A Self-Management Programme of Activity Coping and Education - SPACE for COPD(C) - in Primary Care: The Protocol for a Pragmatic Trial

Overview

Journal BMJ Open

Specialty General Medicine

Date 2017 Jul 13

PMID 28698320

Citations 10

Authors

Claire LA Bourne

Pratiksha Kanabar

Katy Mitchell

Sally Schreder

Linzy Houchen-Wolloff

M John G Bankart

Lindsay Apps

Stacey Hewitt

Theresa Harvey-Dunstan

Sally J Singh

Affiliations

Soon will be listed here.

Abstract

Introduction: National guidance for chronic obstructive pulmonary disease (COPD) suggests that self-management support be provided for patients. Our institution has developed a standardised, manual-based, supported self-management programme: Self-Management Programme of Activity Coping and Education (SPACE for COPD(C)). SPACE was previously piloted on a 1-2-1 basis, delivered by researchers, to individuals with COPD. Discussions with stakeholders highlighted considerable interest in delivering the SPACE for COPD(C) intervention as a group-based self-management programme facilitated by healthcare professionals (HCPs) in primary care settings. The study aims are to explore the feasibility, acceptability and efficacy for the intervention to be delivered and supported by HCPs and to examine whether group-based delivery of SPACE for COPD(C), with sustained support, improves patient outcomes following the SPACE for COPD(C) intervention.

Methods And Analysis: A prospective, multi-site, single-blinded randomised controlled trial (RCT) will be conducted, with follow-up at 6 and 9 months. Participants will be randomly assigned to either the control group (usual care) or intervention group (a six-session, group-based SPACE for COPD(C)self-management programme delivered over 5 months). The primary outcome is change in COPD assessment test at 6 months.A discussion session will be conducted with HCPs who deliver the intervention to discuss and gain insight into any potential facilitators/barriers to implementing the intervention in practice. Furthermore, we will conduct semi-structured focus groups with intervention participants to understand feasibility and acceptability. All qualitative data will be analysed thematically.

Ethics And Dissemination: The project has received a favourable opinion from South Hampshire B Research Ethics Committee, REC reference: 14/SC/1169 and full R&D approval from the University Hospitals of Leicester NHS Trust: 152408.Study results will be disseminated through appropriate peer-reviewed journals, national and international respiratory/physiotherapy conferences, via the Collaboration and Leadership in Applied Health Research and Care and through social media.

Trial Registration: ISRCTN17942821; pre-results.

Citing Articles

Self-management programme of activity coping and education-SPACE for COPD(C)-in primary care: a pragmatic randomised trial.

Bourne C, Houchen-Wolloff L, Patel P, Bankart J, Singh S BMJ Open Respir Res. 2022; 9(1).

PMID: 36253020 PMC: 9577916. DOI: 10.1136/bmjresp-2022-001443.

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

Cross A, Thomas D, Liang J, Abramson M, George J, Zairina E Cochrane Database Syst Rev. 2022; 5:CD012652.

PMID: 35514131 PMC: 9073270. DOI: 10.1002/14651858.CD012652.pub2.

SPACE FOR COPD delivered as a maintenance programme on pulmonary rehabilitation discharge: protocol of a randomised controlled trial evaluating the long-term effects on exercise tolerance and mental well-being.

Alqahtani K, Gerlis C, M Nolan C, Gardiner N, Szczepura A, Man W BMJ Open. 2022; 12(4):e055513.

PMID: 35470190 PMC: 9039383. DOI: 10.1136/bmjopen-2021-055513.

Self-management interventions for people with chronic obstructive pulmonary disease.

Schrijver J, Lenferink A, Brusse-Keizer M, Zwerink M, van der Valk P, van der Palen J Cochrane Database Syst Rev. 2022; 1:CD002990.

PMID: 35001366 PMC: 8743569. DOI: 10.1002/14651858.CD002990.pub4.

Integrated disease management interventions for patients with chronic obstructive pulmonary disease.

Poot C, Meijer E, Kruis A, Smidt N, Chavannes N, Honkoop P Cochrane Database Syst Rev. 2021; 9:CD009437.

PMID: 34495549 PMC: 8425271. DOI: 10.1002/14651858.CD009437.pub3.

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