Chronic Obstructive Pulmonary Disease (COPD)
Conditions
Keywords
Chronic Obstructive Pulmonary Disease, Outpatient, Patient education, Pulmonary rehabilitation, Self-management
Brief summary
The aim of this study is to determine the long term effect of a self-help group in a patient education program for patients with chronic obstructive pulmonary disease (COPD).
Detailed description
Pulmonary rehabilitation is aimed to increase the level of health of patients with COPD by increasing their self care ability. A recent updated systematic review concluded that evidence strongly supports respiratory rehabilitation as part of the spectrum of management of patients with chronic obstructive pulmonary disease (COPD). Studies of pulmonary rehabilitation programs lasting up to 18 months show that effects are mainly maintained throughout the duration of the program. The long term effect, however, is mostly studied for programs of shorter durations. Some of the studies with shorter duration have found that the achieved benefit was lost or diminished during the follow up period, while others have found that the effect has been maintained up to 18 months. Our necessity in the rehabilitative field is to find strategies to maintain benefits during time.
Interventions
BEHAVIORALGroup training with self-help group
Combined educational and exercise program for pulmonary rehabilitation, with (1) or without(2 a self-help group. The educational part consists firstly of two days with group meetings with information from medical doctor, pharmacist, psychologist, ergonomist, nurse, social worker, physiotherapist and a clinical nutritional physiologist. One more day will be held after 3 months and it is the participants themselves who decide on the content of these days. An experienced patient will participate throughout the course. The exercise part consists of group training twice a week for 3 months with 10-15 participants in each group. Patients will instead of five of the group training sessions, participate in a self-help group.
BEHAVIORALGroup training
Combined educational and exercise program for pulmonary rehabilitation. The educational part consists firstly of two days with group meetings with information from medical doctor, pharmacist, psychologist, ergonomist, nurse, social worker, physiotherapist and a clinical nutritional physiologist. One more day will be held after 3 months and it is the participants themselves who decide on the content of these days. An experienced patient will participate throughout the course. The exercise part consists of group training twice a week for 3 months with 10-15 participants in each group.
Sponsors
Norwegian University of Science and Technology
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* (FEV1) lower that 75% of predicted * the ability to participate in physical activity * not been hospitalized the last month.
Exclusion criteria
* contraindications for physical activity
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| St. George's Respiratory Questionnaire (SGRQ) - Total score | Baseline, 3, 6 and 12 months |
Secondary
| Measure | Time frame |
|---|---|
| Modified Borg scale (MBS) pre, during and post 6MWT | Baseline, 3, 6 and 12 months |
| Patient Activation Measure (PAM) | Baseline, 3, 6 and 12 months |
| The Perceived Quality of Life Scale | Baseline, 3, 6 and 12 months |
| 6 minute walk test (6MWT) | Baseline, 3, 6 and 12 months |
Countries
Norway
Outcome results
None listed