2. Action plan (AP) intervention and comparison used in included studies.
Individualised AP | Standard written AP | Support for AP during study period | SME (individual/group) | Prescription /supply OCS | Prescription /supply ABS | Written COPD educational component | Comparison | |
Martin 2004 | Written | 3‐Monthly visit regarding use of AP | Individual interview with respiratory nurse, length not stated, individualised action plan according to current treatment and symptoms | All had 7‐day supply | All had 7‐day supply | No | Usual care by own GP | |
McGeoch 2004 | Yes | No | Individual session by practice nurse or respiratory educator in association with GP 1 hour, covering major points of COPD self‐management plan, and use of validated sputum colour charts | Prescription | Prescription | Educational package | Non‐standard education on COPD according to practice standards | |
Rice 2010 | Written | Monthly phone call from nurse | Group 1‐1.5 hours, individualised action plan with respiratory nurse | Yes | Prescription | Usual care + 1‐page summary of principles of COPD care according to published guidelines. No AP | ||
Rootmensen 2008 | Oral | No | Individual protocol‐based educational session covering disease, medications, vaccination, smoking cessation and exacerbation management, 45 minutes in length | Oral medication provided to some, % unknown | Oral medication provided to some, % unknown | No | Usual care | |
Trappenburg 2011 | Written | Standardised phone calls at 1 and 4 months | Individualised action plan education, length of session not stated | 2%' | 22% | ✓ COPD information | Usual care ‐ pharmacological and non‐pharmacological care according to most recent evidence‐based guidelines, specifically AP denied. All included participants seen by respiratory nurse, who systematically checked and discussed aspects of COPD care, including vaccination, optimisation of medication, inhalation techniques, exercise, nutritional aspects, smoking (cessation) and exacerbation management. | |
Watson 1997 | Yes | No | Individual session education about use of the action plan with COPD booklet by a senior respiratory outreach nurse; length not stated | Prescription | Prescription | ✓ Guide to living positively with COPD | Usual care by GP, specifically denied access to AP and booklet | |
Wood‐Baker 2006 | Written | No | Individual educational session with respiratory nurse, covering COPD, smoking cessation, immunisation, nutrition, exercise, sputum clearance, breathing, medication, inhaler use. Individualised action plan developed with GP input. Length not known | 2% | 22% | COPD information booklet | Usual care, COPD information booklet and individual educational session with nurse, but no AP |
ABS: antibiotics; AP: action plan; COPD: chronic obstructive pulmonary disease; GP: general practitioner; OCS: oral corticosteroids; SME: self‐management education.