Structured Comprehensive Intervention to Stimulate Self- Management and Improve Quality of Life in COPD Patients

NCT ID: NCT03762330

Last Updated: 2020-07-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

300 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-01-19

Study Completion Date

2021-01-31

Brief Summary

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This study evaluates the effect of of a structured self-management intervention plan in patients with chronic obstructive pulmonary disease in primary care setting.Half of the participants will receive the self-management plan while the other half will receive usual care.

Detailed Description

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Chronic Obstructive Pulmonary Disease (COPD) is a great magnitude public health problem with an associated increased mortality and a high cost (consumption of health care resources and loss of health related quality of life (HRQoL)). The comprehensive approach to this complex disease, focusing self-care promotion, improves HRQoL and the patients" clinical status, as shown by several studies, although further investigation is needed to confirm these results in the field of Primary Care (PC) and to formulate clear recommendations on the more effective type of intervention.

Hypothesis: In (moderate-severe) COPD patients, a structured self-management intervention plan in the setting of primary care, is more effective than usual treatment on the main outcomes associated with the disease: HRQoL, lung function, exacerbations and hospital admissions, at 6, 12 and 24 months of follow-up.

Objectives: To evaluate the impact of a comprehensive intervention plan to promote self-care and improve HRQoL in people with COPD in PC.

Methods: Multicenter randomized controlled trial, conducted at PC centers in Barcelona.

Determinations: Specific standardized and validated questionnaires, as the St George's Respiratory for the HRQoL. Statistical analysis: Intention to treat analysis. Descriptive statistics of the variables of the intervention and the control group to assess their homogeneity at the beginning of the study. An analysis of variance (ANOVA) will be used to assess differences among intervention groups.

Expected results: A significant improvement in HRQoL attributable to the intervention performed in patients with COPD Applicability and Relevance: To implement the intervention plan in clinical practice and to standardize its content.

Conditions

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Chronic Obstructive Pulmonary Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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COPD structured self-management plan

Participants will receive usual care for COPD and in addition, a structured self-management education plan.

Group Type ACTIVE_COMPARATOR

COPD structured self-management plan.

Intervention Type BEHAVIORAL

Education plan , including knowledge of the disease, healthy life habits, correct use of inhalers, skills to control symptoms and strategies to face the disease and exacerbations

Usual care

COPD participants receiving only usual care

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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COPD structured self-management plan.

Education plan , including knowledge of the disease, healthy life habits, correct use of inhalers, skills to control symptoms and strategies to face the disease and exacerbations

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Patients with at least one visit at the primary care physician during the past year
* Patients with a diagnosis of moderate (FEV1 50% - 80%) or severe (FEV1 30% - 50%) COPD
* Patients treated with inhaled bronchodilators and accepting to participate in the study.

Exclusion Criteria

* Patients unable to come to the primary care centre
* Patients with cognitive impairment and/or a severe mental condition.
* Patients with a diagnosis of asthma, tuberculosis or other chronic respiratory disease.
* Patients needing chronic oxygen therapy.
* Patients with any terminal disease
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Institut Catala de Salut

OTHER_GOV

Sponsor Role collaborator

Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Maite Lopez Luque

Role: PRINCIPAL_INVESTIGATOR

Servei Catala de la Salut

Locations

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EAP Montcada i Reixac

Barcelona, , Spain

Site Status RECRUITING

Countries

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Spain

Central Contacts

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Maite Lopez Luque

Role: CONTACT

93 326 89 01

Patricia Lloberes, Dr

Role: CONTACT

+34 627906580

Facility Contacts

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Maite Lopez, Nurse

Role: primary

+24 93 3268901

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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P17/055

Identifier Type: -

Identifier Source: org_study_id

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