The purpose of this study is to determine if it is effective and feasible to provide a chronic obstructive pulmonary disease (COPD) education program to patients admitted with an acute exacerbation of COPD.
Following an acute exacerbation of chronic obstructive pulmonary disease (AECOPD) evidence strongly suggests that all patients should be discharged with an action plan, consisting of identified patient responsibilities for their ongoing care and advice on recognizing and seeking help in the event of future acute exacerbations. Despite these recommendations, structured chronic obstructive pulmonary disease (COPD) specific education is rarely offered within acute hospital settings and, in addition, research in this area is limited. This study aims to determine the effectiveness and feasibility of an introductory education program delivered during and shortly after an AECOPD hospitalization.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Masking
NONE
Enrollment
31
This intervention will consist of two one-on-one education sessions, each lasting 30 minutes.
Humber River Hospital
Toronto, Ontario, Canada
Change from baseline in disease specific knowledge
Bristol COPD Knowledge Questionnaire (BCKQ)
Time frame: This primary outcome measure will be collected prior to randomization and approximately four weeks after admission
Change from baseline in information needs
Lung Information Needs Questionnaire (LINQ)
Time frame: This primary outcome measure will be collected prior to randomization and approximately four weeks after admission
Feasibility measure: number of eligible patients
Time frame: This outcome variable will be noted within 1-2 days of hospital admission with an AECOPD (when determining patient eligibility, before randomization).
Feasibility measure: ease of recruiting patients
Questions: (1) Is it easy to locate the patient in their room? (Yes/No) (2) How many times did the RA try to find the patient in the room before successfully finding them there? (#) (3) Does the patient have enough time to meet with the RA? (Yes/No)
Time frame: This outcome variable will be noted within 1-2 days of hospitalization, while the patient is being recruited (before randomization).
Feasibility measure: compliance to the sessions
Questions: (1) Is the participant able to complete the half-hour session? (Yes/No) (2) How many times was the education session interrupted for any reason? (#)
Time frame: This outcome measure will be noted after each education session. The education sessions will take place between 3-15 days after hospital admission for an AECOPD. Two education sessions will be delivered to every patient enrolled in the intervention arm.
Feasibility measure: follow-up rates
Proportion of subjects that complete the follow up stage (questionnaire responses)
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Time frame: This outcome variable will be noted between days 20-30 following admission to hospital (approximately four weeks after hospital admission).