Breadcrumb
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Age: 65.84 years (+/- a standard deviation of 8.33)
Gender: 28 females
Time since diagnosis of COPD: N/A
Severity of the disease: 51.06 (+/- a standard deviation of 20.13)
Multi-morbidity: N/A
COMPAR-EU RCTs Web
Home-based maintenance tele-rehabilitation reduces the risk for acute exacerbations of COPD, hospitalisations and emergency department visits
Author: Vasilopoulou, M.
Country/countries: Greece
Number of patients participating in the study: 150
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: Physicians Targeted self-management behaviours: Asking for professional help or emergency care when needed, Early recognition of symptoms
See more Setting of implementation: Outpatient care (hospital) Professionals delivering the intervention: Physicians Targeted self-management behaviours: Asking for professional help or emergency care when needed, Early recognition of symptoms
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: Emotional-based behavioural techniques
Intervention components: E+EB
See more Setting of implementation: Outpatient care (hospital) Professionals delivering the intervention: N/A Targeted self-management behaviours: Eating behaviours, Handling /managing emotions, Physical activity /exercise
See more Setting of implementation: Outpatient care (hospital) Professionals delivering the intervention: N/A Targeted self-management behaviours: Eating behaviours, Handling /managing emotions, Physical activity /exercise
Components
Education (E)
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.
Intervention analysed in the study: Monitoring and action-based behavioural techniques delivered remotely
Intervention components: E+MT+AB+R
See more Setting of implementation: Home-care, Outpatient care (hospital) Professionals delivering the intervention: Dietician/nutritionist, Physicians, Physiotherapists Targeted self-management behaviours: Device management, Early recognition of symptoms, Eating behaviours, Handling /managing emotions, Medication use and adherence, Physical activity /exercise, Self-monitoring
See more Setting of implementation: Home-care, Outpatient care (hospital) Professionals delivering the intervention: Dietician/nutritionist, Physicians, Physiotherapists Targeted self-management behaviours: Device management, Early recognition of symptoms, Eating behaviours, Handling /managing emotions, Medication use and adherence, Physical activity /exercise, Self-monitoring
Components
Education (E)
Monitoring techniques (MT)
Action-based behavioural change techniques (AB)
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
Remote
When patients (and/or caregivers) are not in the same place as the health care providers. This interaction can take place through different communication means or tools (e.g., telephone, smartphone, Internet).
Outcomes measured in the study
| Outcome | Measure | Tool |
|---|---|---|
| COPD symptoms (short term) | Dyspnea or breathlessness | Modified Medical Research Council (MMRC) |
| Exacerbation | Exacerbations | N/A |
| Number of emergency room visits and admissions | Emergency room/department visits | N/A |
| Number of emergency room visits and admissions | COPD-related hospital admissions | N/A |
| Physical activity / Muscle strenght | Exercise capacity | 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 (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 | ||||||||
| Exacerbation - Exacerbations | ||||||||
| Number of emergency room visits and admissions - COPD-related hospital admissions | ||||||||
| Number of emergency room visits and admissions - Emergency room/department visits | ||||||||
| Physical activity / Muscle strenght - Exercise capacity | ||||||||
| Physical activity / Muscle strenght - Exercise capacity | ||||||||
| Qualiy of life - Quality of life (specific-disease instruments) | ||||||||
| Qualiy of life - Quality of life (specific-disease instruments) |
Learn more about the intervention: 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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Learn more about the intervention: Monitoring and action-based behavioural techniques delivered remotely
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 |
|
|
To learn more about the cost-effectiveness of self-management interventions check our section on the topic: Cost-effectiveness
|
|
Related contextual analysis |
|
|
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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