Chronic obstructive pulmonary disease (COPD) Respiratory Other chronic obstructive pulmonary disease
Conditions
Interventions
Randomisation to control and intervention is at the level of the General Practice.
The experimental group will receive a structured pulmonary rehabilitation programme (SPRP), which consists of an ei
Sponsors
Health Research Board (HRB) (Ireland)
Eligibility
Inclusion criteria
Inclusion criteria: Practice eligibility criteria: 1. Supported by a practice nurse 2. Practice supported by a computerised patient (medication recording) system 3. Commitment on the part of the practice team to participate in the proposed work 4. Have a client population with greater than 2500 clients 5. Participation by a minimum of 10 consenting patients meeting eligibility criteria Participant eligibility criteria: 1. Patient with an existing diagnosis or suspected of having COPD. Patient eligibility algorithm provided to each practice to support identification of participants. 2. COPD confirmed at baseline assessment by spirometer results of: 2.1. Post-bronchial dilator forced expiratory volume in one second (FEV1)/forced vital capacity (FVC) ratio of less than 70%* unless body mass index (BMI) greater than 30 in which case FEV1/FVC ratio greater than 70% are acceptable provided other criteria fully met 2.2. Post-bronchial dilator predicted value of FEV1 greater than or equal to 30% and less than or equal to 80%** 3. Must be able to converse in and read English as initial delivery of programme will be only available in English 4. Ability to understand the study and a willingness to give informed consent *This value is reported in the spirometry result under the column heading 'Base' **This value is reported in the spirometry result under the column heading '%Pr'
Exclusion criteria
Exclusion criteria: Any significant underlying co-morbidities or mental health problems (based on the recorded judgement of practice staff) which are likely to impair their capacity to successful participate in or assimilate new information as part of the rehabilitation programme or which may pose a risk to their health.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Health status as measured by the Chronic Respiratory Questionnaire (CRQ) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Incremental Shuttle Walking Test 2. Self-Efficacy for Managing Chronic Disease 6-Item Scale 3. Economic analysis specific: 3.1. EuroQol EQ-5D 3.2. Utilisation of health care service: 3.2.1. Hospital admissions/length of stay 3.2.2. Attendance at the emergency department 3.2.3. Attendance at/by GP 3.2.4. Attendance at/by Practice Nurse 3.2.5. Attendance at/by Public Health Nurse 3.2.6. Attendance at/by Physiotherapy 3.2.7. Attendance at/by Social Worker 3.2.8. Attendance at/by Dietician 3.2.9. Outpatient attendances 3.2.10. Attendance at/by consultant 3.2.11. Utilisation of home help | — |
Countries
Ireland
Outcome results
None listed