A cluster randomised controlled trial evaluating the effectiveness of a structured pulmonary rehabilitation programme (SPRP) for improving the health status of people with chronic obstructive pulmonary disease (COPD) delivered at the level of general practice compared with usual care

Health Research Board (HRB) (Ireland)0 个研究点目标入组 320 人开始时间: 2009年10月1日最近更新: 2015年1月13日

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•Practice eligibility criteria:
•1. Supported by a practice nurse
•2. Practice supported by a computerised patient (medication recording) system
•3. Commitment on the part of the practice team to participate in the proposed work
•4. Have a client population with greater than 2500 clients
•5. Participation by a minimum of 10 consenting patients meeting eligibility criteria
•Participant eligibility criteria:
•1. Patient with an existing diagnosis or suspected of having COPD. Patient eligibility algorithm provided to each practice to support identification of participants.
•2. COPD confirmed at baseline assessment by spirometer results of:
•2.1. Post-bronchial dilator forced expiratory volume in one second (FEV1)/forced vital capacity (FVC) ratio of less than 70%* unless body mass index (BMI) greater than 30 in which case FEV1/FVC ratio greater than 70% are acceptable provided other criteria fully met
•2.2. Post-bronchial dilator predicted value of FEV1 greater than or equal to 30% and less than or equal to 80%**
•3. Must be able to converse in and read English as initial delivery of programme will be only available in English
•4. Ability to understand the study and a willingness to give informed consent
•*This value is reported in the spirometry result under the column heading 'Base'
•**This value is reported in the spirometry result under the column heading '%Pr'

•Any significant underlying co-morbidities or mental health problems (based on the recorded judgement of practice staff) which are likely to impair their capacity to successful participate in or assimilate new information as part of the rehabilitation programme or which may pose a risk to their health.

发起方

Health Research Board (HRB) (Ireland)