Khdour 2009.
Methods | Design: RCT Follow‐up: 12 months Control group: usual care |
Participants |
Recruitment: hospital (outpatient clinic). Assessed for eligibility: not reported. Randomly assigned: 173. Completed: 143. Mean age: SM: 65.6 (SD 10.1) years; UC: 67.3 (SD 9.2) years Gender (% male): SM: 43.7; UC: 44.2. COPD diagnosis: confirmed diagnosis of COPD (by the hospital consultant) for at least 1 year, having a FEV of 30‐80% of the predicted normal value Inclusion of participants in acute phase: no. Major inclusion criteria: confirmed diagnosis of COPD for at least 1 year, having a FEV of 30‐80% of the predicted normal value and > 45 years old. Major exclusion criteria: congestive heart failure; moderate to severe learning difficulties (as judged by hospital consultant); attended a pulmonary rehabilitation programme in the last six months; severe mobility problems or terminal illness. |
Interventions |
Mode: individual sessions, face‐to‐face, telephone, hospital (outpatient clinic). Duration: one session of one hour, reinforcement at each outpatient visit every six months, two telephone calls at three and nine months. Professional: clinical pharmacist. Accessibility of case managers: not reported. Self‐management components: unclear. Self‐management topics: unclear. Behavioural change techniques: at least 2 clusters: goals and planning, feedback and monitoring, other unclear. |
Outcomes | 1. SGRQ 2. FEV1 3. Hospital admissions for acute exacerbations 4. ED visits for acute exacerbations 5. GP visits, scheduled and unscheduled 6. COPD knowledge questionnaire 7. Adherence to prescribed medication |
Notes | Included in previous review update; more information from authors needed on COPD diagnosis, intervention components including an iterative process. |