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The purpose of this study is to determine if it is effective and feasible to provide a chronic obstructive pulmonary disease (COPD) education program to patients admitted with an acute exacerbation of COPD.
Following an acute exacerbation of chronic obstructive pulmonary disease (AECOPD) evidence strongly suggests that all patients should be discharged with an action plan, consisting of identified patient responsibilities for their ongoing care and advice on recognizing and seeking help in the event of future acute exacerbations. Despite these recommendations, structured chronic obstructive pulmonary disease (COPD) specific education is rarely offered within acute hospital settings and, in addition, research in this area is limited. This study aims to determine the effectiveness and feasibility of an introductory education program delivered during and shortly after an AECOPD hospitalization.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control | No Intervention | Usual care: This group will receive usual care from their physician without any special focus on education. At the end of the study period, patients that were assigned to the control group will receive the booklet at home and be offered two education sessions by phone or in-person if the patient is willing to return to the hospital. | |
| Education Intervention | Active Comparator | Introductory disease education: This group will attend two one-on-one education sessions. The educational content will be standardized and a checklist will be used to ensure that all topics are addressed. The sessions will focus on enhancing self-efficacy in areas that are thought to be important to individuals who recently had an AECOPD. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Introductory Disease Education | Other | This intervention will consist of two one-on-one education sessions, each lasting 30 minutes. |
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| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline in disease specific knowledge | Bristol COPD Knowledge Questionnaire (BCKQ) | This primary outcome measure will be collected prior to randomization and approximately four weeks after admission |
| Change from baseline in information needs | Lung Information Needs Questionnaire (LINQ) | This primary outcome measure will be collected prior to randomization and approximately four weeks after admission |
| Measure | Description | Time Frame |
|---|---|---|
| Feasibility measure: number of eligible patients | This outcome variable will be noted within 1-2 days of hospital admission with an AECOPD (when determining patient eligibility, before randomization). | |
| Feasibility measure: ease of recruiting patients | Questions: (1) Is it easy to locate the patient in their room? (Yes/No) (2) How many times did the RA try to find the patient in the room before successfully finding them there? (#) (3) Does the patient have enough time to meet with the RA? (Yes/No) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Roger Goldstein, MD | West Park Healthcare Centre | Study Chair |
| Samantha Harrison, PhD | West Park Healthcare Centre | Study Chair |
| David Fishbein, MD | Humber River Hospital | Study Chair |
| Sean Carr, MD | Humber River Hospital | Study Chair |
| Andrea Gershon, MD | Sunnybrook Health Sciences Centre | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Humber River Hospital | Toronto | Ontario | M3N 1N1 | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29879395 | Derived | Janaudis-Ferreira T, Carr SJ, Harrison SL, Gershon AS, Milner SC, Carr S, Fishbein D, Goldstein R. Can Patients With COPD Assimilate Disease-Specific Information During an Acute Exacerbation?: Results of a Pilot Randomized Controlled Trial. Chest. 2018 Sep;154(3):588-596. doi: 10.1016/j.chest.2018.05.028. Epub 2018 Jun 4. |
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| ID | Term |
|---|---|
| D029424 | Pulmonary Disease, Chronic Obstructive |
| ID | Term |
|---|---|
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D002908 | Chronic Disease |
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| This outcome variable will be noted within 1-2 days of hospitalization, while the patient is being recruited (before randomization). |
| Feasibility measure: compliance to the sessions | Questions: (1) Is the participant able to complete the half-hour session? (Yes/No) (2) How many times was the education session interrupted for any reason? (#) | This outcome measure will be noted after each education session. The education sessions will take place between 3-15 days after hospital admission for an AECOPD. Two education sessions will be delivered to every patient enrolled in the intervention arm. |
| Feasibility measure: follow-up rates | Proportion of subjects that complete the follow up stage (questionnaire responses) | This outcome variable will be noted between days 20-30 following admission to hospital (approximately four weeks after hospital admission). |
| D020969 |
| Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |