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COMPAR-EU RCTs Web
Integrated Brief Cognitive Behavioral Therapy Improves Illness Intrusiveness in Veterans With Chronic Obstructive Pulmonary Disease
See more Setting of implementation: N/A Professionals delivering the intervention: N/A Targeted self-management behaviours: Handling /managing emotions
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: Outpatient care (hospital) Professionals delivering the intervention: Physicians, Social worker Targeted self-management behaviours: Communication with healthcare and/or social care providers, Condition-specific behaviours, Eating behaviours, Handling /managing emotions, Medication use and adherence, Physical activity /exercise, Physical management
Components
Education (E)
Action-based behavioural change techniques (AB)
Action-based behavioural change techniques (AB)
There are different action-based behavioural change techniques:
Enhancing problem-solving skills. This technique consists in teaching on how to analyse factors that influence your behaviour and provide you or help you to develop strategies to reduce or overcome barriers and/or support facilitators (e.g., not eating unhealthy foods when you feel depressed). Strategies include anticipation, self-treatment, resource utilization, and problem management. Ideally, there should be an initial plan, but this is not a requisite.
Example: Identification and attenuation of environmental barriers (e.g., no gym in the neighbourhood when one want to exercise) and facilitators (e.g., someone who keeps you company during exercise) to everyday physical activities.
Goal setting and action planning. This technique consists in encouraging you to set one or more achievable goals based on your needs and preferences. These goals may be behaviours (e.g., a consuming a healthy meal three times a day) or outcomes (e.g., less pain) and can be used as a starting point. The process usually involves the formulation of a detailed action plan, specifying what you would do and at least when and/or where you will do it. It could also include an assessment of your behaviours with your health care provider and a discussion of goals and the writing up of agreed-on action plans, including plans for emergency situations.
Examples of goals: achieving a daily walking distance of 2 km or a weight loss of some kilograms in x months with diet and exercise.
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 (generic instrument) | IRRS (questionnaire on Illness intrusiveness) |
| COPD symptoms (short term) | Dyspnea or breathlessness | Modified Medical Research Council (MMRC) |
| COPD symptoms (short term) | Dyspnea or breathlessness | Chronic respiratory disease questionnaire (CRQ) - Dyspnea |
| Qualiy of life | Quality of life (generic instruments) | N/A |
| Qualiy of life | Quality of life (generic instruments) | N/A |
Patient characteristics
Number of co-morbidities: 2.0
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 (generic instrument) | ||||||||
| COPD symptoms (short term) - Dyspnea or breathlessness | ||||||||
| COPD symptoms (short term) - Dyspnea or breathlessness | ||||||||
| Qualiy of life - Quality of life (generic instruments) | ||||||||
| Qualiy of life - Quality of life (generic instruments) |
Other publications associated with this study
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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