Benzo 2016.
Study characteristics | |
Methods | Design: RCT Follow‐up: 12 months Control group: usual care |
Participants |
Recruitment: hospital (inpatient) Assessed for eligibility: 969 Randomly assigned: SM: 108; UC: 107 Completed: SM: 92; UC: 106 Mean age: SM: 67.9 (SD 9.8) years; UC: 68.1 (SD 9.2) years Gender (% male): SM: 43; UC: 48 COPD diagnosis: GOLD criteria, confirmed with spirometry (FEV1/FVC ratio < 0.7) Inclusion of participants in acute phase: yes, during hospitalisation Major inclusion criteria: admission for a COPD exacerbation Major exclusion criteria: medical conditions that would impair their ability to participate in the study or to provide informed consent; receiving hospice care |
Interventions |
Mode: individual sessions at hospital outpatient clinics, telephone calls, educational booklet Duration: two face‐to‐face individual sessions (first visit 120 min, second visit not reported) and 6 phone calls (mean duration 28.6 min (SD 10.0) Professional: (respiratory) nurse, respiratory therapist Assignment of case manager: yes, accessible to participant during the complete follow‐up period Self‐management components: self‐recognition of COPD exacerbations, use of a COPD exacerbation action plan, home based exercise or physical activity component, coping with breathlessness Self‐management topics: (maintenance) medication Behavioural change techniques: 5 clusters: goals and planning, feedback and monitoring, social support, shaping knowledge, repetition and substitution |
Outcomes | 1. Rate of COPD hospitalisation 2. Quality of life 3. Physical activity 4. Number of COPD exacerbations, based on emergency department visits, nurse triage, or urgent care clinics |
Notes | Source of funding: supported by NHLBI grant R01 HL09468 (RB, principal investigator) from the National Institutes of Health Conflict of interest: none declared |