Bösch 2007.
Study characteristics | |
Methods | Design: RCT Follow‐up: 12 months Control group: usual care |
Participants |
Recruitment: outpatient clinic Assessed for eligibility: not reported Randomly assigned: SM: 38; UC: 12 Completed: SM: 30; UC: 11 Mean age: SM: 63.8 (SD 8.4) years; UC: 64.6 (SD 6.8) years Gender (% male): 63% of 41 participants who completed the study; the distribution of males per group is not reported COPD diagnosis: GOLD criteria (FEV1/FVC ratio < 0.7), confirmed by authors Inclusion of participants in the acute phase: not reported Major inclusion criteria: diagnosis of COPD with obstruction proven by spirometry and a FEV1/FVC < 70% Major exclusion criteria: comorbidities which significantly influence symptoms, capacity or spirometry (symptomatic cardiopulmonary disease) |
Interventions |
Mode: group sessions (six to eight participants) at the participants' homes Duration: four face‐to‐face group sessions of two hours each with the final session scheduled six weeks later Professional: respiratory nurse under supervision of a respiratory specialist Assignment of case managers: yes, accessible to participants during the complete follow‐up period Self‐management components: smoking cessation (optional), self‐recognition of COPD exacerbations, use of a COPD exacerbation action plan, home‐based exercise or physical activity component, diet, COPD medication intake (i.e. adherence, inhalation technique), coping with breathlessnes, leisure activities and travelling Self‐management topics: not reported Behavioural change techniques: 2 clusters: goals and planning, feedback and monitoring |
Outcomes | 1. mMRC 2. Courses of antibiotics 3. FEV1 (L) 4. Hospital admissions 5. 6MWT 6. COPD exacerbations, based on treatment with antibiotics |
Notes | Sources of funding: not reported Conflict of interest: none declared |