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. 2022 Jan 10;2022(1):CD002990. doi: 10.1002/14651858.CD002990.pub4

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