The Effect of a Tidal Model-Based Approach Applied During Home Visits on Mental Health Parameters and Hospital Admission Frequency in COPD Patients

NCT ID: NCT06760325

Last Updated: 2025-01-08

Basic Information

• Recruitment Status: ENROLLING_BY_INVITATION
• Clinical Phase: NA
• Total Enrollment: 42 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-05-29
• Study Completion Date: 2025-08-29

Brief Summary

Despite the recent increased interest in identifying the needs of COPD patients and improving disease management, monitoring the psychosocial well-being of these individuals remains insufficient. Nursing care that incorporates psychosocial approaches plays a critical role in halting disease progression and controlling symptoms in COPD management. The Tidal Model emerges as a vital tool in enhancing patient independence throughout this process. This recovery-oriented model provides a robust framework for individualized care by thoroughly analyzing patients' needs. It likens life to an ocean voyage and emphasizes learning how to cope with challenges encountered during this journey. The difficulties experienced by individuals with chronic illness and respiratory limitations are aligned with the Tidal Model's concepts of chaos and tides.

Current studies indicate that psychological interventions for COPD patients have limited effectiveness in reducing psychological morbidity. Additionally, while interventions such as mindfulness-based and digital approaches show promise, their effects have not consistently proven significant across studies. This underscores the ongoing challenge of effectively addressing the psychological aspects of COPD and highlights the need for further research to identify more robust interventions.

In this context, guided by the philosophy of the Tidal Model that emphasizes "helping individuals with problems in living," it has been hypothesized that the model would be suitable for use with individuals with COPD. The current study aims to evaluate its effectiveness.

Conditions

COPD III/IV

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: HEALTH_SERVICES_RESEARCH
• Blinding Strategy: SINGLE

Study Groups

Control Arm (No Intervention)

In this arm, Tidal Model-based approaches will not be applied during home visits to COPD patients. No psychosocial interventions were provided to patients, and standard care was maintained.

Group Type: NO_INTERVENTION

No interventions assigned to this group

Experimental Arm (Tidal Model Intervention)

In this arm, Tidal Model-based psychosocial interventions will be applied during home visits to COPD patients.

Group Type: EXPERIMENTAL

Tidal Model Intervention

Intervention Type: BEHAVIORAL

The model emphasizes long-term developmental care, extending support from hospital to home after discharge. This approach equips individuals with skills to understand and address challenges, emphasizing therapeutic interventions and sustained support through professionals or community groups. By focusing on the "chaos" and "tide" concepts of the Tidal Model, psychosocial interventions aim to enhance independence, manage symptoms, and improve quality of life.

In this arm, Tidal Model-based approaches will be applied during home visits to COPD patients. Within the scope of the intervention, psychosocial needs of patients will be assessed, individualized care plans will be created and symptom management and independence will be promoted by focusing on the "chaos" and "tide" concepts of the Tidal Model.

Interventions

Tidal Model Intervention

The model emphasizes long-term developmental care, extending support from hospital to home after discharge. This approach equips individuals with skills to understand and address challenges, emphasizing therapeutic interventions and sustained support through professionals or community groups. By focusing on the "chaos" and "tide" concepts of the Tidal Model, psychosocial interventions aim to enhance independence, manage symptoms, and improve quality of life.

In this arm, Tidal Model-based approaches will be applied during home visits to COPD patients. Within the scope of the intervention, psychosocial needs of patients will be assessed, individualized care plans will be created and symptom management and independence will be promoted by focusing on the "chaos" and "tide" concepts of the Tidal Model.

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• Age 18 years or older
• Clinical diagnosis of COPD for at least one year
• No cognitive or sensory disabilities
• No prior participation in any psychosocial support training
• GOLD stage 'E' COPD
• Availability of a private or suitable room for interviews
• Residence within the city center

Exclusion Criteria

• Age under 18 years
• Declined participation in the study
• Cognitive or sensory disabilities
• Prior participation in any psychosocial support training
• GOLD stage 'A' or 'B' COPD
• Unsuitable environment for conducting interviews
• Security concerns for the researcher
• Residence outside the city center or in rural areas

• Maximum Eligible Age: 100 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Mersin University

OTHER

Sponsor Role: collaborator

Kilis 7 Aralik University

OTHER

Sponsor Role: lead

Responsible Party

Özcan ÖZDEMİR

Res. Asst.

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Kilis 7 Aralık Üniversitesi

Kilis, Kilis, Turkey (Türkiye)

Countries

Turkey (Türkiye)

Other Identifiers

2024-E.58302

Identifier Type: REGISTRY

Identifier Source: secondary_id

2024-OEM.1231

Identifier Type: -

Identifier Source: org_study_id