Can Patients With COPD Assimilate Disease-Specific Information During an Acute Exacerbation? Results of a Pilot Randomized Controlled Trial

Tania Janaudis-Ferreira, Sylvia Jocelyn Carr, Samantha Harrison, Andrea S. Gershon, Siobhan C. Milner, Sean Carr, David Fishbein, Roger Goldstein

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    Abstract

    Background

    The study aimed to determine the feasibility and effectiveness of an introductory disease-specific educational program delivered during an acute exacerbation of COPD (AECOPD) on objective measures of disease-specific knowledge.
    Methods

    Patients admitted to a community hospital with an AECOPD were randomly assigned to a control group (standard care) or intervention group (standard care + brief education). The intervention group received two 30-min education sessions in hospital or at home within 2 weeks of hospital admission. Feasibility measures included the number of eligible patients, compliance with the sessions, and number of follow-up measures completed. Disease-specific knowledge and informational needs were measured using the Bristol COPD Knowledge Questionnaire (BCKQ) and the Lung Information Needs Questionnaire (LINQ), respectively, before and after the intervention period.
    Results

    Thirty-one patients (mean age, 72 ± 10 years) with an AECOPD participated in the study. Of 102 approached patients, 75 consented to screening (73.5%) and 67 (66%) were eligible for the study. Thirty-four patients declined participation. All intervention patients (n = 15) completed the educational sessions and follow-up measures. Three patients (control group) did not complete the follow-up measures. The mean changes and SDs for the BCKQ in the intervention and control groups were 8 ± 5.14 and 3.4 ± 4.9, respectively (P = .02). No difference between groups was found for the LINQ (P = .80).
    Conclusions

    A brief educational program delivered at the time of hospitalization for an AECOPD was feasible for a subset of patients, resulted in improved disease-specific knowledge, and may be a bridge to more active approaches.
    Original languageEnglish
    Pages (from-to)588-596
    Number of pages9
    JournalChest
    Volume154
    Issue number3
    Early online date4 Jun 2018
    DOIs
    Publication statusPublished - 1 Sep 2018

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  • Cite this

    Janaudis-Ferreira, T., Carr, S. J., Harrison, S., Gershon, A. S., Milner, S. C., Carr, S., Fishbein, D., & Goldstein, R. (2018). Can Patients With COPD Assimilate Disease-Specific Information During an Acute Exacerbation? Results of a Pilot Randomized Controlled Trial. Chest, 154(3), 588-596. https://doi.org/10.1016/j.chest.2018.05.028