Implementing care coordination plus early rehabilitation in high-risk chronic obstructive pulmonary disease (COPD) patients in transition from hospital to primary care
Completed
- Conditions
- chronic obstructive pulmonary disease (COPD)Respiratory - Chronic obstructive pulmonary diseasePublic Health - Health service research
- Registration Number
- ACTRN12613001223729
- Lead Sponsor
- Dr Kylie Johnston
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 18
Inclusion Criteria
Patients admitted to hospital with a primary diagnosis of COPD; confirmation of COPD diagnosis by previous pulmonary function testing; length of admission at least 48 hours.
Exclusion Criteria
Potential participants are excluded if they have (a) insufficient English language or cognition to give informed consent; (b) been unable to walk during the previous 3 months.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Documentation of agreed patient goals and progress toward them using Flinders Program Problems and Goals Assessment, Flinders Program Care Plan, documentation of service facilitation<br>[End intervention (ie 1 month after hospital discharge)]
- Secondary Outcome Measures
Name Time Method Generation of Team Care Arrangement or other evidence of GP collaboration (documented by nurse practitioner)[End intervention (1 month post hospital discharge)];Assessment of pilot intervention feasibility (by examination of recruitment rate, retention rate, and resource capability)[End intervention (1 month post hospital discharge)];Assessment of pilot intervention fidelity (care coordination and early rehabilitation components delivered as planned; exercise sessions completed as planned by participant diary)[End intervention (1 month post hospital discharge)];Physical activity levels as documented by accelerometer and inclinometer worn for one week, compared with control group[one month after hospital discharge];Hospital readmissions compared with control group[one month after hospital discharge]