COPD Respiratory Chronic obstructive pulmonary disease
Conditions
Interventions
The cluster design (intervention) is based on two levels:
1. The higher or second level is represented by the BHU which have a health-care professional as the chief of the unit (over whom the educati
Sponsors
Ministry of Health and Social Welfare of the Government of Andalusia [Consejeria de Salud, Junta de Andalucia] (Spain)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. For health-care professionals: having an allocated BHU during the period of the trial, with at least 30 patients included in the COPD Andalusian Health Service Guidelines (COPD PAI) with inhaled therapy and sign the informed consent 2. For patients: COPD diagnosis, being treated in Primary Care Centres included in the trial, having inhaled therapy prescribed and accepting to participate in the trial with a signed informed consent
Exclusion criteria
Exclusion criteria: 1. For health-care professionals: the negativity of health-care professionals? chiefs to participate in the trial or that they have to leave the BHU during the trial. 2. For patients: having another respiratory process not included in the COPD definition and cognitive impairments which prevent them from responding in an adequate way the trials questionnaires and the educational intervention assimilation.
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| 1. Functional status (measured by forced spirometry) 2. Dyspnea index (measured by the basal dyspnea index (BDI)) 3. Health-related quality of life (measured by the St. George Respiratory Questionnaire) Timepoints for all outcome measures: Study data will be recorded at initial visit and 1 year later, with the exception of the educational intervention for the first level intervention group, where the correct inhalation technique and a reminder of this occurs 3 and 6 months after initial intervention | — |
Primary
| Measure | Time frame |
|---|---|
| Performance of correct inhalation technique by improving the knowledge of the health-care professionals. The correct inhalation technique will be measured by a researcher following the SEPAR guidelines. | — |
Countries
Spain
Outcome results
None listed