Pathways Home: Chronic Disease Management Partnerships

The effect of a self-management programme supported by computerised symptom feedback on quality of life in community dwelling people with Chronic Obstructive Pulmonary Disease

Status

Completed

Phases

Unknown

Study type

Interventional

Source

ANZCTR

Registry ID

ACTRN12605000006640

Enrollment

200

Registered

2005-07-13

Start date

2005-08-01

Completion date

Unknown

Last updated

2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

We investigated the effect of a programme to increase self-management behaviours delivered by community health nurses, compared to usual care, on health-related quality of life and healthcare utilisation in people with COPD following hospitalisation. Participants were recruited during an admission to hospital and allocated according to domicile. The mentor role was to collaboratively develop self-management strategies over the 12-month study duration. Outcomes included quality of life and healthcare utilisation. Linear mixed models analyses found a significant benefit in the Physical Functioning and General Health components of the SF-36 questionnaire for the mentored arm, the average difference between interventions being 5.60 and 4.14 respectively over 12 months. Survival analysis using a combined end-point of time to next acute exacerbation requiring rehospitalisation or death found a significant benefit favouring the mentored group (p = 0.037).

Interventions

Patients will be recruited at the Royal Hobart Hospital with an acute exacerbation of Chronic Obstructive Pulmonary Disease (COPD). Following discharge, active participants will be provided with a Community Health Nurse mentor who will act to facilitate their self-efficacy over the 1-year duration of the study. Information Technology systems will be developed to enable participants to closely monitor their disease using their newly developed skills of self-efficacy to respond appropriately.

Study design

Allocation

Non-randomised trial

Intervention model

Parallel

Primary purpose

Educational / counselling / training

Masking

Open (masking not used)

Eligibility

Sex/Gender

All

Age

45 Years to No maximum

Healthy volunteers

Inclusion criteria

Lives in catchment area;Formal diagnosis of COPD following the COPDX guidelines, including spirometry;Has had one exacerbation of COPD in the last 12 months, including current if applicable;Passes a cognitive assessment, has ability to fill in questionnaires and understand IT. Mini Mental score >21 for client and for those carers responsible for IT;Able to provide informed consent; Home environment has the capacity to cope with IT;Has telephone.

Exclusion criteria

Diagnosis of other active lung disease; Undergoing palliative care.

Outcome results