A randomised controlled trial testing a web-based, computer-tailored self-management intervention for people with or at risk for chronic obstructive pulmonary disease: a study protocol.

Viola Voncken-Brewster, Huibert Tange, Hein de Vries, Zsolt Nagykaldi, Bjorn Winkens, Trudy van der Weijden
Author Information
  1. Viola Voncken-Brewster: School for Public Health and Primary Care (CAPHRI), Department of General Practice, Maastricht University Medical Centre, PO Box 616, 6200MD, Maastricht, Netherlands. viola.voncken@maastrichtuniversity.nl

Abstract

BACKGROUND: Chronic Obstructive Pulmonary Disease (COPD) is a major cause of morbidity and mortality. Effective self-management support interventions are needed to improve the health and functional status of people with COPD or at risk for COPD. Computer-tailored technology could be an effective way to provide this support.
METHODS/DESIGN: This paper presents the protocol of a randomised controlled trial testing the effectiveness of a web-based, computer-tailored self-management intervention to change health behaviours of people with or at risk for COPD. An intervention group will be compared to a usual care control group, in which the intervention group will receive a web-based, computer-tailored self-management intervention. Participants will be recruited from an online panel and through general practices. Outcomes will be measured at baseline and at 6 months. The primary outcomes will be smoking behaviour, measuring the 7-day point prevalence abstinence and physical activity, measured in minutes. Secondary outcomes will include dyspnoea score, quality of life, stages of change, intention to change behaviour and alternative smoking behaviour measures, including current smoking behaviour, 24-hour point prevalence abstinence, prolonged abstinence, continued abstinence and number of quit attempts.
DISCUSSION: To the best of our knowledge, this will be the first randomised controlled trial to test the effectiveness of a web-based, computer-tailored self-management intervention for people with or at risk for COPD. The results will be important to explore the possible benefits of computer-tailored interventions for the self-management of people with or at risk for COPD and potentially other chronic health conditions.
DUTCH TRIAL REGISTER: NTR3421.

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MeSH Term

Adult
Aged
Female
Humans
Internet
Male
Middle Aged
Pulmonary Disease, Chronic Obstructive
Self Care

Word Cloud

Created with Highcharts 10.0.0willCOPDself-managementinterventionpeopleriskcomputer-tailoredweb-basedbehaviourabstinencehealthrandomisedcontrolledtrialchangegroupsmokingsupportinterventionsprotocoltestingeffectivenessmeasuredoutcomespointprevalencechronicBACKGROUND:ChronicObstructivePulmonaryDiseasemajorcausemorbiditymortalityEffectiveneededimprovefunctionalstatusComputer-tailoredtechnologyeffectivewayprovideMETHODS/DESIGN:paperpresentsbehaviourscomparedusualcarecontrolreceiveParticipantsrecruitedonlinepanelgeneralpracticesOutcomesbaseline6monthsprimarymeasuring7-dayphysicalactivityminutesSecondaryincludedyspnoeascorequalitylifestagesintentionalternativemeasuresincludingcurrent24-hourprolongedcontinuednumberquitattemptsDISCUSSION:bestknowledgefirsttestresultsimportantexplorepossiblebenefitspotentiallyconditionsDUTCHTRIALREGISTER:NTR3421obstructivepulmonarydisease:study

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