Jolly 2018.
Study characteristics | |
Methods | Design: RCT Follow‐up: 12 months Control group: usual care |
Participants |
Recruitment: general practice Assessed for eligibility: 1146 Randomly assigned: SM: 289; UC: 288 Completed: SM: 247; UC: 281 Mean age: SM: 70.7 (SD 8.8) years; UC: 70.2 (SD 7.8) years Gender (% male): SM: 63; UC: 64 COPD diagnosis: according to UK guidelines (FEV1/FVC ratio <0.7), confirmed by authors Inclusion of participants in acute phase: no Major inclusion criteria: on the practice COPD register, mild dyspnoea (MRC grades 1 (only breathless on strenuous exercise) or 2 (only get short of breath when hurrying on level ground or up a slight hill)), FEV1/FVC < 0.7 after post‐bronchodilator spirometry, aged 18 years or over Major exclusion criteria: level of dyspnoea of MRC grade 3 or greater, terminal disease or severe psychiatric disorder (confirmed by their GP) |
Interventions |
Mode: individually tailored written supportive materials (i.e. information leaflet, standard written information), followed by telephone calls Duration: 4 individual phone calls (first call 35 to 60 min, other calls 15 to 20 min) scheduled at 3, 7 and 11 weeks Professional: nurse 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 (optional), use of a COPD exacerbation action plan (optional), physical activity, COPD medication intake (i.e. adherence, inhalation technique) Self‐management topics: coping with breathlessness Behavioural change techniques: 8 clusters: goals and planning, feedback and monitoring, social support, shaping knowledge, natural consequences, comparison of outcomes, regulation, antecedents |
Outcomes | 1. SGRQ‐C 2. MRC dyspnoea scale 3. Self‐reported physical activity 4. Psychological morbidity 5. Self‐efficacy (Stanford self‐efficacy scale) 6. Health state utility (EuroQoL 5 Dimensions 5 Levels) |
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