Tania Janaudis-Ferreira1, Sylvia Jocelyn Carr2, Samantha L Harrison3, Andrea S Gershon4, Siobhan C Milner5, Sean Carr6, David Fishbein6, Roger Goldstein7. 1. School of Physical and Occupational Therapy, McGill University, Montreal, QC, Canada; Translational Research in Respiratory Diseases Program, Research Institute of the McGill University Health Centre, Montreal, QC, Canada; Respiratory Medicine, West Park Healthcare Centre, Toronto, ON, Canada. Electronic address: Tania.janaudis-ferreira@mcgill.ca. 2. Respiratory Medicine, West Park Healthcare Centre, Toronto, ON, Canada. 3. Respiratory Medicine, West Park Healthcare Centre, Toronto, ON, Canada; School of Health and Social Care, Teesside University, Middlesbrough, England. 4. Department of Medicine, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada. 5. School of Physical and Occupational Therapy, McGill University, Montreal, QC, Canada. 6. Department of Medicine, Humber River Hospital, Toronto, ON, Canada. 7. Respiratory Medicine, West Park Healthcare Centre, Toronto, ON, Canada; Department of Physical Therapy, University of Toronto, Toronto, ON, Canada; Department of Medicine, University of Toronto, Toronto, ON, Canada.
Abstract
BACKGROUND: The study aimed to determine the feasibility and effectiveness of an introductory disease-specific educational program delivered during an acute exacerbation of COPD (AECOPD) on objective measures of disease-specific knowledge. METHODS:Patients admitted to a community hospital with an AECOPD were randomly assigned to a control group (standard care) or intervention group (standard care + brief education). The intervention group received two 30-min education sessions in hospital or at home within 2 weeks of hospital admission. Feasibility measures included the number of eligible patients, compliance with the sessions, and number of follow-up measures completed. Disease-specific knowledge and informational needs were measured using the Bristol COPD Knowledge Questionnaire (BCKQ) and the Lung Information Needs Questionnaire (LINQ), respectively, before and after the intervention period. RESULTS:Thirty-one patients (mean age, 72 ± 10 years) with an AECOPD participated in the study. Of 102 approached patients, 75 consented to screening (73.5%) and 67 (66%) were eligible for the study. Thirty-four patients declined participation. All intervention patients (n = 15) completed the educational sessions and follow-up measures. Three patients (control group) did not complete the follow-up measures. The mean changes and SDs for the BCKQ in the intervention and control groups were 8 ± 5.14 and 3.4 ± 4.9, respectively (P = .02). No difference between groups was found for the LINQ (P = .80). CONCLUSIONS: A brief educational program delivered at the time of hospitalization for an AECOPD was feasible for a subset of patients, resulted in improved disease-specific knowledge, and may be a bridge to more active approaches. TRIAL REGISTRY: ClinicalTrials.gov; No.: NCT02321215; URL: www.clinicaltrials.gov.
RCT Entities:
BACKGROUND: The study aimed to determine the feasibility and effectiveness of an introductory disease-specific educational program delivered during an acute exacerbation of COPD (AECOPD) on objective measures of disease-specific knowledge. METHODS:Patients admitted to a community hospital with an AECOPD were randomly assigned to a control group (standard care) or intervention group (standard care + brief education). The intervention group received two 30-min education sessions in hospital or at home within 2 weeks of hospital admission. Feasibility measures included the number of eligible patients, compliance with the sessions, and number of follow-up measures completed. Disease-specific knowledge and informational needs were measured using the Bristol COPD Knowledge Questionnaire (BCKQ) and the Lung Information Needs Questionnaire (LINQ), respectively, before and after the intervention period. RESULTS: Thirty-one patients (mean age, 72 ± 10 years) with an AECOPD participated in the study. Of 102 approached patients, 75 consented to screening (73.5%) and 67 (66%) were eligible for the study. Thirty-four patients declined participation. All intervention patients (n = 15) completed the educational sessions and follow-up measures. Three patients (control group) did not complete the follow-up measures. The mean changes and SDs for the BCKQ in the intervention and control groups were 8 ± 5.14 and 3.4 ± 4.9, respectively (P = .02). No difference between groups was found for the LINQ (P = .80). CONCLUSIONS: A brief educational program delivered at the time of hospitalization for an AECOPD was feasible for a subset of patients, resulted in improved disease-specific knowledge, and may be a bridge to more active approaches. TRIAL REGISTRY: ClinicalTrials.gov; No.: NCT02321215; URL: www.clinicaltrials.gov.
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