Table 2.
Self- management domains | PPAc | ITT | |||||||||||||||
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Control | Intervention | Mean change differenceb | Control | Intervention | Mean change differenceb | ||||||||||||
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N | Mean ± SDa | N | Mean ± SDa | Mean | 95% CI | d | P-valued | N | Mean ± SDa | N | Mean ± SDa | Mean | 95% CI | d | P-valued | ||
| |||||||||||||||||
Positive and active engagement in life | Baseline | 68 | 2.87±0.47 | 54 | 2.94±0.40 | 86 | 2.88±0.46 | 91 | 2.96±0.41 | ||||||||
Follow-up | 68 | 2.91±0.49 | 54 | 3.00±0.32 | 0.02 | −0.13 to 0.17 | 0.04 | 0.3634 | 68 | 2.91±0.47 | 60 | 2.97±0.33 | 0.00 | −0.14 to 0.14 | 0.00 | 0.5543 | |
Health directed activities | Baseline | 67 | 2.60±0.54 | 54 | 2.53±0.71 | 85 | 2.64±0.58 | 91 | 2.63±0.68 | ||||||||
Follow-up | 69 | 2.67±0.53 | 54 | 2.68±0.59 | 0.13 | −0.04 to 0.30 | 0.27 | 0.3154 | 69 | 2.67±0.53 | 60 | 2.70±0.59 | 0.11 | −0.05 to 0.28 | 0.25 | 0.3225 | |
Skill and technique acquisition | Baseline | 68 | 2.68±0.45 | 54 | 2.78±0.44 | 86 | 2.68±0.43 | 90 | 2.73±0.45 | ||||||||
Follow-up | 67 | 2.70±0.35 | 55 | 2.85±0.40 | 0.06 | −0.07 to 0.19 | 0.17 | 0.0405 | 67 | 2.70±0.35 | 61 | 2.85±0.38 | 0.06 | −0.06 to 0.19 | 0.17 | 0.0356 | |
Constructive attitudes and approaches | Baseline | 68 | 2.88±0.46 | 54 | 2.93±0.43 | 86 | 2.88±0.48 | 90 | 2.90±0.40 | ||||||||
Follow-up | 67 | 2.87±0.41 | 54 | 3.09±0.39 | 0.16 | 0.03 to 0.30 | 0.38 | 0.0021 | 67 | 2.87±0.41 | 61 | 3.07±0.41 | 0.14 | 0.00 to 0.27 | 0.32 | 0.0069 | |
Self-monitoring and insight | Baseline | 69 | 2.97±0.34 | 54 | 3.05±0.33 | 87 | 3.00±0.35 | 91 | 3.06±0.35 | ||||||||
Follow-up | 69 | 2.98±0.32 | 55 | 3.11±0.27 | 0.05 | −0.07 to 0.18 | 0.15 | 0.0494 | 69 | 2.98±0.32 | 61 | 3.09±0.27 | 0.02 | −0.10 to 0.15 | 0.07 | 0.0944 | |
Health service navigation | Baseline | 68 | 2.79±0.37 | 54 | 2.92±0.35 | 86 | 2.82±0.38 | 91 | 2.93±0.38 | ||||||||
Follow-up | 67 | 2.86±0.39 | 55 | 3.00±0.37 | −0.00 | −0.14 to 0.13 | −0.01 | 0.3606 | 67 | 2.86±0.39 | 62 | 3.00±0.38 | 0.00 | −0.13 to 0.13 | 0.00 | 0.3635 | |
Social integration and support | Baseline | 69 | 2.79±0.48 | 53 | 2.80±0.42 | 87 | 2.77±0.48 | 89 | 2.83±0.41 | ||||||||
Follow-up | 67 | 2.78±0.46 | 55 | 2.82±0.46 | 0.02 | −0.11 to 0.16 | 0.06 | 0.5623 | 67 | 2.78±0.46 | 61 | 2.82±0.45 | 0.02 | −0.11 to 0.14 | 0.05 | 0.5840 | |
Emotional distress | Baseline | 68 | 2.32±0.60 | 54 | 2.30±0.61 | 86 | 2.34±0.63 | 90 | 2.41±0.62 | ||||||||
Follow-up | 67 | 2.29±0.56 | 55 | 2.31±0.70 | −0.04 | −0.22 to 0.14 | −0.08 | 0.8809 | 67 | 2.29±0.56 | 61 | 2.32±0.71 | −0.03 | −0.20 to 0.14 | −0.06 | 0.8914 |
Notes:
Means are presented from the data, therefore all participants (the total intervention and control groups) who provided data are included in the ITT description of means, including those with responses at only baseline or follow-up.
Mean change difference in both PPA and ITT is from the data; therefore, for both PPA and ITT only those with responses at both baseline and follow-up are represented.
Included in PPA were those who participated in more than half of the sessions on Better living with COPD.
P-value is from the ANCOVA based on multiple imputation (50 imputed data sets based on information on heiQ, education, FEV1%, GSE, and SOC). A P-value <0.05 was considered statistically significant and is marked in bold.
Abbreviations: ANCOVA, analysis of covariance; d, Cohen’s d; GSE, general self-efficacy; heiQ, Health Education Impact Questionnaire; ITT, intention-to-treat; PPA, per-protocol analysis; SOC, sense of coherence.