COPD collaborative self-management in primary care: A randomized controlled trial

Licskai, Christopher; Ferrone, Madonna; Malus, Natalie; Stitt, Larry; O'Callahan, Tim; Roberts, Zofe; Johnson, Laura Lee; Samson, Jim; Durocher, Lisa

doi:10.1183/13993003.congress-2016.oa1994

Cited by 4 publications

(1 citation statement)

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“…The success of the Lung Health program has been presented at conferences worldwide and published in peer-reviewed journals [18,27]. They also received honourable mention for the 2013 Minister's Medal awards and the award for Best Primary Care abstract at the European Respiratory Society in 2016.…”

Section: Receiving External Validationmentioning

confidence: 99%

Key characteristics and critical junctures for successful Interprofessional networks in healthcare – a case study

Sibbald

Schouten

Sedig

et al. 2020

BMC Health Serv Res

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Background: The use of networks in healthcare has been steadily increasing over the past decade. Healthcare networks reduce fragmented care, support coordination amongst providers and patients, improve health system efficiencies, support better patient care and improve overall satisfaction of both patients and healthcare professionals. There has been little research to date on the implementation, development and use of small localized networks. This paper describes lessons learned from a successful small localized primary care network in Southwestern Ontario that developed and implemented a regional respiratory care program (The ARGI Respiratory Health Program-ARGI is a not-for-profit corporation leading the implementation and evaluation of a respiratory health program. Respiratory therapists (who have a certified respiratory educators designation), care for patients from all seven of the network's FHTs. Patients rostered within the network of FHTs that have been diagnosed with a chronic respiratory disease are referred by their family physicians to the program. The RTs are integrated into the FHTs, and work in a triad along with patients and providers to educate and empower patients in self-management techniques, create exacerbation action plans, and act as a liaison between the patient's care providers. ARGI uses an eTool designed specifically for use by the network to assist care delivery, choosing education topics, and outcome tracking. RTs are hired by ARGI and are contracted to the participating FHTs in the network.). Methods: This study used an exploratory case study approach. Data from four participant groups was collected using focus groups, observations, interviews and document analysis to develop a rich understanding of the multiple perspectives associated with the network. Results: This network's success can be described by four characteristics (growth mindset and quality improvement focus; clear team roles that are strengths-based; shared leadership, shared success; and transparent communication); and five critical junctures (acknowledge a shared need; create a common vision that is flexible and adaptable depending on the context; facilitate empowerment; receive external validation; and demonstrate the impacts and success of their work).

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Section: Receiving External Validationmentioning

confidence: 99%

Key characteristics and critical junctures for successful Interprofessional networks in healthcare – a case study

Sibbald

Schouten

Sedig

et al. 2020

BMC Health Serv Res

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Self-management interventions for people with chronic obstructive pulmonary disease

Schrijver

Lenferink

Brusse‐Keizer

et al. 2022

Cochrane Database of Systematic Reviews

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Self-management interventions including action plans for exacerbations versus usual care in patients with chronic obstructive pulmonary disease

Lenferink

Brusse-Keizer

Valk

et al. 2017

Cochrane Database of Systematic Reviews

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Self-management interventions that include a COPD exacerbation action plan are associated with improvements in HRQoL, as measured with the SGRQ, and lower probability of respiratory-related hospital admissions. No excess all-cause mortality risk was observed, but exploratory analysis showed a small, but significantly higher respiratory-related mortality rate for self-management compared to usual care.For future studies, we would like to urge only using action plans together with self-management interventions that meet the requirements of the most recent COPD self-management intervention definition. To increase transparency, future study authors should provide more detailed information regarding interventions provided. This would help inform further subgroup analyses and increase the ability to provide stronger recommendations regarding effective self-management interventions that include action plans for AECOPD. For safety reasons, COPD self-management action plans should take into account comorbidities when used in the wider population of people with COPD who have comorbidities. Although we were unable to evaluate this strategy in this review, it can be expected to further increase the safety of self-management interventions. We also advise to involve Data and Safety Monitoring Boards for future COPD self-management studies.

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COPD collaborative self-management in primary care: A randomized controlled trial

Cited by 4 publications

References 0 publications

Key characteristics and critical junctures for successful Interprofessional networks in healthcare – a case study

Key characteristics and critical junctures for successful Interprofessional networks in healthcare – a case study

Self-management interventions for people with chronic obstructive pulmonary disease

Self-management interventions including action plans for exacerbations versus usual care in patients with chronic obstructive pulmonary disease

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