Breadcrumb
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Age: 67.51 years (+/- a standard deviation of 8.52)
Gender: N/A
Time since diagnosis of COPD: N/A
Severity of the disease: 48.34 (+/- a standard deviation of 17.95)
Multi-morbidity: N/A
Comparison of a structured home-based rehabilitation programme with conventional supervised pulmonary rehabilitation: a randomised non-inferiority trial
Link:
10.1136/thoraxjnl-2016-208506
The development and pilot testing of the Self-management Programme of Activity, Coping and Education for Chronic Obstructive Pulmonary Disease (SPACE for COPD)
Link:
10.2147/COPD.S40414
COMPAR-EU RCTs Web
An economic evaluation of a self-management programme of activity, coping and education for patients with chronic obstructive pulmonary disease
Link:
10.1177/1479972315619578
Author: Dritsaki, M.
Country/countries: United Kingdom
Number of patients participating in the study: 287
This study was focused on patients living with COPD
Intervention analysed in the study: Monitoring techniques delivered in groups
Intervention components: E+MT+G
See more Setting of implementation: Outpatient care (hospital) Professionals delivering the intervention: N/A Targeted self-management behaviours: Eating behaviours, Physical activity /exercise, Self-monitoring
See more Setting of implementation: Outpatient care (hospital) Professionals delivering the intervention: N/A Targeted self-management behaviours: Eating 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.
Intervention analysed in the study: Action-based and emotional-based behavioural techniques
Intervention components: E+AB+EB
See more Setting of implementation: Home-care, Outpatient care (hospital) Professionals delivering the intervention: Physiotherapists, Service Targeted self-management behaviours: Condition-specific behaviours, Eating behaviours, Physical activity /exercise, Self-monitoring, Smoking cessation or reduction, Social roles
See more Setting of implementation: Home-care, Outpatient care (hospital) Professionals delivering the intervention: Physiotherapists, Service Targeted self-management behaviours: Condition-specific behaviours, Eating behaviours, Physical activity /exercise, Self-monitoring, Smoking cessation or reduction, Social roles
Components
Education (E)
Action-based behavioural change techniques (AB)
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 |
|---|---|---|
| COPD symptoms (short term) | Dyspnea or breathlessness | Self-reported chronic respiratory questionnaire (CRQ-SR) - dyspnea domain |
| 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 |
| Exacerbation | Exacerbations | N/A |
| Mortality | All causes of mortality | N/A |
| Number of emergency room visits and admissions | Emergency room/department visits | N/A |
| Number of emergency room visits and admissions | Hospital days (Lenght of stay) | N/A |
| Physical activity / Muscle strenght | Exercise capacity | Incremental Shuttle Walking Test (ISWT) |
| Physical activity / Muscle strenght | Exercise capacity | The endurance shuttle walk (ESWT) |
| Self-efficacy | Self-efficacy | Pulmonary Rehabilitation Adapted Index of Self-Efficacy (PRAISE) |
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 | ||||||||
| Coping with the disease, including depression and anxiety - Anxiety | ||||||||
| Coping with the disease, including depression and anxiety - Depression | ||||||||
| Exacerbation - Exacerbations | ||||||||
| Mortality - All causes of mortality | ||||||||
| Number of emergency room visits and admissions - Emergency room/department visits | ||||||||
| Number of emergency room visits and admissions - Hospital days (Lenght of stay) | ||||||||
| Physical activity / Muscle strenght - Exercise capacity | ||||||||
| Physical activity / Muscle strenght - Exercise capacity | ||||||||
| Self-efficacy - Self-efficacy |
Other publications associated with this study
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 |
|
|
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
|
|
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 |
|
|
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
|
|
