Evidence map›Paper›PMID 28698320›Full record

Trial reportBMJ open2017

A Self-Management Programme of Activity Coping and Education - SPACE for COPD(C) - in primary care: The protocol for a pragmatic trial.

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

Abstract readMulticenter StudyPragmatic Clinical TrialRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  6. Trial
  7. Trial
  8. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Claire LA BourneCollaboration and Leadership for Applied Health Research and Care-East Midlands, Centre of Exercise and Rehabilitation Science, Respiratory Biomedical Research Unit, Glenfield hospital, Groby Road, Leicester, Leicestershire, UK.
Pratiksha KanabarCollaboration and Leadership for Applied Health Research and Care-East Midlands, Centre of Exercise and Rehabilitation Science, Respiratory Biomedical Research Unit, Glenfield hospital, Groby Road, Leicester, Leicestershire, UK.
Katy MitchellCollaboration and Leadership for Applied Health Research and Care-East Midlands, Centre of Exercise and Rehabilitation Science, Respiratory Biomedical Research Unit, Glenfield hospital, Groby Road, Leicester, Leicestershire, UK.
Sally SchrederCollaboration and Leadership for Applied Health Research and Care-East Midlands, Centre of Exercise and Rehabilitation Science, Respiratory Biomedical Research Unit, Glenfield hospital, Groby Road, Leicester, Leicestershire, UK.
Linzy Houchen-WolloffCollaboration and Leadership for Applied Health Research and Care-East Midlands, Centre of Exercise and Rehabilitation Science, Respiratory Biomedical Research Unit, Glenfield hospital, Groby Road, Leicester, Leicestershire, UK.
M John G BankartDepartment of Primary Care and Health Sciences, Keele University, Keele, UK.
Lindsay AppsCollaboration and Leadership for Applied Health Research and Care-East Midlands, Centre of Exercise and Rehabilitation Science, Respiratory Biomedical Research Unit, Glenfield hospital, Groby Road, Leicester, Leicestershire, UK.
Stacey HewittCollaboration and Leadership for Applied Health Research and Care-East Midlands, Centre of Exercise and Rehabilitation Science, Respiratory Biomedical Research Unit, Glenfield hospital, Groby Road, Leicester, Leicestershire, UK.
Theresa Harvey-DunstanCollaboration and Leadership for Applied Health Research and Care-East Midlands, Centre of Exercise and Rehabilitation Science, Respiratory Biomedical Research Unit, Glenfield hospital, Groby Road, Leicester, Leicestershire, UK.
Sally J SinghCollaboration and Leadership for Applied Health Research and Care-East Midlands, Centre of Exercise and Rehabilitation Science, Respiratory Biomedical Research Unit, Glenfield hospital, Groby Road, Leicester, Leicestershire, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNational 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 registrationISRCTN17942821; pre-results.

Indexed as

Adaptation, PsychologicalPatient Education as TopicHumansPhysical Therapy ModalitiesPrimary Health CareProspective StudiesPsychotherapy, GroupPulmonary Disease, Chronic ObstructiveQuality of LifeResearch DesignSelf-ManagementSelf ReportSingle-Blind MethodCOPDprimary careself-management support

Identifiers

PMID28698320
PMCPMC5734249

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.