Comprehensive self management and routine monitoring in chronic obstructive pulmonary disease patients in general practice: randomised controlled trial.

ABSTRACT:

Objective

To assess the long term effects of two different modes of disease management (comprehensive self management and routine monitoring) on quality of life (primary objective), frequency and patients' management of exacerbations, and self efficacy (secondary objectives) in patients with chronic obstructive pulmonary disease (COPD) in general practice.

Design

24 month, multicentre, investigator blinded, three arm, pragmatic, randomised controlled trial.

Setting

15 general practices in the eastern part of the Netherlands.

Participants

Patients with COPD confirmed by spirometry and treated in general practice. Patients with very severe COPD or treated by a respiratory physician were excluded.

Interventions

A comprehensive self management programme as a

SUBMITTER: Bischoff EW 

PROVIDER: S-EPMC3514071 | biostudies-literature | 2012 Nov

REPOSITORIES: biostudies-literature