Chronic Obstructive Pulmonary Disease Clinical Trial
Official title:
Evaluation of a Combined Strategy Addressed to Practitioners and COPD Patients: Information Feed-back and Health Education, to Improve Clinical Control and Quality of Life
Main objective:
Evaluate the effectiveness of a combined strategy addressed to health care workers and
patients, in relation to improving clinical control and patient's quality of life.It
includes a feed-back about the health status of the patients, an education plan addressed to
practitioners based in a CPG and in health education
Method/design:
Design: Multicenter intervention study(before-after), quasi-experimental, prospective, with
a control group and 12 month's follow-up
Setting: 21 primary Health Care Centres in Barcelona (Spain)
Sample: 801 patients (≥ 40 years old) with a register of COPD diagnostic,with one visit
motivated by COPD during 2003 and that accept to participate at the study, after having read
and signed the informed consent.
Intervention: The program includes giving clinical results to the health care workers(doctor
and nurse), from the medical records and interview. A training course (20h)that deals with
aspects related to GPC, motivational interview and health education (tobacco, inhalers,
alimentation, exercise and physiotherapy).
Main variables: socio-demographic characteristics, quality of life, dyspnea, pharmacological
treatment, exacerbations and hospital admissions, evaluation of inhalers technique, tobacco
consumption, lifestyles and health resources used.
Measures: quality of life was evaluated with the Saint george's Respiratory Questionnaire
(SGRQ) and dyspnea with the modified scale of the Medical Research Council (MRC). The
variables are obtained at the beginning of the intervention and at the end (12 months
after). Information about possible changes in lifestyle is gathered during the follow-up
visits.
;
Allocation: Non-Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention
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