The Effect of a Tidal Model-Based Approach Applied During Home Visits on Mental Health Parameters and Hospital Admission Frequency in COPD Patients

Kilis 7 Aralik University

Status: Invitation-only

Conditions: COPD III/IV

Treatments: Behavioral: Tidal Model Intervention

Study type: Interventional

Funder types: Other

Identifiers

NCT06760325

2024-E.58302 (Registry Identifier)

2024-OEM.1231

Details and patient eligibility

About

Despite the recent increased interest in identifying the needs of COPD patients and improving disease management, monitoring the psychosocial well-being of these individuals remains insufficient. Nursing care that incorporates psychosocial approaches plays a critical role in halting disease progression and controlling symptoms in COPD management. The Tidal Model emerges as a vital tool in enhancing patient independence throughout this process. This recovery-oriented model provides a robust framework for individualized care by thoroughly analyzing patients' needs. It likens life to an ocean voyage and emphasizes learning how to cope with challenges encountered during this journey. The difficulties experienced by individuals with chronic illness and respiratory limitations are aligned with the Tidal Model's concepts of chaos and tides.

Current studies indicate that psychological interventions for COPD patients have limited effectiveness in reducing psychological morbidity. Additionally, while interventions such as mindfulness-based and digital approaches show promise, their effects have not consistently proven significant across studies. This underscores the ongoing challenge of effectively addressing the psychological aspects of COPD and highlights the need for further research to identify more robust interventions.

In this context, guided by the philosophy of the Tidal Model that emphasizes "helping individuals with problems in living," it has been hypothesized that the model would be suitable for use with individuals with COPD. The current study aims to evaluate its effectiveness.

Enrollment: 42 estimated patients

Sex: All

Ages: Under 100 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age 18 years or older
• Clinical diagnosis of COPD for at least one year
• No cognitive or sensory disabilities
• No prior participation in any psychosocial support training
• GOLD stage 'E' COPD
• Availability of a private or suitable room for interviews
• Residence within the city center

Exclusion criteria

• Age under 18 years
• Declined participation in the study
• Cognitive or sensory disabilities
• Prior participation in any psychosocial support training
• GOLD stage 'A' or 'B' COPD
• Unsuitable environment for conducting interviews
• Security concerns for the researcher
• Residence outside the city center or in rural areas

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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42 participants in 2 patient groups

Control Arm (No Intervention)

No Intervention group

Description:

In this arm, Tidal Model-based approaches will not be applied during home visits to COPD patients. No psychosocial interventions were provided to patients, and standard care was maintained.

Experimental Arm (Tidal Model Intervention)

Experimental group

Description:

In this arm, Tidal Model-based psychosocial interventions will be applied during home visits to COPD patients.

Treatment:

Behavioral: Tidal Model Intervention