Effect of Self Management Program Based on 5A Model on Clinical Status of Chronic Obstructive Pulmonary Disease
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 50
- 主要终点
- dyspnea severity measured by dyspnea Borg scale
研究概览
简要总结
This study evaluates the effectiveness of self management programs based on 5A model on the lung function status, dyspnea and exercise tolerance in Chronic Obstructive Pulmonary Disease patients. Participants were randomly assigned to an intervention group or a control group. The control group were receiving standard practice care and the intervention group were receiving intervention in addition to standard practice care. The intervention content include implementation of a self management plan based on 5A model.
详细描述
5 A model implemented during a period of 12 weeks including 5 stags: assessment of behavior, beliefs and motivation of the patient (Assess); provide information about personal health risks and benefits of change (Advise); mutual contribution of patients and health care provider on setting realistic goals based on the patient's interest and confidence in their ability to change the behavior (Agree); help anticipate barriers and develop practical applications based on the identified patient's strategies, problem-solving techniques and social/environmental support (Assist) and specify plan for follow-up (Visits, Phone calls) and providing support in the course of follow up (Arrange).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 45 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •certified diagnosis of COPD with moderate or severe level by a pulmonologist according to GOLD criteria
- •age range of 45-70 years
- •being literate
- •having a strong understanding of the Persian language
- •having a constant prescription drug regime
- •not suffering from another serious and restrictive disease (such as major psychological disorder, neural disease, musca-skeletal disease, cancer, cardiac or angina attack in last month)
排除标准
- •hospitalization during the intervention
- •need to use of oxygen or spray during 6-minute walking test
- •dealing with serious stress
- •failure of patient to attend personal or group education session
- •non-compliance with a practical program that was determined at monthly visits for intervention group
结局指标
主要结局
dyspnea severity measured by dyspnea Borg scale
时间窗: 3 month
dyspnea was measured by dyspnea Borg scale. This scale is visual tool ranging from 0(not dyspnea) to 10(maximum dyspnea).
次要结局
- quality of life(3 month)
- lung function status measured by spirometry(3 month)
- exercise tolerance rate(3 month)
研究者
maryam heidari
principal investigator
Ahvaz Jundishapur University of Medical Sciences