TY - JOUR
T1 - Effect of health professional education on outcomes of chronic obstructive pulmonary disease in primary care: A non randomized clinical trial
AU - Monteagudo, Mònica
AU - Rodriguez-Blanco, Teresa
AU - Llagostera, Maria
AU - Valero, Carles
AU - Bayona, Xavier
AU - Granollers, Sílvia
AU - Ferro, Juan J.
AU - Acedo, Mateo
AU - Almeda, Jesús
AU - Rodriguez-Latre, Lluisa
AU - Muñoz, Laura
AU - Miravitlles, Marc
PY - 2013/5/6
Y1 - 2013/5/6
N2 - Background and objective The best strategy to achieve optimal integrated management to patients with chronic obstructive pulmonary disease (COPD) in primary care (PC) is not clear. We aimed to evaluate the effectiveness of an intervention in PC based on an integrated programme, which combines diverse strategies directed at health professionals to improve quality of life and clinical outcomes of their patients with COPD. We compared the outcome with results from standard practice. Methods A prospective, multicentre, quasi-experimental study and a 12-month follow up was performed. Intervention consisted of an integrated education programme in PC. The main outcome variable was the change in total score of the St. George's Respiratory Questionnaire (SGRQ) at the end of follow up between the control and intervention group. Results A total of 801 patients participated in the study with a mean age of 70.2 years and a mean FEV 1 (% predicted) of 55%. At 1-year follow up, the SGRQ score did not significantly differ. Although the intervention group showed an improvement in dietary, exercise and smoking habits, there was an increase in reported exacerbations and hospital admissions (P < 0.001). Conclusions Implementation of an integrated education programme in a PC setting, which combines diverse strategies directed at health professionals, did not achieve the expected changes in quality of life measured by SGRQ at 1-year follow up. Nonetheless, this study observed an improvement in patients' lifestyle choices, even though this did not result in a significant change in the clinical evolution or heath status over 12 months. © 2013 Asian Pacific Society of Respirology.
AB - Background and objective The best strategy to achieve optimal integrated management to patients with chronic obstructive pulmonary disease (COPD) in primary care (PC) is not clear. We aimed to evaluate the effectiveness of an intervention in PC based on an integrated programme, which combines diverse strategies directed at health professionals to improve quality of life and clinical outcomes of their patients with COPD. We compared the outcome with results from standard practice. Methods A prospective, multicentre, quasi-experimental study and a 12-month follow up was performed. Intervention consisted of an integrated education programme in PC. The main outcome variable was the change in total score of the St. George's Respiratory Questionnaire (SGRQ) at the end of follow up between the control and intervention group. Results A total of 801 patients participated in the study with a mean age of 70.2 years and a mean FEV 1 (% predicted) of 55%. At 1-year follow up, the SGRQ score did not significantly differ. Although the intervention group showed an improvement in dietary, exercise and smoking habits, there was an increase in reported exacerbations and hospital admissions (P < 0.001). Conclusions Implementation of an integrated education programme in a PC setting, which combines diverse strategies directed at health professionals, did not achieve the expected changes in quality of life measured by SGRQ at 1-year follow up. Nonetheless, this study observed an improvement in patients' lifestyle choices, even though this did not result in a significant change in the clinical evolution or heath status over 12 months. © 2013 Asian Pacific Society of Respirology.
KW - chronic obstructive pulmonary disease
KW - education
KW - integrated programme
KW - primary care
U2 - 10.1111/resp.12074
DO - 10.1111/resp.12074
M3 - Article
VL - 18
SP - 718
EP - 727
JO - Respirology
JF - Respirology
SN - 1323-7799
IS - 4
ER -