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

Bringsvor 2018.

Study characteristics
Methods Design: RCT Follow‐up: 3 months Control group: usual care
Participants Recruitment: hospital (outpatient)
Assessed for eligibility: 2309
Randomly assigned: SM: 92; UC: 90
Completed: SM: 55; UC: 70
Mean age: SM: 68.5 (SD 8.16) years; UC: 69.3 (SD 9.02) years
Gender (% male): SM: 59; UC: 63
COPD diagnosis: GOLD criteria, confirmed with spirometry (FEV1/FVC ratio <0.7)
Inclusion of participants in acute phase: no
Major inclusion criteria: registered ICD‐10 code J44.0, 1, 8, or 9 after 1 January 2010; age ≥ 18 years; confirmed COPD grade II to IV, according to the GOLD; and the ability to read and speak Norwegian
Major exclusion criteria: substantial cognitive impairment reported in a medical journal (e.g. severe dementia, severe Alzheimer’s disease), substantial alcohol or drug abuse, or both, or a life expectancy < 12 months due to comorbidity
Interventions Mode: group sessions at meeting locations in the participants' home municipalities
Duration: 11 face‐to‐face group sessions (120 min) scheduled weekly
Professional: (respiratory) nurse, physiotherapist (co‐moderator)
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 breathlessness, psychological issues, information about the healthcare system, including local, regional and national “offers” for persons with COPD
Self‐management topics: not reported
Behavioural change techniques: 2 clusters: goals and planning, feedback and monitoring
Outcomes 1. Lung function
2. Dyspnoea (mMRC)
3. CAT
4. Self‐management (HeiQ version 2)
5. GSE
6. SOC‐13
Notes Source of funding: this work was supported by the Western Norway Regional Health Authority [grant number 2013/911836] and the Norwegian Extra Foundation for Health and Rehabilitation [grant number 2015/RB13639]
Conflict of interest: none declared