Effect of Self Management Program on Clinical Status of COPD Patients

Ahvaz Jundishapur University of Medical Sciences

Status

Completed

Conditions

COPD

Treatments

Behavioral: 5 A model

Study type

Interventional

Funder types

Other

Identifiers

NCT02567474

P-327

Details and patient eligibility

About

This study evaluates the effectiveness of self management programs based on 5A model on the lung function status, dyspnea and exercise tolerance in Chronic Obstructive Pulmonary Disease patients. Participants were randomly assigned to an intervention group or a control group. The control group were receiving standard practice care and the intervention group were receiving intervention in addition to standard practice care. The intervention content include implementation of a self management plan based on 5A model.

Full description

5 A model implemented during a period of 12 weeks including 5 stags: assessment of behavior, beliefs and motivation of the patient (Assess); provide information about personal health risks and benefits of change (Advise); mutual contribution of patients and health care provider on setting realistic goals based on the patient's interest and confidence in their ability to change the behavior (Agree); help anticipate barriers and develop practical applications based on the identified patient's strategies, problem-solving techniques and social/environmental support (Assist) and specify plan for follow-up (Visits, Phone calls) and providing support in the course of follow up (Arrange).

Enrollment

50 patients

Sex

All

Ages

45 to 70 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

certified diagnosis of COPD with moderate or severe level by a pulmonologist according to GOLD criteria
age range of 45-70 years
BMI<30
being literate
having a strong understanding of the Persian language
having a constant prescription drug regime
not suffering from another serious and restrictive disease (such as major psychological disorder, neural disease, musca-skeletal disease, cancer, cardiac or angina attack in last month)

Exclusion criteria

hospitalization during the intervention
need to use of oxygen or spray during 6-minute walking test
dealing with serious stress
failure of patient to attend personal or group education session
non-compliance with a practical program that was determined at monthly visits for intervention group