Improving the adherence to action plans in patients with chronic obstructive pulmonary disease
- Conditions
- Chronic Obstructive Pulmonary Disease (COPD)Respiratory - Chronic obstructive pulmonary diseasePublic Health - Health service research
- Registration Number
- ACTRN12612000269831
- Lead Sponsor
- Royal Prince Alfred Hospital
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot yet recruiting
- Sex
- All
- Target Recruitment
- 90
Physician Diagnosis of COPD
Post bronchodilator FEV1/FVC <0.7
Patient is enrolled in the respiratory chronic care program- a program based at Royal Prince Alfred Hospital Sydney Australia that provides regular planned home vists for patients with COPD, within Royal Prince Alfred hospitals catchment area.The program offers continuing health support through education and assistance to patients and their carers. This program augments existing respiratory services by enhancing communication and coordination of care between hospital, community services and general practitioners.
This care is provided by specialist nurses and physiotherapists.
Treating clinician or respiratory chronic care team believes that the patient is unsuitable eg poor comprehension, inability to follow an action plan
Severe uncontroled other diseases that would likely interfere with study outcomes.
Active malignancy other than skin cancer.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Adherence to written COPD action plan, defined as occurring if the patient initiates both the prescribed prednisolone and antibiotics within 3 days of a change for at least 24 hours in at least two of the following three major symptoms: dyspnea, sputum volume and sputum colour (Bischoff et al. Thorax 2011; 66:26-31). Symptoms and medication use will be determined by interview at study related visits at 3, 6, 9, 12 months or by clinically-indicated telephone calls or visits initiated by the patient or respiratory chronic care team[At first exacerbation and adherence rate at 12 months];COPD Assessment Test (CAT)<br>This is a quality of life assessement -(Jones et al 2009)[At three, six, nine and twelve month intervals throughout study. As well as for patients experiencing an exacerbation.]
- Secondary Outcome Measures
Name Time Method Exaccerbation recovery, Time to first exaccerbation, Annual exacerbation rate - weighted mean[At first exaccerbation and over 12 months];Health Care Utilisation, emergency presentations , hospitalisation, Unscheduled hospitall visits. This will be assessed by data linkage to patient medical records and by interview, as above.[Over 12 months]