The Library
Patient self-management in primary care patients with mild COPD – protocol of a randomised controlled trial of telephone health coaching
Tools
Sidhu, Manbinder S., Daley, Amanda, Jordan, Rachel, Coventry, Peter A., Heneghan, Carl, Jowett, Sue, Singh, Sally, Marsh, Jennifer, Adab, Peymane, Varghese, Jinu, Nunan, David, Blakemore, Amy, Stevens, Jenny, Dowson, Lee, Fitzmaurice, David A. and Jolly, Kate (2015) Patient self-management in primary care patients with mild COPD – protocol of a randomised controlled trial of telephone health coaching. BMC Pulmonary Medicine, 15 (1). 16. doi:10.1186/s12890-015-0011-5 ISSN 1471-2466.
Research output not available from this repository.
Request-a-Copy directly from author or use local Library Get it For Me service.
Official URL: http://dx.doi.org/10.1186/s12890-015-0011-5
Abstract
Background
The prevalence of diagnosed chronic obstructive pulmonary disease (COPD) in the UK is 1.8%, although it is estimated that this represents less than half of the total disease in the population as much remains undiagnosed. Case finding initiatives in primary care will identify people with mild disease and symptoms. The majority of self-management trials have identified patients from secondary care clinics or following a hospital admission for exacerbation of their condition. This trial will recruit a primary care population with mild symptoms of COPD and use telephone health coaching to encourage self-management.
Methods/Design
In this study, using a multi-centred randomised controlled trial (RCT) across at least 70 general practices in England, we plan to establish the effectiveness of nurse-led telephone health coaching to support self-management in primary care for people who report only mild symptoms of their COPD (MRC grade 1 and 2) compared to usual care. The intervention focuses on taking up smoking cessation services, increasing physical activity, medication management and action planning and is underpinned by behavioural change theory. In total, we aim to recruit 556 patients with COPD confirmed by spirometry with follow up at six and 12 months. The primary outcome is health related quality of life using the St Georges Respiratory Questionnaire (SGRQ). Spirometry and BMI are measured at baseline. Secondary outcomes include self-reported health behaviours (smoking and physical activity), physical activity measured by accelerometery (at 12 months), psychological morbidity, self-efficacy and cost-effectiveness of the intervention. Longitudinal qualitative interviews will explore how engaged participants were with the intervention and how embedded behaviour change was in every day practices.
Discussion
This trial will provide robust evidence about the effectiveness of a novel telephone health coaching intervention to promote behaviour change and prevent disease progression in patients with mild symptoms of dyspnoea in primary care.
Item Type: | Journal Article | ||||||
---|---|---|---|---|---|---|---|
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
||||||
Journal or Publication Title: | BMC Pulmonary Medicine | ||||||
Publisher: | BioMed Central Ltd. | ||||||
ISSN: | 1471-2466 | ||||||
Official Date: | 22 February 2015 | ||||||
Dates: |
|
||||||
Volume: | 15 | ||||||
Number: | 1 | ||||||
Article Number: | 16 | ||||||
DOI: | 10.1186/s12890-015-0011-5 | ||||||
Status: | Peer Reviewed | ||||||
Publication Status: | Published | ||||||
Access rights to Published version: | Open Access (Creative Commons) |
Request changes or add full text files to a record
Repository staff actions (login required)
View Item |