None listed
Conditions
Brief summary
The project aims to investigate in a sample of people with chronic obstructive pulmonary disease the effects of a psychological intervention as compared to a pulmonary rehabilitation program and then; compare six weeks of rehabilitation with and without weekly maintenance and construct a model to identify candidates who benefit most from maintenance. The incremental cost effectiveness of the three interventions will then be evaluated.
Interventions
Subjects are randomised to the six-week self-management program Stanford Model Chronic Disease Self-Management Program (CDSMP). The CDSMP is a licensed program conducted under licence from Arthritis Victoria by a registered nurse with either a clinician or peer leader, both of whom are accredited with Arthritis Victoria as program facilitators. The six week program comprises a two an a half hour per week group attendance and covers formation of action plans, relaxation therapy, medication usage, effective communication with the health care team, nomination of a power of attorney, end of life decision making, encouragement of candidate to participate in activity (eg walking) and symptom management. The program is facilitated in a manner to foster participant self efficacy with weekly feedback from the program facilitators. For the duration of the intervention each participant wears a pedometer.
Sponsors
Study design
Eligibility
Inclusion criteria
Diagnosis of COPD, Candidates who report activity limited by dyspnea,Clinically stable for a minimum of 4 weeks prior to trial entry, Literate in English,Intact cognitive function.
Exclusion criteria
Completion of a pulmonary rehabilitation in the previous six months,Any medical condition that could place a candidate‘at risk’ during the assessment procedure or, gymnasium program.