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Enrolling by invitation NCT06760325

The Effect of a Tidal Model-Based Approach Applied During Home Visits on Mental Health Parameters and Hospital Admission Frequency in COPD Patients

No phase Interventional COPD III/IV

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: Tidal Model Intervention.
Who it may be relevant to
Registry conditions: COPD III/IV. Basic parameters: up to 100 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 Effect of a Tidal Model-Based Approach Applied During Home Visits on Mental Health Parameters and Hospital Admission Frequency in COPD Patients: a Randomized Controlled Trial

Overview

Despite the recent increased interest in identifying the needs of COPD patients and improving disease management, monitoring the psychosocial well-being of these individuals remains insufficient. Nursing care that incorporates psychosocial approaches plays a critical role in halting disease progression and controlling symptoms in COPD management. The Tidal Model emerges as a vital tool in enhancing patient independence throughout this process. This recovery-oriented model provides a robust framework for individualized care by thoroughly analyzing patients' needs. It likens life to an ocean voyage and emphasizes learning how to cope with challenges encountered during this journey. The difficulties experienced by individuals with chronic illness and respiratory limitations are aligned with the Tidal Model's concepts of chaos and tides. Current studies indicate that psychological interventions for COPD patients have limited effectiveness in reducing psychological morbidity. Additionally, while interventions such as mindfulness-based and digital approaches show promise, their effects have not consistently proven significant across studies. This underscores the ongoing challenge of effectively addressing the psychological aspects of COPD and highlights the need for further research to identify more robust interventions. In this context, guided by the philosophy of the Tidal Model that emphasizes "helping individuals with problems in living," it has been hypothesized that the model would be suitable for use with individuals with COPD. The current study aims to evaluate its effectiveness.

Interventions

  • Behavioral Tidal Model Intervention
    The model emphasizes long-term developmental care, extending support from hospital to home after discharge. This approach equips individuals with skills to understand and address challenges, emphasizing therapeutic interventions and sustained support through professionals or community groups. By focusing on the "chaos" and "tide" concepts of the Tidal Model, psychosocial interventions aim to enhance independence, manage symptoms, and improve quality of life. In this arm, Tidal Model-based appro

Primary outcome measures

  • Mental Well-being Score [Time frame: Assessments will be conducted at three time points: baseline, post-intervention (after 7 weeks), and at the 19-week follow-up.]
  • Quality of Life Score [Time frame: Assessments will be conducted at three time points: baseline, post-intervention (after 7 weeks), and at the 19-week follow-up.]
  • General Self-Efficacy Score [Time frame: Assessments will be conducted at three time points: baseline, post-intervention (after 7 weeks), and at the 19-week follow-up.]
  • Self-Esteem Score [Time frame: Assessments will be conducted at three time points: baseline, post-intervention (after 7 weeks), and at the 19-week follow-up.]
  • Visual Analog Scale for Anxiety [Time frame: Assessments will be conducted at three time points: baseline, post-intervention (after 7 weeks), and at the 19-week follow-up.]

Eligibility criteria

Inclusion criteria

  • Age 18 years or older
  • Clinical diagnosis of COPD for at least one year
  • No cognitive or sensory disabilities
  • No prior participation in any psychosocial support training
  • GOLD stage 'E' COPD
  • Availability of a private or suitable room for interviews
  • Residence within the city center

Exclusion criteria

  • Age under 18 years
  • Declined participation in the study
  • Cognitive or sensory disabilities
  • Prior participation in any psychosocial support training
  • GOLD stage 'A' or 'B' COPD
  • Unsuitable environment for conducting interviews
  • Security concerns for the researcher
  • Residence outside the city center or in rural areas

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
Health services research

Study locations

Turkey (Türkiye) · 1 center
  • Kilis 7 Aralık Üniversitesi — Kilis

Identifiers

NCT: NCT06760325 · 2024-OEM.1231 · 2024-E.58302

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗