The Effectiveness of Self-Management Education and Telephone Follow-up in Patient with COPD Exacerbation
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Self Management Education, Telephone Follow-up.
- Who it may be relevant to
- Registry conditions: COPD (Chronic Obstructive Pulmonary Disease), Symptom Management, Self-care Agency. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Turkey (Türkiye)
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
The Effectiveness of Self-Management Education and Telephone Follow-up on Self-Care Agency and Symptom Management in Patients with COPD Exacerbation: a Randomized Controlled Study
Overview
According to the 2024 GOLD guidelines, Chronic Obstructive Pulmonary Disease (COPD) is defined as heterogeneous lung condition characterized by chronic respiratory symptoms (dyspnea, cough, sputum production, and/or exacerbations) due to abnormalities of the airways (bronchitis, bronchiolitis) and/or alveoli (emphysema) that cause persistent, often progressive, airflow obstruction. COPD is one of the leading causes of mortality and morbidity in Turkey and worldwide. Since COPD is an incurable and lifelong disease, it is important for patients to have high levels of self-management. The main questions it aims to answer are: 1. Does self-management education and telephone follow-up intervention effect self-care agency and symptom management in people with COPD exacerbation? 2. Does self-management education effect self-care agency and symptom management in people with COPD exacerbation? This study will evaluate the effect of self-management education and telephone follow-up on self-care agency and symptom management. Patients hospitalized with COPD exacerbation will be trained in the hospital and will be followed up by phone call after discharge. During the study, 3 groups were planned; Group 1 will be educated and followed up by telephone Group 2 will only receive education and no telephone follow-up. Group 3 will not receive education and telephone follow-up, only standard care. It is planned to collect the data from the patients at the beginning of the study, at 1, 3 and 6 months. Main outcomes: * Level of self-care agency * Level of symptom management The results obtained will be interpreted by comparing between 3 groups.
Interventions
- Other Self Management Education
Patients in this group will receive self-management education during the 3 days when they are in the hospital. On the first day of the training, COPD disease, causes of the disease, symptoms, reasons for alleviating complaints, practical information for living comfortably with COPD will be given. On the second day, emergency situations in COPD, what is an exacerbation and prevention suggestions and diaphragmatic breathing-cough exercises will be taught. On the last day, training will be given on - Other Telephone Follow-up
Patients will receive their first call one week after discharge. The calls will be scheduled weekly during the first month, biweekly in the second month, and monthly starting from the third month. During the calls, it is planned to repeat the educational content and answer the patient's questions.
Primary outcome measures
- mMRC Dyspnea Scale [Time frame: will be re-administered in the pre-test and interviews with patients at 1, 3 and 6 months]
- The COPD Assessment Test [Time frame: will be re-administered in the pre-test and interviews with patients at 1, 3 and 6 months]
- Clinical COPD Questionnaire (CCQ) [Time frame: will be re-administered in the pre-test and interviews with patients at 1, 3 and 6 months]
- The Modified Borg Dyspnea Scale [Time frame: will be re-administered in the pre-test and interviews with patients at 1, 3 and 6 months]
Secondary outcome measures (1)
- Self-Care Agency [Time frame: will be re-administered in the pre-test and interviews with patients at 1, 3 and 6 months]
Eligibility criteria
Inclusion criteria
- Diagnosed with COPD for the last 1 year
- Diagnosis of Global Initiative for Chronic Obstructive Lung Disease (GOLD) stage III or IV COPD documented by pulmonary function testing
- Patients hospitalized for acute exacerbation of COPD;
- Hospitalized for at least 3 days
- Having a personal mobile phone and the ability to use it,
- Being enough conscious and oriented to answer the questions,
- Voluntary patients
Exclusion criteria
- Under 18 years old
- Withdrawal from the study at any phase
- Inability to be contacted by phone/mobile phone,
- Patient death
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Supportive care
Study locations
Turkey (Türkiye) · 1 center
- Kirsehir Training and Research Hospital — Kırşehir
Identifiers
NCT: NCT06707649 · 2024/03/43