None listed
Conditions
Brief summary
Chronic Obstructive Pulmonary Disease (COPD) is a major contributor to the burden of disease in Australia. Increasing prevalence of chronic diseases has seen a shift in patient care paradigms towards disease specific programmes that focus on self-management. This new model for COPD care involving mentoring by trained nurses to increase self-efficacy aims to improve the health-related quality of life of people with COPD, while reducing associated healthcare costs through the early identification and treatment of acute exacerbations. Research Plan: A randomised study of participants with COPD recruited from general practices compares the model with usual care. Participants recruited to the active arm will have an individual management plan developed by the research team in consultation with their general practitioner. Nurses, trained in methods to improve self-efficacy, will work in partnership with participants to achieve behavioural change through a cycle of goal setting and action planning, focussing on health behaviours identified in the management plan. Outcomes will include health-related quality of life, self-efficacy, healthcare utilisation, lung function and physical activity.
Interventions
Patient participants recruited in practices in the active arm will have an individual management plan developed by the research team in consultation with their general practitioner. Community and practice nurses, trained in a model of behaviour change based on motivational interviewing to improve self-efficacy, will work in partnership with participants to achieve behavioural change through a cycle of goal setting and action planning during regular telephone contacts over 12 months. Goals will
Patient participants recruited in practices in the active arm will have an individual management plan developed by the research team in consultation with their general practitioner. Community and practice nurses, trained in a model of behaviour change based on motivational interviewing to improve self-efficacy, will work in partnership with participants to achieve behavioural change through a cycle of goal setting and action planning during regular telephone contacts over 12 months. Goals will focus on health behaviours identified in the management plan to support patients to develop capacity to self-manage their chronic illness.
Sponsors
Menzies Research Institute Tasmania
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
45 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Chronic obstructive pulmonary disease FEV1/FVC < 0.7 post-bronchodilator 2. Severity FEV1 30-80% predicted 3. > 10 pack year smoking history
Exclusion criteria
No expectation of terminal lung disease or another terminal disease within 2 years
Outcome results
None listed