Community-based Management of Chronic Obstructive Pulmonary Disease in Nepal (COBIN-P)

University of Aarhus

Status

Unknown

Conditions

Chronic Obstructive Pulmonary Disease

Treatments

Behavioral: Behavioural-FCHV Visit

Study type

Interventional

Funder types

Other

Identifiers

NCT03797768

AUTBA18

Details and patient eligibility

About

Chronic Obstructive Pulmonary Disease (COPD) is the fourth most important cause of death worldwide and is one of the commonest non-communicable diseases (NCDs) in Nepal. The presence of risk factors like indoor and outdoor air pollution, the high prevalence of smoking and lack of general awareness of COPD makes it a serious public health concern. However, no attempt has been made in Nepal to estimate its burden and address the disease at the community level. This community-based cluster randomized controlled study aims to fulfil that gap through mobilization of Female Community Health Workers (FCHVs) who will be trained to perform a certain set of health promotion activities aimed at prevention of the disease and its progression. Baseline and follow-up surveys will be conducted to compare the intervention and control groups. This study has the potential to generate evidence in helping address NCDs in Nepal and also other similar resource-limited countries.

Enrollment

1,438 patients

Sex

All

Ages

40 to 90 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

Capable of performing spirometry
Aged greater than and equal to 40 years
Full time residents in the study area and will be in the study area for at least one year

Exclusion criteria

Younger than 40 years of age
Self-reported pregnancy
having active pulmonary tuberculosis or being on medications for pulmonary tuberculosis
thoracic, abdominal or eye surgery in the last six months
History of Mental illness
MI in past 8 weeks prior to study
Hospital admission in the past six months for cardiac illness
Those who decline to provide consent to the study will be excluded.