Chronic Obstructive Pulmonary Disease
Conditions
Keywords
Frailty, Care expectations
Brief summary
The aim of this research program is to validate frailty measurements as a risk stratification tool to predict deteriorations in patient-reported outcomes, to gain a better understanding of patient preferences for care within varying degrees of frailty, and to assess differences in frailty measurement between patients and their clinicians. This work will provide a foundation in the development of customized interventions for people with COPD and varying degrees of frailty, with the goal of improving quality of life and optimizing health system service delivery for patients and their care givers.
Interventions
There is no intervention. This is an observational study.
Sponsors
Study design
Eligibility
Inclusion criteria
* Outpatients of The Ottawa Hospital Respirology clinic * Chronic Obstructive Pulmonary Disease diagnosis confirmed by pulmonary function testing. * English or French speaking
Exclusion criteria
* patients with a known diagnosis of severe cognitive impairment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Respiratory Health Related Quality of Life | 12 months | measured by the validated short version of St. Georges Respiratory Questionnaire (not a scale). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Burden of symptoms - COPD Assessment | 12 months | measured with the COPD Assessment Test where 0 means no symptoms and 5 means severe symptoms of COPD. |
| Burden of symptoms - Dyspnea | 12 months | measured with the modified Medical Research Council scales. Measured on a scale of 0-4 where 0 means not breathless and 4 is too breathless. |
| Psycho-social well being - Anxiety | 12 months | measured with the validated Generalized Anxiety Disorder-7. GAD-7 results vary between 0 and 21, the higher the score, the more anxiety. |
| Psycho-social well being - Depression | 12 months | measured with the Patient Health Questionnaire-8 scales. PHQ8 results vary between 0 and 24, where the higher the number, more severe is the persons' level of depression. |
Countries
Canada