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Randomized Controlled Trial
. 2015 Feb 22:15:16.
doi: 10.1186/s12890-015-0011-5.

Patient self-management in primary care patients with mild COPD - protocol of a randomised controlled trial of telephone health coaching

Manbinder S Sidhu  1 , Amanda Daley  2 , Rachel Jordan  3 , Peter A Coventry  4 , Carl Heneghan  5 , Sue Jowett  6 , Sally Singh  7 , Jennifer Marsh  8 , Peymane Adab  9 , Jinu Varghese  10 , David Nunan  11 , Amy Blakemore  12 , Jenny Stevens  13 , Lee Dowson  14 , David Fitzmaurice  15 , Kate Jolly  16
Affiliations
Randomized Controlled Trial

Patient self-management in primary care patients with mild COPD - protocol of a randomised controlled trial of telephone health coaching

Manbinder S Sidhu et al. BMC Pulm Med. .

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.

Trial registration: Current controlled trials ISRCTN06710391 .

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Figure 1
Study flow diagram.
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References

    1. Department of Health (England). Quality and Outcomes Framework. Available from: http://gpcontract.co.uk [accessed 30/12/2014]
    1. Mannino DM, Gagnon RC, Petty TL, Lydick E. Obstructive lung disease and low lung function in adults in the United States: data from the national health and nutrition examination survey, 1988–1994. Arch Intern Med. 2000;160(11):1683–9. doi: 10.1001/archinte.160.11.1683. - DOI - PubMed
    1. Bednarek M, Maciejewski J, Wozniak M, Kuca P, Zielinski J. Prevalence, severity and underdiagnosis of COPD in the primary care setting. Thorax. 2008;63(5):402–7. doi: 10.1136/thx.2007.085456. - DOI - PubMed
    1. Shahab L, Jarvis MJ, Britton J, West R. Prevalence, diagnosis and relation to tobacco dependence of chronic obstructive pulmonary disease in a nationally representative population sample. Thorax. 2006;61(12):1043–7. doi: 10.1136/thx.2006.064410. - DOI - PMC - PubMed
    1. Halbert RJ, Natoli JL, Gano A, Badamgarav E, Buist AS, Mannino DM. Global burden of COPD: systematic review and meta-analysis. Eur Respir J. 2006;28(3):523–32. doi: 10.1183/09031936.06.00124605. - DOI - PubMed

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