Structured Comprehensive Intervention to Stimulate Self- Management and Improve Quality of Life in COPD Patients
Effect of a Structured Comprehensive Intervention to Stimulate Self- Management and Improve Quality of Life in People With Chronic Obstructive Pulmonary Disease(COPD). A Randomised Clinical Trial.
1 other identifier
interventional
300
1 country
1
Brief Summary
This study evaluates the effect of of a structured self-management intervention plan in patients with chronic obstructive pulmonary disease in primary care setting.Half of the participants will receive the self-management plan while the other half will receive usual care.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable chronic-obstructive-pulmonary-disease
Started Jan 2019
Typical duration for not_applicable chronic-obstructive-pulmonary-disease
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 14, 2018
CompletedFirst Posted
Study publicly available on registry
December 3, 2018
CompletedStudy Start
First participant enrolled
January 19, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2021
CompletedJuly 31, 2020
July 1, 2020
2 years
November 14, 2018
July 30, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Quality of life St. George´s Respiratory Questionnaire (SGRQ)
St. George´s Respiratory Questionnaire (SGRQ).Disease-specific instrument designed to measure impact on overall health, daily life, and perceived well-being in patients with obstructive airways disease. Number of items: 50 items Number of domains \& categories : 2 parts (3 components). Part 1 : Symptoms component (frequency \& severity) with a 1, 3 or 12-month recall (best performance with 3- and 12-month recall); Part 2: Activities that cause or are limited by breathlessness; Impact components (social functioning, psychological disturbances resulting from airways disease) refer to current state as the recall. Scaling of items Part I (Symptoms): several scales; Part II (Activity and Impacts): dichotomous (true/false) except last question (4-point Likert scale). Scores range from 0 to 100, with higher scores indicating more limitations.
Change from baseline at 6 ,12 and 24 months
Secondary Outcomes (16)
Intensity of symptoms related to COPD
Change from baseline at 6 ,12 and 24 months
Dyspnea score severity
Change from baseline at 6 ,12 and 24 months
Changes in the Body mass index, Obstruction, Dyspnea, Exacerbations Index (BODEx index )
Change from baseline at 6 ,12 and 24 months
Number of COPD exacerbations
at 6 ,12 and 24 months from baseline
Number of hospital admissions due to COPD exacerbation
at 6 ,12 and 24 months from baseline
- +11 more secondary outcomes
Study Arms (2)
COPD structured self-management plan
ACTIVE COMPARATORParticipants will receive usual care for COPD and in addition, a structured self-management education plan.
Usual care
NO INTERVENTIONCOPD participants receiving only usual care
Interventions
Education plan , including knowledge of the disease, healthy life habits, correct use of inhalers, skills to control symptoms and strategies to face the disease and exacerbations
Eligibility Criteria
You may qualify if:
- Patients with at least one visit at the primary care physician during the past year
- Patients with a diagnosis of moderate (FEV1 50% - 80%) or severe (FEV1 30% - 50%) COPD
- Patients treated with inhaled bronchodilators and accepting to participate in the study.
You may not qualify if:
- Patients unable to come to the primary care centre
- Patients with cognitive impairment and/or a severe mental condition.
- Patients with a diagnosis of asthma, tuberculosis or other chronic respiratory disease.
- Patients needing chronic oxygen therapy.
- Patients with any terminal disease
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
EAP Montcada i Reixac
Barcelona, 08110, Spain
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Maite Lopez Luque
Servei Catala de la Salut
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 14, 2018
First Posted
December 3, 2018
Study Start
January 19, 2019
Primary Completion
January 1, 2021
Study Completion
January 1, 2021
Last Updated
July 31, 2020
Record last verified: 2020-07