Chronic Obstructive Pulmonary Disease (COPD) and Advance Directives

Chronic Obstructive Pulmonary Disease Clinical Trial

— DIABPCO  

Official title:

Chronic Obstructive Pulmonary Disease (COPD) and Advance Directives

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04459143
• Other study ID #: CHRD 0918
• Status: Completed
• Start date: May 16, 2019
• Est. completion date: October 31, 2020

Study information

• Verified date: February 2021
• Source: Centre Hospitalier René Dubos
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The aim of this study is to evaluate if the participation of COPD patients to a workshop on advance directives increases the number of patients who write them.

Description:

Chronic Obstructive Disease is a common disease and should be the third leading cause of death in 2020. Patient hospitalized for an exacerbation of their COPD have a median survival of 2 years and 50% risk of being rehospitalized within 6 months.

COPD patients may have symptoms that impair their life quality significantly and sometimes more than patients with cancer. This is particularly the case for dyspnea, which is frequently present.

In the study, Investigators propose the setting up of health workshop on advance directives. This workshop is for sever or very severe COPD patients during their hospital stay in the post-acute care and pulmonary rehabilitation service.

In this unit, investigators welcome patient from all the region of Ile de France for a hospital stay of approximately 6 weeks. A first workshop will take place during the third week of their care to inform them about COPD, exacerbations, prognostic and advance directives. Then, a personal interview with patients who have participated to this workshop will take place to collect their advance directives and their degree of satisfaction about this process.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 525
• Est. completion date: October 31, 2020
• Est. primary completion date: October 31, 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• COPD Gold 3 or 4 and Curtis criteria

Exclusion Criteria:

• left to the discretion of the investigator if he finds that it will not be beneficial for the patient : for example if the workshop is judged to be at risk of being anxiety-provoking

Related Conditions & MeSH terms

• Chronic Obstructive Pulmonary Disease
• Lung Diseases
• Lung Diseases, Obstructive
• Pulmonary Disease, Chronic Obstructive

Intervention

Behavioral:
• Advance directives
A workshop will take place during the third week of patient care to inform them about COPD, exacerbations, prognostic and advance directives. Then, a personal interview with patients who have participated to this workshop will take place at the end of their hospital stay, to collect their advance directives and their degree of satisfaction about this process.

Locations

Country	Name	City	State
France	Les Cèdres SSR Pneumologie / Réhabilitation Respiratoire	Aincourt

Sponsors (1)

Lead Sponsor	Collaborator
Centre Hospitalier René Dubos

Country where clinical trial is conducted

France, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Number of patient who write their advance directives	The Primary Outcome Measure is the collect of the number of patients who write their advance directives after their participation of the health workshop	At the end of patient hospital stay, approximately 6 weeks
Secondary	Measure of patient's satisfaction	The satisfaction of patient was measured with a satisfaction questionnaire scale based on their feelings about the workshop. For each item, patient ticks : Strongly agree, Agree, Neither agree or disagree, Disagree or Strongly disagree	At the end of patient hospital stay, approximately 6 weeks