Collaborative Self-Management Patient Education Will Improve Health Outcomes in COPD
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 182
- 试验地点
- 8
- 主要终点
- COPD Assessment Test (CAT)
研究概览
简要总结
The overall objective of this study is to evaluate a collaborative self-management intervention in patients with moderate to severe COPD in a primary care population. To achieve this objective the investigators developed a diagnostic and treatment pathway for the management of COPD in primary care that is based on national guidelines and focused on patient self-management.
.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 40 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Current or Ex-smokers
- •40 years of age or over
- •Minimum 10 pack year smoking history
- •Post-bronchodilator FEV1 of 70% or less (4 puffs of Salbutamol) and Forced Expiratory Volume at 1sec to Forced Vital Capacity (FEV1/FVC) ratio 70% or less
- •A history of two exacerbations (involving treatment and/or visit to a health care practitioner) in the past 3 years OR 1 exacerbation in the past year
- •Provides informed consent
排除标准
- •COPD exacerbation in the past 4 weeks
- •Diagnosis of asthma prior to the age of 40 years
- •Co-existing illness that could interfere with study results (ie. Congestive Heart Failure with exacerbation of symptoms)
- •Scheduled for COPD rehabilitation
- •A terminal illness
研究组 & 干预措施
Usual Care
A Certified Respiratory Educator (CRE) will meet with subjects to obtain a detailed COPD history and do a breathing test. Subjects will receive COPD care as usually provided by their physician.
干预措施: Case Management and Self-Management Education (Other)
Case Management and Self-Management Education
A Certified Respiratory Educator (CRE) will obtain a detailed COPD history, provide general and self-management education, and confirm a management plan with the primary care physician. Specific elements of evidence-based management are targetted for intervention. Subjects will return for a follow-up visit in-person with the interdisciplinary care team including a CRE to review their health status including COPD symptoms, exacerbation diary, symptoms, MRC scale, etc as a minimum at 3 and 12 months. Telephone follow up will occur at a minimum at 6 and 9 months.
干预措施: Case Management and Self-Management Education (Other)
结局指标
主要结局
COPD Assessment Test (CAT)
时间窗: 1 Year
COPD related quality of life measure in primary care.
次要结局
- Health Care Utilization for Emergency Department visits proportion and rate per year(1 year)
- Health Care Utilization for Hospital Admission proportion and rate per year(1 year)
- Severe Exacerbation proportion and rate per year(1 year)