Jiang 2012.
Methods | Design: RCT Follow‐up: 10 months Control group: usual care |
Participants |
Recruitment: hospital (outpatient). Assessed for eligibility: 295. Randomly assigned: SM: 50; UC: 50. Completed: SM: 49; UC: 47. Mean age: SM: 65.2 (SD 8.96) years; UC: 64.7 (SD 8.05) years. Gender (% male): SM: 71.4; UC: 68.1. COPD diagnosis: moderate or severe COPD according to the Global Initiative for Chronic Obstructive Lung Disease (GOLD). Inclusion of participants in acute phase: not reported. Major inclusion criteria: moderate or severe COPD according to the GOLD, disease duration < 2 years since COPD diagnosis, at least one COPD exacerbation (defined as a complex of respiratory events/symptoms (increase or new onset) with a duration of 3 days requiring a change in treatment). Major exclusion criteria: unable to communicate clearly and give informed consent, concurrent oncologic or psychiatric diseases, drug or alcohol abuse history. |
Interventions |
Mode: weekly phone calls, audio CD, the self‐help manual, instruction booklet. Duration: 35 min per phone call. Professional: nurse. Assignment of case manager: unclear. Self‐management components: unclear whether each included participant received at least two intervention components including an iterative process. Self‐management topics: unclear. Behavioural change techniques: at least goals and planning, feedback and monitoring, other unclear. |
Outcomes | 1. uncertainty level (Mishel’s Uncertainty in Illness Scale‐Adult) 2. CSQ 3. anxiety (State‐Trait Anxiety Inventory scale) 4. depression (HADS‐depression) 5. quality of life (SF‐36) |
Notes | More information regarding COPD spirometry, intervention components and iterative process needed. |