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COMPAR-EU RCTs Web

Short- and long-term efficacy of a community-based COPD management programme in less advanced COPD: a randomised controlled trial

Author: van Wetering, C. R. Country/countries: Netherlands Number of patients participating in the study: 199 This study was focused on patients living with COPD
Intervention analysed in the study: Usual Care Intervention components: UC
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Setting of implementation: Outpatient care (hospital) Professionals delivering the intervention: Physicians Targeted self-management behaviours: Eating behaviours, Smoking cessation or reduction
Intervention analysed in the study: Monitoring and emotional-based behavioural techniques Intervention components: E+MT+EB
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Setting of implementation: Home-care, Outpatient care (hospital) Professionals delivering the intervention: Dietician/nutritionist, Nurses, Physiotherapists Targeted self-management behaviours: Condition-specific behaviours, Eating behaviours, Physical activity /exercise, Physical management, Self-monitoring, Smoking cessation or reduction

Outcomes measured in the study

Outcome Measure Tool
COPD symptoms (short term) Dyspnea or breathlessness Medical Research Council Prion Disease Rating Scale (MRC Scale)
Lung Function FEV1 (% pred) - forced expiratory volume N/A
Lung Function Respiratory status - Max inspiratory pressure N/A
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 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

Patient characteristics

Age: 66.5 years (+/- a standard deviation of 8.8) Gender: N/A Time since diagnosis of COPD: N/A Severity of the disease: 59.0 (+/- a standard deviation of 16.1) Multi-morbidity: N/A
  • Number of co-morbidities: N/A

Level of health literacy: N/A
  • Tool: N/A

Socio-economic characteristics: 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 - FEV1 (% pred) - forced expiratory volume
Lung Function - Respiratory status - Max inspiratory pressure
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 - Hospital days (Lenght of stay)
Physical activity / Muscle strenght - Exercise capacity
Qualiy of life - Quality of life (specific-disease instruments)

Other publications associated with this study

Is INTERdisciplinary COMmunity-based COPD management (INTERCOM) cost-effective? Link: 10.1183/09031936.00043309 Efficacy and costs of nutritional rehabilitation in muscle-wasted patients with chronic obstructive pulmonary disease in a community-based setting: a prespecified subgroup analysis of the INTERCOM trial Link: 10.1016/j.jamda.2009.12.083