Lung Diseases, Obstructive Clinical Trial
Official title:
Costs and Effects of Three Modes for Disease Management of Chronic Obstructive Pulmonary Disease (COPD) in General Practice. A Randomized Controlled Trial Comparing Regular Practice Nurse Review, Self-management Education and Usual Care
In this randomized controlled trial, three contemporary modes for chronic obstructive
pulmonary disease (COPD) management in Dutch general practices are compared for costs and
effects:
- usual general practitioner (GP) care (at patient's initiative);
- regular practice nurse review; and
- integrated self-management education.
All three interventions are based on existing guidelines, materials, and field experiences.
Considering the ageing of the Dutch population and the current and increasing shortage of
general practitioners (GPs), the capacity of primary healthcare is a major and growing
concern. Delegation of care normally provided by GPs with care provided by trained practice
nurses is now rapidly emerging for patients with chronic respiratory disease, i.e. asthma
and chronic obstructive pulmonary disease (COPD). However, most general practices still
provide care at initiative of the patient self, because of the lack in scientific evidence
and the costs of implementing a regular care structure. Self-care by patients may be an
alternative to alleviate the growing load on primary health care.
The following two main research questions are addressed in this study.
- Does an integrated self-management education intervention for patients with COPD in
general practice contribute to attaining long-term treatment targets, compared to
regular monitoring by a practice nurse and usual GP care?
- What is the cost-effectiveness of an integrated self-management education intervention
for patients with COPD, compared to regular monitoring by a practice nurse and usual GP
care?
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor)
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT01860898 -
A Phase I Study of iPS Cell Generation From Patients With COPD
|
N/A | |
Completed |
NCT00281190 -
Comparison of Alveolar Macrophages in Individuals With COPD Versus Smokers With Normal Pulmonary Function
|
N/A | |
Completed |
NCT00281229 -
T Lymphocyte Cells in Individuals Experiencing an Acute Exacerbation of Chronic Obstructive Pulmonary Disease
|
||
Completed |
NCT00281242 -
Changes in Cytokine Levels During an Acute Exacerbation of Chronic Obstructive Pulmonary Disease
|
N/A | |
Completed |
NCT00281216 -
Innate and Adaptive Immunity in Individuals Experiencing Chronic Obstructive Pulmonary Disease Exacerbations
|
N/A | |
Completed |
NCT00281203 -
Comparison of Alveolar Macrophages in Healthy Individuals Versus Individuals With COPD
|
N/A | |
Completed |
NCT00159341 -
Cigarette Smoke Nasal and Whole Blood Challenge in Patients With Chronic Obstructive Pulmonary Disease (COPD)
|
Phase 1 | |
Completed |
NCT00069823 -
Study of Acid Reflux in Asthma
|
Phase 3 | |
Completed |
NCT00006513 -
Assessing the Occupation Burden in COPD
|
N/A | |
Completed |
NCT00000621 -
Feasibility of Retinoic Acid Treatment in Emphysema (FORTE)
|
Phase 2 | |
Completed |
NCT00006306 -
Effects of Chronic Ozone Exposure on Lung Function
|
N/A | |
Completed |
NCT00000569 -
Lung Health Study II
|
Phase 3 | |
Completed |
NCT00005425 -
Statistical Analysis of Vlagtwedde-Vlaardingen Data Set
|
N/A | |
Completed |
NCT00005720 -
Lay-Led Smoking Cessation Approach for Southeast Asian Men
|
N/A | |
Completed |
NCT00000568 -
Lung Health Study (LHS) I and III
|
Phase 3 | |
Completed |
NCT00005281 -
Early Risk Predictors For Chronic Pulmonary Disease
|
N/A | |
Not yet recruiting |
NCT05286918 -
Antibiotic Stewardship in AECOPD Through CRP-Guided Management
|
N/A | |
Recruiting |
NCT05565872 -
Effects of Supervision During a Community-based Exercise Intervention (Urban Training) in Patients With COPD
|
N/A | |
Not yet recruiting |
NCT02928666 -
Integration of Guidelines for Comorbidities
|
N/A | |
Completed |
NCT02306473 -
The Leaky Lung Test
|
Early Phase 1 |