Soins intégrés BPCO (Broncho-pneumopathie Chronique Obstructive) en Valais - Mieux Vivre Avec ma BPCO (COPD Integrated Care Program Valais - Living Well With COPD)

NCT02001922 | Completed

• 1 other identifier: COPD Integrated Care Valais
• Study Type: interventional
• Target: 57
• Locations: 1 country
• Sites: 1

Brief Summary

Background: Chronic obstructive pulmonary disease (COPD) is a progressive respiratory disorder characterized by acute exacerbations that contribute to physical impairment and increased healthcare use and costs. Given the increasing burden of this disease in terms of morbidity, disability, mortality and costs, innovative care models centered on patients and aiming at improving quality and comprehensiveness of care are needed. Effective implementation and evaluation of chronic disease management - integrated care(CDM-IC) programs, in the real world context is of great importance. Aim of the pilot study: To conduct a pilot study assessing the acceptability, feasibility and effectiveness of a community-based CDM-IC program for COPD patients residing in the canton of Valais. Design: The evaluation plan of this study will combine both quantitative (controlled before-after study design) and qualitative methods (focus groups with COPD patients and practicing healthcare professionals). Setting: French-speaking part of the canton of Valais. Patients: 50 adult (\>35 years) COPD patients GOLD stage I (symptomatic) - IV of the disease, non-institutionalized and residing in the canton of Valais. The control group of patients will be constituted of age and gender-matched COPD patients from the Swiss COPD cohort study. Measures: Quantitative part: Primary outcomes: Generic and disease-specific health-related quality-of-life and all-cause hospitalizations (past 12 months) Other outcomes:

1. 1.Processes of care
2. 2.Patients' assessment of how care is congruent with the Chronic Care Model (PACIC instrument)
3. 3.Measure of self-efficacy (intermediary outcome)
4. 4.6-minutes walking test, nb of COPD exacerbations, % of current smokers
5. 5.Healthcare utilization: unscheduled ambulatory care visits
6. 6.Care satisfaction
7. 7.Measures of the process of implementation of the intervention

Conditions

Chronic Obstructive Pulmonary Disease (COPD)

Keywords

COPD; Pulmonary disease, chronic obstructive; Integrated care; Outcome and process assessment; Quality indicators, Health care; Self-management,; Patient empowerment; Quantitative and qualitative methods

Outcome Measures

Primary Outcomes (2)

• Generic and disease-specific health-related quality-of-life (Chronic Respiratory Questionnaire (CRQ), SF-36, COPD Assessment Test (CAT))

  12 months

• All-cause hospitalizations (past 12 months)

  12 months

Secondary Outcomes (4)

• Processes of care, patient assessment of chronic illness care (PACIC)

  12 months

• 6-minutes walking test

  12 months

• COPD exacerbations

  12 months

• % smokers

  12 months

Other Outcomes (4)

• Self-efficacy

  12 months

• Healthcare utilization

  12 months

• Care satisfaction

  12 months

Study Arms (2)

COPD integrated care

EXPERIMENTAL

The intervention will target COPD integrated care, and include a combination of patient-related, professional and organizational elements. It will be centered on patients' needs and focus on self-management education, proactive follow-up (scheduled visits and/or phone contacts), team work, healthcare professionals' training, promotion of pulmonary rehabilitation, physical activity and smoking cessation.

Other: COPD integrated care

Usual care

NO INTERVENTION

Usual COPD care

Interventions

COPD integrated care OTHER

The intervention will target COPD integrated care, and include a combination of patient-related, professional and organizational elements. It will be centered on patients' needs and focus on self-management education, proactive follow-up (scheduled visits and/or phone contacts), team work, healthcare professionals' training, promotion of pulmonary rehabilitation, physical activity and smoking cessation.

COPD integrated care

Eligibility Criteria

• Age: 35 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Diagnosis of COPD (GOLD stage 1-symptomatic to 4)
• Age \>= 35 years
• Residing in the canton of Valais Switzerland, non-institutionalized
• Informed consent

You may not qualify if:

• Hospitalization during previous 4 weeks
• Pulmonary rehabilitation during past 18 months
• Estimated life expectancy \< 12 months
• Obvious cognitive impairment
• Not speaking or understanding French well enough

Sponsors & Collaborators

• Centre Hospitalier du Centre du Valais: lead
• University of Lausanne Hospitals: collaborator
• Promotion santé Valais: collaborator
• Ligue pulmonaire valaisanne: collaborator
• Association des médecins de famille du Valais: collaborator
• Fondation Bangarter: collaborator
• Swiss National Science Foundation: collaborator
• Swiss School of Public Health (personal grant to Isabelle Peytremann-Bridevaux): collaborator

Study Sites (1)

Centre Valaisan de Pneumologie, Centre Hospitalier du Centre du Valais

Crans-Montana, Valais, 3963, Switzerland

Location

MeSH Terms

Conditions

Pulmonary Disease, Chronic Obstructive; Patient Participation

Condition Hierarchy (Ancestors)

Lung Diseases, Obstructive; Lung Diseases; Respiratory Tract Diseases; Chronic Disease; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior; Behavior

Study Officials

• Isabelle Peytremann-Bridevaux, MD, MPH, DSc

  University of Lausanne Hospitals

  PRINCIPAL INVESTIGATOR

• Bernard Burnand, MD, MPH

  University of Lausanne Hospitals

  PRINCIPAL INVESTIGATOR

• Jean-Marie Tschopp, MD

  Centre Hospitalier du Centre du Valais

  PRINCIPAL INVESTIGATOR

• Pierre-Olivier Bridevaux, MD, MSc

  Centre Hospitalier du Centre du Valais

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: November 8, 2013
• First Posted: December 5, 2013
• Study Start: March 1, 2013
• Primary Completion: August 1, 2015
• Study Completion: August 1, 2015
• Last Updated: May 19, 2016

Record last verified: 2016-05

Locations

CH (1)