Effect of Introducing Digital Multimedia Nursing on Improving With COPD

NCT07419906 | Completed

• 1 other identifier: FuJenCUH
• Study Type: interventional
• Target: 51
• Locations: 1 country
• Sites: 1

Brief Summary

COPD is a progressive and irreversible lung disease characterized by persistent airflow limitation, dyspnea, chronic cough, and impaired daily functioning, often accompanied by comorbidities that reduce quality of life. Despite its high prevalence in Taiwan, COPD remains underdiagnosed and undertreated. This study aims to evaluate a transtheoretical model-based digital multimedia nursing education intervention for elderly patients with COPD. The intervention is designed to enhance disease knowledge, promote self-care behaviors, and improve self-management abilities, ultimately supporting better quality of life and daily functioning in this population.

Conditions

COPD,Pulmonary Disease, Chronic Obstructive ,Pulmonary Disease, Chronic Obstructive

Keywords

COPD; elderly patients; self-management; digital multimedia

Outcome Measures

Primary Outcomes (1)

• COPD assessment test; CAT

  The CAT is an 8-item questionnaire assessing the impact of COPD on health status and daily functioning. Higher scores indicate greater disease burden. This study evaluates the effectiveness of a digital multimedia nursing education intervention in improving disease knowledge, self-care, and self-management.

  Baseline (Week 1), Week 8, and Week 12

Secondary Outcomes (2)

• Knowledge of COPD Score

  Baseline (Week 1), Week 8, and Week 12

• Self-Care Behavior Score

  Baseline (Week 1), Week 8, and Week 12

Study Arms (2)

E-book on Pulmonary Obstruction

EXPERIMENTAL

A experimental design was adopted. Simple random sampling was performed to divide the subjects into the traditional teaching material-based intervention group and digital teaching material-based intervention group. A total of 51 patients with COPD and aged ≥60 years were recruited from the outpatient department of a hospital in northern Taiwan. The two groups respectively received health education through traditional paper teaching materials and digital multimedia teaching materials; 50-minute interventions were conducted once per week for 8 weeks, and measurements were taken before the interventio, 8 and 12 weeks after the intervention. Regarding the performance indicators, a paired t test and generalized estimating equation (GEE) were used to analyse differences in the COPD Assessment Test (CAT)、self-care efficiency scale for COPD and COPD knowledge scale.

Behavioral: E-book on Pulmonary Obstruction

The traditional teaching material-based group

NO INTERVENTION

The traditional teaching intervention group used the same health education content of the "E-book on Pulmonary Obstruction" printed into a paper manual for one-on-one teaching, and the same instructor provided health education guidance.

Interventions

E-book on Pulmonary Obstruction BEHAVIORAL

The digital teaching intervention group used a computer-downloaded "E-book on Pulmonary Obstruction" for one-on-one teaching. The subjects were also taught how to use their mobile phones to download the "E-book on Pulmonary Obstruction" and how to read it, so that they could use it on their own after returning home. The intervention time for both groups was once a week for 50 minutes each time for a total of 8 weeks. The teaching content is divided into eight themes: (1) How much do you know about pulmonary obstruction? (2) Inhalation treatment for pulmonary obstruction - Introduction to inhalers? (3) Care for pulmonary obstruction - Breathing exercise techniques? (4) Activities and exercise training? (5) Self-management methods for acute pulmonary obstruction? (6) Lung rehabilitation for pulmonary obstruction? (7) Nutritional care for pulmonary obstruction? (8) Care for pulmonary obstruction - Smoking cessation?

E-book on Pulmonary Obstruction

Eligibility Criteria

• Age: 60 Years - 99 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients diagnosed with pulmonary obstruction after evaluation by a physician.
• Elderly people aged 60 years or above.
• Those who are literate, have clear consciousness and can communicate in Chinese and Taiwanese.
• Those who agree to participate in this research and sign the consent form.

You may not qualify if:

• Patients with respiratory distress syndrome.
• Those who use respirators.
• Those who are unable to communicate due to cognitive impairment due to major mental illness or dementia.
• Color blindness and visual impairment.
• Those who do not have mobile phones or tablet computers at home and cannot obtain electronic equipment.

Sponsors & Collaborators

• Fu Jen Catholic University Hospital: lead

Study Sites (1)

Taiwan

New Taipei City, Taiwan, 243, Taiwan

Location

Related Publications (1)

• Farmahini Farahani M, Purfarzad Z, Ghorbani M, Ghamari Zare Z, Ghorbani F. The impact of Multimedia Software Support on the Knowledge and Self-Care Behaviors of Patients with Type 2 Diabetes: a Randomized Clinical Trial. J Caring Sci. 2016 Jun 1;5(2):111-20. doi: 10.15171/jcs.2016.012. eCollection 2016.

  PMID: 27354975 RESULT

MeSH Terms

Conditions

Pulmonary Disease, Chronic Obstructive

Condition Hierarchy (Ancestors)

Lung Diseases, Obstructive; Lung Diseases; Respiratory Tract Diseases; Chronic Disease; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Single Blind Studies
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Nurse

Model Details: A experimental design was adopted

Study Record Dates

• First Submitted: August 4, 2025
• First Posted: February 19, 2026
• Study Start: May 11, 2020
• Primary Completion: August 11, 2021
• Study Completion: December 23, 2023
• Last Updated: February 19, 2026

Record last verified: 2025-08

Data Sharing

• IPD Sharing: Will not share

Locations

TW (1)