Evidence map›Paper›PMID 29899047›Full record

Trial reportBMJ (Clinical research ed.)2018

Self management of patients with mild COPD in primary care: randomised controlled trial.

Kate Jolly, Manbinder S Sidhu, Catherine A Hewitt, Peter A Coventry, Amanda Daley, Rachel Jordan, Carl Heneghan, Sally Singh, Natalie Ives, Peymane Adab and 6 more

2 registry-linked trialsAbstract readClinical Trial, Phase IIIMulticenter StudyPragmatic Clinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMJ (Clinical research ed.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 55 papers, 20 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 20 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.

NCT05151198 unknown statusnot on this mapstarted 2021, after this paper: background citation

A Smartphone-based Self-management Support Program for Patients With Chronic Obstructive Pulmonary Disease - A Needs Assessment Survey

TypeobservationalSponsorThe University of Hong KongRan2021 to 2022Enrolled50ConditionsChronic Obstructive Pulmonary Disease
NCT05192083 naunknown statusnot on this mapstarted 2022, after this paper: background citation

A Pilot Trial of a Smartphone-based Self-management Support Program for Patients With Chronic Obstructive Pulmonary Disease

TypeinterventionalSponsorThe University of Hong KongRan2022 to 2022Enrolled14ConditionsChronic Obstructive Pulmonary DiseaseArmsSelf-management and Support
3 · Its place in the literature

Who cites it

55 citing papers in PubMed, 20 syntheses or guidelines pooled it.

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  16. Promoting physical activity in primary care: a systematic review and meta-analysis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021
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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

16 authors.

Kate JollyInstitute of Applied Health Research, Murray Learning Centre, University of Birmingham, Birmingham, B15 2ER, UK.
Manbinder S SidhuDepartment of Health Sciences, University of Leicester, Leicester, UK.
Catherine A HewittBirmingham Clinical Trials Unit, University of Birmingham, Birmingham, UK.
Peter A CoventryDepartment of Health Sciences, University of York, York, UK.
Amanda DaleySchool of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK.
Rachel JordanInstitute of Applied Health Research, Murray Learning Centre, University of Birmingham, Birmingham, B15 2ER, UK.
Carl HeneghanNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Sally SinghCentre for Exercise and Rehabilitation Science, Biomedical Research Centre (Respiratory), University Hospitals of Leicester NHS Trust, Glenfield Hospital, Leicester UK.
Natalie IvesBirmingham Clinical Trials Unit, University of Birmingham, Birmingham, UK.
Peymane AdabInstitute of Applied Health Research, Murray Learning Centre, University of Birmingham, Birmingham, B15 2ER, UK.
Susan JowettInstitute of Applied Health Research, Murray Learning Centre, University of Birmingham, Birmingham, B15 2ER, UK.
Jinu VargheseSchool of Education Research, University of Birmingham, Birmingham, UK.
David NunanNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Khaled AhmedInstitute of Applied Health Research, Murray Learning Centre, University of Birmingham, Birmingham, B15 2ER, UK.
Lee DowsonRoyal Wolverhampton NHS Trust, New Cross Hospital, Wolverhampton, UK.
David FitzmauriceWarwick Primary Care, University of Warwick, Warwick, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the effectiveness of telephone health coaching delivered by a nurse to support self management in a primary care population with mild symptoms of chronic obstructive pulmonary disease (COPD).

designMulticentre randomised controlled trial.

setting71 general practices in four areas of England.

participants577 patients with Medical Research Council dyspnoea scale scores of 1 or 2, recruited from primary care COPD registers with spirometry confirmed diagnosis. Patients were randomised to telephone health coaching (n=289) or usual care (n=288).

interventionsTelephone health coaching intervention delivered by nurses, underpinned by Social Cognitive Theory. The coaching promoted accessing smoking cessation services, increasing physical activity, medication management, and action planning (4 sessions over 11 weeks; postal information at weeks 16 and 24). The nurses received two days of training. The usual care group received a leaflet about COPD.

main outcome measuresThe primary outcome was health related quality of life at 12 months using the short version of the St George's Respiratory Questionnaire (SGRQ-C).

resultsThe intervention was delivered with good fidelity: 86% of scheduled calls were delivered; 75% of patients received all four calls. 92% of patients were followed-up at six months and 89% at 12 months. There was no difference in SGRQ-C total score at 12 months (mean difference -1.3, 95% confidence interval -3.6 to 0.9, P=0.23). Compared with patients in the usual care group, at six months follow-up, the intervention group reported greater physical activity, more had received a care plan (44%

conclusionsA new telephone health coaching intervention to promote behaviour change in primary care patients with mild symptoms of dyspnoea did lead to changes in self management activities, but did not improve health related quality of life.

trial registrationCurrent controlled trials ISRCTN 06710391.

Indexed as

AgedCounselingFemaleHealth PromotionHumansMalePrimary Health CarePulmonary Disease, Chronic ObstructiveSelf-Management

Identifiers

PMID29899047
PMCPMC5998171

What OpenQuestion holds

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Registered trials

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.