Table 2.
Results of additional clinical outcomes
| Reference | Brief intervention (N) | Brief control (N) | Outcome | Follow-up (mths) | Baseline intervention | Baseline control | Results intervention | Results control | Effect size (OR or mean difference, 95% CI)/P-value |
|---|---|---|---|---|---|---|---|---|---|
| GP consultations | |||||||||
| Hermiz et al, 200228 | Home-based care focused on self-management (N=84) | Usual care (N=93) | GP reported visits to GP, mean | 3 | NR | NR | 5.21 (N=57) | 5.11 (N=64) | P=0.9 |
| Casas et al, 200624 | Integrated care with self-management intervention (N=65) | Usual care (N=90) | Self-reported physician visits per year, median (IQR) | 12 | NR | NR | Barcelona: 2 (0–4) Leuven: 10 (7–18) (N=65) |
Barcelona: 2 (1–4) Leuven: 13 (9–27) (N=90) |
P=0.437 P=0.454 |
| Anxiety | |||||||||
| Lee et al, 200220 | Care protocol to nursing home (N=48 completers) | Usual care (N=41 completers) | GHQ: Anxiety and insomnia subscale, mean (SD) | 6 | 4.31 (2.60) | 3.54 (2.83) | 2.8 (1.52) (N=48) | 4.3 (2.49) (N=41) | −1.50 (−2.38, −0.62)*,† |
| Bucknall et al, 201223 | Supported self-management (N=232) | Usual care (N=232) | Hospital anxiety and depression score, mean (SD) | 12 | 10.00 (4.5) | 9.3 (4.6) | Mean change (SD) −0.37 (3.77) (N=104) | Mean change (SD) 0.93 (3.29) (N=82) | −1.06 (−2.08, −0.03) |
| Depression | |||||||||
| Lee et al, 200220 | Care protocol to nursing home (N=48 completers) | Usual care (N=41 completers) | GHQ Depression subscale, mean (SD) | 6 | 4.83 (2.40) | 4.68 (3.31) | 3.3 (1.86) (N=48) | 4.3 (2.66) (N=41) | −1.00 (−1.97, −0.03)*,† |
| Bucknall et al, 201223 | Supported self-management (N=232) | Usual care (N=232) | Hospital anxiety and depression score, mean (SD) | 12 | 8.5 (3.9) | 8.3 (4.1) | 0.54 (3.26) (N=109) | 0.75 (2.78) (N=84) | −0.27 (−1.13, 0.59) |
| Exercise capacity | |||||||||
| Kwok et al, 200430 | Community nurse supported discharge program (N=77) | Usual care (N=80) | 6 minute walking distance, mean (SD) | 6 | 162 (79) (N=71) | 145 (71) (N=75) | 174 (98) (N=67) | 150 (89) (N=73) | 24.00 (−7.10, 55.10)* |
| Dyspnea | |||||||||
| Garcia-Aymerich et al, 200727 | Integrated care (N=44) | Usual care (N=69) | MRC dyspnea score, mean change (SD) | 12 | NR | NR | −0.52 (1.12) (N=21) | −0.15 (1.44) (N=41) | −0.38 (−1.1, 0.34) |
| Lung function | |||||||||
| Garcia-Aymerich et al, 200727 | Integrated care (N=44) | Usual care (N=69) | FEV1 (l) | 12 | Median (IQR) 1.2 (0.8, 1.4) | Median (IQR) 1.0 (0.8, 1.5) | Mean change (SD) −0.01 (0.14) (N=21) | Mean change (SD) 0.06 (0.35) (N=41) | −0.07 (−0.19, 0.05)* |
| Lee 200220, mean (SD) | Care protocol to nursing home (N=48 completers) | Usual care (N=41 (N=48) completers) | % predicted FEV1 (N=41) | 6 | 30.6 (10.1) | 34.0 (15.1) | 31.1 (13.3) (N=48) | 30.6 (13.1) (N=41) | 0.50 (−5.00, 6.00)*,† |
| Hernandez et al, 200329 | Home based hospitalization (N=121) | Usual care (N=101) | FEV1 (l), mean (SD) | 2 | NR | NR | 2.4 (0.9) (N=121) | 2.2 (0.9) (N=101) | 0.20 (−0.04, 0.44)* |
Notes:
*
Effect sizes not reported, therefore were calculated from available data in the paper;
†
result not adjusted for clustering.
Abbreviations: GP, general practitioner; IQR, interquartile range; SD, standard deviation; GHQ, General Health Questionnaire; MRC, Medical Research Council; FEV1, forced expiratory volume in one second; mth, month; OR, odds ratio; CI, confidence interval; NR, not reported.