COPD: N/A
Severity of the disease: 34.78 (+/- a standard deviation of 10.74)
Multi-morbidity: N/A
COMPAR-EU RCTs Web
Home-based pulmonary rehabilitation in very severe COPD: Is it safe and useful?
Author: FernaÌndez, A. M.
Country/countries: Spain
Number of patients participating in the study: 42
This study was focused on patients living with COPD
Intervention analysed in the study: Usual Care
Intervention components: UC
See more Setting of implementation: Outpatient care (hospital) Professionals delivering the intervention: Nurses Targeted self-management behaviours: Asking for professional help or emergency care when needed, Device management
See more Setting of implementation: Outpatient care (hospital) Professionals delivering the intervention: Nurses Targeted self-management behaviours: Asking for professional help or emergency care when needed, Device management
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 techniques delivered in groups
Intervention components: E+MT+G
See more Setting of implementation: Home-care, Outpatient care (hospital) Professionals delivering the intervention: Physiotherapists Targeted self-management behaviours: Physical activity /exercise, Self-monitoring
See more Setting of implementation: Home-care, Outpatient care (hospital) Professionals delivering the intervention: Physiotherapists Targeted self-management behaviours: Physical activity /exercise, Self-monitoring
Components
Education (E)
Monitoring techniques (MT)
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 | Borg Rating of Perceived Exertion Scale (Borg RPE or BORG CR10) |
| Lung Function | FVC (% pred) - forced vital capacity | N/A |
| Lung Function | FEV1 (% pred) - forced expiratory volume | N/A |
| Lung Function | Respiratory status - Max expiratory pressure | 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 |
| Lung Function | TLC - Total Lung Capacity | N/A |
| Lung Function | RV - Residual Volume | N/A |
| Lung Function | DLCO - Diffusing capacity of the lungs for carbon monoxide (%pred) | N/A |
| Lung Function | Respiratory status - Max inspiratory pressure | N/A |
| Physical activity / Muscle strenght | Exercise capacity | 6-min walking test (6MWT) |
| 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 | ||||||||
| Lung Function - DLCO - Diffusing capacity of the lungs for carbon monoxide (%pred) | ||||||||
| Lung Function - FEV1 (% pred) - 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 (% pred) - forced vital capacity | ||||||||
| Lung Function - Respiratory status - Max expiratory pressure | ||||||||
| Lung Function - Respiratory status - Max inspiratory pressure | ||||||||
| Lung Function - RV - Residual Volume | ||||||||
| Lung Function - TLC - Total Lung Capacity | ||||||||
| Physical activity / Muscle strenght - Exercise capacity | ||||||||
| Qualiy of life - Quality of life (specific-disease instruments) |
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 |
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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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