Evidence map›Paper›PMID 36153030›Full record

Trial reportBMJ open2022

Feasibility of a pulmonary rehabilitation programme for patients with symptomatic chronic obstructive pulmonary disease in Georgia: a single-site, randomised controlled trial from the Breathe Well Group.

Mariam Maglakelidze, Ia Kurua, Nino Maglakelidze, Tamaz Maglakelidze, Ivane Chkhaidze, Ketevan Gogvadze, Natia Chkhaidze, Helen Beadle, Kelly Redden-Rowley, Peymane Adab and 19 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 35% of its field
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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
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

29 authors at 13 institutions in 8 countries.

Mariam MaglakelidzeGeorgian Respiratory Association, Tbilisi, Georgia.
Ia KuruaGeorgian Respiratory Association, Tbilisi, Georgia.
Nino MaglakelidzeGeorgian Respiratory Association, Tbilisi, Georgia.
Tamaz MaglakelidzeGeorgian Respiratory Association, Tbilisi, Georgia tmaglak@gmail.com.
Ivane ChkhaidzeGeorgian Respiratory Association, Tbilisi, Georgia.
Ketevan GogvadzeGeorgian Respiratory Association, Tbilisi, Georgia.
Natia ChkhaidzeM. Iashvili Children's Central Hospital, Tbilisi, Georgia.
Helen BeadleDepartment of Physiotherapy, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Kelly Redden-RowleyiCares Directorate, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK.
Peymane AdabInstitute of Applied Health Research, University of Birmingham College of Medical and Dental Sciences, Birmingham, UK.
Rachel AdamsInstitute of Applied Health Research, University of Birmingham College of Medical and Dental Sciences, Birmingham, UK.ORCID 0000-0002-1798-3854
Chunhua ChiDepartment of General Practice, Peking University First Hospital, Beijing, 100034, China.
K K ChengInstitute of Applied Health Research, University of Birmingham College of Medical and Dental Sciences, Birmingham, UK.
Brendan CooperLung Function & Sleep, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Jaime Correia-de-SousaLife and Health Sciences Research Institute, University of Minho, Braga, Portugal.
Andrew P DickensInstitute of Applied Health Research, University of Birmingham College of Medical and Dental Sciences, Birmingham, UK.ORCID 0000-0002-7591-8129
Alexandra EnocsonInstitute of Applied Health Research, University of Birmingham College of Medical and Dental Sciences, Birmingham, UK.
Amanda FarleyInstitute of Applied Health Research, University of Birmingham College of Medical and Dental Sciences, Birmingham, UK.
Nicola K GaleHealth Services Management Centre, University of Birmingham College of Arts and Law, Birmingham, UK.
Sue JowettInstitute of Applied Health Research, University of Birmingham College of Medical and Dental Sciences, Birmingham, UK.
Sonia MartinsFamily Medicine, ABC Medical School, São Paulo, Brazil.
Kiran RaiInstitute of Applied Health Research, University of Birmingham College of Medical and Dental Sciences, Birmingham, UK.
Alice J SitchInstitute of Applied Health Research, University of Birmingham College of Medical and Dental Sciences, Birmingham, UK.
Katarina StavrikjCentre for Family Medicine, Medical Faculty, Skopje, North Macedonia.
Rafael StelmachFaculty of Medicine, University of São Paulo, São Paulo, Brazil.
Alice M TurnerInstitute of Applied Health Research, University of Birmingham College of Medical and Dental Sciences, Birmingham, UK.
Sian WilliamsInternational Primary Care Respiratory Group, Edinburgh, Scotland.
Rachel E JordanInstitute of Applied Health Research, University of Birmingham College of Medical and Dental Sciences, Birmingham, UK.
Kate JollyInstitute of Applied Health Research, University of Birmingham College of Medical and Dental Sciences, Birmingham, UK.
University of Birmingham · GBUniversity Hospitals Birmingham NHS Foundation Trust · GBCare International · CHBirmingham City University · GBCentral State Hospital · USFaculdade de Medicina do ABC · BRObservational & Pragmatic Research Institute · SGPeking University · CNPetre Shotadze Tbilisi Medical Academy · GESandwell & West Birmingham Hospitals NHS Trust · GBTbilisi State Medical University · GETbilisi State University · GEUniversidade de São Paulo · BR

Funding

Department of Health
6 · The paper itself

Abstract

objectivesTo assess the feasibility of delivering a culturally tailored pulmonary rehabilitation (PR) programme and conducting a definitive randomised controlled trial (RCT).

designA two-arm, randomised feasibility trial with a mixed-methods process evaluation.

settingSecondary care setting in Georgia, Europe.

participantsPeople with symptomatic spirometry-confirmed chronic obstructive pulmonary disease recruited from primary and secondary care.

interventionsParticipants were randomised in a 1:1 ratio to a control group or intervention comprising 16 twice-weekly group PR sessions tailored to the Georgian setting. PRIMARY AND SECONDARY OUTCOME MEASURES: Feasibility of the intervention

resultsThe study recruited 60 participants (as planned): 54 (90%) were male, 10 (17%) had a forced expiratory volume in 1 second of ≤50% predicted. The mean MRC Dyspnoea Score was 3.3 (SD 0.5), and mean St George's Respiratory Questionnaire (SGRQ) 50.9 (SD 17.6). The rehabilitation specialists delivered the PR with fidelity. Thirteen (43.0%) participants attended at least 75% of the 16 planned sessions. Participants and rehabilitation specialists in the qualitative interviews reported that the programme was acceptable, but dropout rates were high in participants who lived outside Tbilisi and had to travel large distances. Outcome data were collected on 63.3% participants at 8 weeks and 88.0% participants at 6 months. Mean change in SGRQ total was -24.9 (95% CI -40.3 to -9.6) at programme end and -4.4 (95% CI -12.3 to 3.4) at 6 months follow-up for the intervention group and -0.5 (95% CI -8.1 to 7.0) and -8.1 (95% CI -16.5 to 0.3) for the usual care group at programme end and 6 months, respectively.

conclusionsIt was feasible to deliver the tailored PR intervention. Approaches to improve uptake and adherence warrant further research. TRIAL REGISTRATION NUMBER: ISRCTN16184185.

Indexed as

Pulmonary Disease, Chronic ObstructiveDyspneaFeasibility StudiesFemaleForced Expiratory VolumeGeorgia (Republic)HumansMaleQuality of Lifechronic airways diseaseclinical trialsgeneral medicine (see internal medicine)internal medicinerehabilitation medicinethoracic medicine

Identifiers

PMID36153030
PMCPMC9511586
OpenAlexW4297257829

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.