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COMPAR-EU Web RCTs
Telemonitoring for chronic obstructive pulmonary disease: a cost and cost-utility analysis of a randomised controlled trial
See more Setting of implementation: Outpatient care (hospital) Professionals delivering the intervention: Nurses, Physicians, Physiotherapists Targeted self-management behaviours: Medication use and adherence, Self-monitoring
Components
Education (E)
Education (E)
Sharing information. This form of support consists in sharing of information about self-management topics like coping with symptoms, diet, exercise, medication, information about what other people are doing, and information about the disease itself, or about any other relevant aspects that could lead to improved self-management, and ultimately better health. This information can be told or distributed in printed materials like a folder or workbook, or via website or DVD.
Examples: Educational session on healthy eating for people with obesity, provision of a printed leaflet on the importance of foot care in diabetes, or a link to a website with information on chronic obstructive pulmonary disease care.
Monitoring techniques (MT)
Monitoring techniques (MT)
Self-monitoring training and feedback. Training and encouraging people to recognize, monitor, and record behaviours, symptoms, or clinical data. This process may include regular feedback from a clinician, or a synopsis of information registered in a digital tool to encourage you to continue monitoring your illness and behaviours.
Example: Showing a patient how to record blood sugar levels, physical activity, or pain.
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: Home-care Professionals delivering the intervention: Healthcare assistant, Nurses, Physicians, Physiotherapists, Service Targeted self-management behaviours: Device management, Early recognition of symptoms, Medication use and adherence, Self-monitoring
Components
Education (E)
Education (E)
Sharing information. This form of support consists in sharing of information about self-management topics like coping with symptoms, diet, exercise, medication, information about what other people are doing, and information about the disease itself, or about any other relevant aspects that could lead to improved self-management, and ultimately better health. This information can be told or distributed in printed materials like a folder or workbook, or via website or DVD.
Examples: Educational session on healthy eating for people with obesity, provision of a printed leaflet on the importance of foot care in diabetes, or a link to a website with information on chronic obstructive pulmonary disease care.
Monitoring techniques (MT)
Monitoring techniques (MT)
Self-monitoring training and feedback. Training and encouraging people to recognize, monitor, and record behaviours, symptoms, or clinical data. This process may include regular feedback from a clinician, or a synopsis of information registered in a digital tool to encourage you to continue monitoring your illness and behaviours.
Example: Showing a patient how to record blood sugar levels, physical activity, or pain.
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
Desenlace | Medida | Tool |
---|---|---|
Adherence to treatment and recommended visits | Adherence to medication | Medication Adherence Report Scale (MARS) |
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 |
Mortality | All causes of mortality | N/A |
Number of emergency room visits and admissions | COPD-related hospital admissions | N/A |
Number of emergency room visits and admissions | All-cause hospital admissions | N/A |
Qualiy of life | Quality of life (specific-disease instruments) | N/A |
Self-efficacy | Self-efficacy | Self-Efficacy for Managing Chronic Disease (SMCD) |
Patient characteristics
Number of co-morbidities: N/A
Tool: N/A
Risk of Bias of this study
Desenlace | Random sequence generation | Allocation concealment | Blinding performance | Blinding detection objective outcomes assessment | Attrition incomplete outcome | Incorrect statistical methods | Recruitment bias | Selective outcome reporting |
---|---|---|---|---|---|---|---|---|
Adherence to treatment and recommended visits - Adherence to medication | ||||||||
Coping with the disease, including depression and anxiety - Anxiety | ||||||||
Coping with the disease, including depression and anxiety - Depression | ||||||||
Mortality - All causes of mortality | ||||||||
Number of emergency room visits and admissions - All-cause hospital admissions | ||||||||
Qualiy of life - Quality of life (specific-disease instruments) | ||||||||
Self-efficacy - Self-efficacy |
Other publications associated with this study
Learn more about the intervention: Monitoring techniques
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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