Patient outcomes following GPs’ educations about COPD: a cluster randomized controlled trial

Sandelowsky, Hanna; Krakau, Ingvar; Modin, Sonja; Ställberg, Björn; Johansson, Sven Erik; Nager, Anna

doi:10.1038/s41533-020-00204-w

Cited by 3 publications

(1 citation statement)

References 32 publications

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“…As for the patient effects of the GPs’ CME, we have been able to demonstrate that the proportion of patients who had used pulmonary rehabilitation increased and the prevalence of smoking decreased after the GPs had taken part in the CME about COPD. However, the natural course of COPD deterioration in their patients was unaffected by the CME [ 12 ]. With reference to GPs’ improved COPD skills in PRIMAIR, we expected the GPs to use this new knowledge to educate their patients in self-management.…”

Section: Introductionmentioning

confidence: 99%

Primary care patients with mild or stable chronic obstructive pulmonary disease need more support in disease management: a secondary analysis of a cluster randomized controlled trial

Sandelowsky,

Krakau,

Modin

et al. 2023

Scandinavian Journal of Primary Health Care

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Objective Patient education based on the patient’s individual needs and circumstances is known to be associated with positive changes in clinical outcomes in chronic obstructive pulmonary disease (COPD). We aimed to assess the levels of patients’ subjective needs for information about COPD before and after their general practitioners had taken part in a COPD education. Design A secondary analysis of a cluster randomized controlled trial Setting 22 PHCCs in Stockholm, Sweden Subjects Randomly selected primary care patients with COPD in GOLD stages 2 and 3 ( n = 293) Outcome measures Scores in the Lung Information Needs Questionnaire (LINQ) at baseline and 18 months, spirometry results, and self-reported, descriptive patient data. Results GPs’ improved skills in COPD did not affect patients’ self-management skills over time. In general, patients’ information needs remained great in issues concerning diet, exercise and self-management. However, 43% of the patients reported reduced and 57% increased or unchanged information needs, over time. Reduced information needs were mainly associated with a high level of information needs at baseline (OR = 3.17 [95% CI 1.93–5.23], p < .01) and establishing contact with a physiotherapist (OR = 2.26 [95% CI 1.05–4.86], p = .038). Patients in a mild or stable phase of COPD with no recent exacerbations reported greater needs than those with unstable, deteriorated COPD. Conclusion Patients’ information needs are substantial in most areas of self-management of COPD, and seem to covary with the patient’s current clinical status. Care providers should thus continuously be vigilant about offering all patients with COPD support and education. Trial registration Clinicaltrials.gov, 10 August 2014, Identifier NCT02213809.

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Section: Introductionmentioning

confidence: 99%

Primary care patients with mild or stable chronic obstructive pulmonary disease need more support in disease management: a secondary analysis of a cluster randomized controlled trial

Sandelowsky,

Krakau,

Modin

et al. 2023

Scandinavian Journal of Primary Health Care

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Educational interventions for health professionals managing chronic obstructive pulmonary disease in primary care

Cross

Thomas

Liang

et al. 2022

Cochrane Database of Systematic Reviews

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BackgroundChronic obstructive pulmonary disease (COPD) is a common, preventable and treatable health condition. COPD is associated with substantial burden on morbidity, mortality and healthcare resources. ObjectivesTo review existing evidence for educational interventions delivered to health professionals managing COPD in the primary care setting. Search methodsWe searched the Cochrane Airways Trials Register from inception to May 2021. The Register includes records from the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, Embase, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Allied and Complementary Medicine Database (AMED) and PsycINFO. We also searched online trial registries and reference lists of included studies. Selection criteriaWe included randomised controlled trials (RCTs) and cluster-RCTs. Eligible studies tested educational interventions aimed at any health professionals involved in the management of COPD in primary care. Educational interventions were defined as interventions aimed at upskilling, improving or refreshing existing knowledge of health professionals in the diagnosis and management of COPD. Data collection and analysisTwo review authors independently reviewed abstracts and full texts of eligible studies, extracted data and assessed the risk of bias of included studies. We conducted meta-analyses where possible and used random-e ects models to yield summary estimates of e ect (mean di erences (MDs) with 95% confidence intervals (CIs)). We performed narrative synthesis when meta-analysis was not possible. We assessed the overall certainty of evidence for each outcome using Grades of Recommendation, Assessment, Development and Evaluation (GRADE). Primary outcomes were: 1) proportion of COPD diagnoses confirmed with spirometry; 2) proportion of patients with COPD referred to, participating in or completing pulmonary rehabilitation; and 3) proportion of patients with COPD prescribed respiratory medication consistent with guideline recommendations.Educational interventions for health professionals managing chronic obstructive pulmonary disease in primary care (Review)

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Patient experiences of pulmonary rehabilitation

Harrison¹,

Powell²,

Lahham³

2021

Pulmonary Rehabilitation

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Patient outcomes following GPs’ educations about COPD: a cluster randomized controlled trial

Cited by 3 publications

References 32 publications

Primary care patients with mild or stable chronic obstructive pulmonary disease need more support in disease management: a secondary analysis of a cluster randomized controlled trial

Primary care patients with mild or stable chronic obstructive pulmonary disease need more support in disease management: a secondary analysis of a cluster randomized controlled trial

Educational interventions for health professionals managing chronic obstructive pulmonary disease in primary care

Patient experiences of pulmonary rehabilitation

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