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

Titova 2015.

Study characteristics
Methods Design: RCT Follow‐up: 24 months Control group: usual care
Participants Recruitment: hospital (inpatient)
Assessed for eligibility: 199
Randomly assigned: SM: 91; UC: 81
Completed: SM: 51; UC: 49
Mean age: SM: 74.1 (SD 9.26) years; UC: 72.6 (SD 9.33) years
Gender (% male): SM: 42.9; UC: 43.2
COPD diagnosis: GOLD criteria (FEV1/FVC ratio <0.7), confirmed by authors
Inclusion of participants in the acute phase: yes, during hospitalisation
Major inclusion criteria: admission due to AECOPD, COPD (GOLD stage III or IV, 2007), living in the Trondheim municipality, ability to communicate in Norwegian, ability to sign the informed consent form
Major exclusion criteria: any serious diseases that might cause a very short lifespan (expected survival time less than six months)
Interventions Mode: individual sessions at the participant’s home, telephone calls, e‐learning programme, “My COPD book”
Duration: six face‐to‐face individual sessions (one at discharge, five joint visits at home at approximately 3 days, 14 days, 6 months, 12 months, and 24 months post‐
discharge) by the specialist nurse, one interactive 15‐minute e‐learning programme, at least 24 telephone calls (routine phone calls at least once a month and during COPD
exacerbations)
Professional: specialist nurse
Assignment of case managers: not reported
Self‐management components: self‐recognition of COPD exacerbations, use of a COPD exacerbation action plan, coping with breathlessness
Self‐management topics: smoking cessation, (maintenance) medication
Behavioural change techniques: 4 clusters: goals and planning, feedback and monitoring, social support, repetition and substitution
Outcomes 1. Hospital utilisation (admissions caused by AECOPD, in‐hospital days due to AECOPD)
2. Mortality
3. Inhaled medication use (long‐acting bronchodilators)
Notes Source of funding: Central Norway Regional Health Authority and the Research Council of Norway
Conflict of interest: none declared