TY - JOUR
T1 - Effectiveness of the Assessment of Burden of COPD (ABC) tool on health-related quality of life in patients with COPD
T2 - a cluster randomised controlled trial in primary and hospital care
AU - Slok, Annerika H. M.
AU - Kotz, Daniel
AU - van Breukelen, Gerard
AU - Chavannes, Niels H
AU - Rutten-van Mölken, Maureen P M H
AU - Kerstjens, Huib A M
AU - van der Molen, Thys
AU - Asijee, Guus M
AU - Dekhuijzen, P N Richard
AU - Holverda, Sebastiaan
AU - Salomé, Philippe L
AU - Goossens, Lucas M A
AU - Twellaar, Mascha
AU - In 't Veen, Johannes C C M
AU - van Schayck, Onno C.P.
N1 - Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/
PY - 2016
Y1 - 2016
N2 - OBJECTIVE: Assessing the effectiveness of the Assessment of Burden of COPD (ABC) tool on disease-specific quality of life in patients with chronic obstructive pulmonary disease (COPD) measured with the St. George's Respiratory Questionnaire (SGRQ), compared with usual care.METHODS: A pragmatic cluster randomised controlled trial, in 39 Dutch primary care practices and 17 hospitals, with 357 patients with COPD (postbronchodilator FEV1/FVC ratio <0.7) aged ≥40 years, who could understand and read the Dutch language. Healthcare providers were randomly assigned to the intervention or control group. The intervention group applied the ABC tool, which consists of a short validated questionnaire assessing the experienced burden of COPD, objective COPD parameter (eg, lung function) and a treatment algorithm including a visual display and treatment advice. The control group provided usual care. Researchers were blinded to group allocation during analyses. Primary outcome was the number of patients with a clinically relevant improvement in SGRQ score between baseline and 18-month follow-up. Secondary outcomes were the COPD Assessment Test (CAT) and the Patient Assessment of Chronic Illness Care (PACIC; a measurement of perceived quality of care).RESULTS: At 18-month follow-up, 34% of the 146 patients from 27 healthcare providers in the intervention group showed a clinically relevant improvement in the SGRQ, compared with 22% of the 148 patients from 29 healthcare providers in the control group (OR 1.85, 95% CI 1.08 to 3.16). No difference was found on the CAT (-0.26 points (scores ranging from 0 to 40); 95% CI -1.52 to 0.99). The PACIC showed a higher improvement in the intervention group (0.32 points (scores ranging from 1 to 5); 95% CI 0.14 to 0.50).CONCLUSIONS: This study showed that use of the ABC tool may increase quality of life and perceived quality of care.TRIAL REGISTRATION NUMBER: NTR3788; Results.
AB - OBJECTIVE: Assessing the effectiveness of the Assessment of Burden of COPD (ABC) tool on disease-specific quality of life in patients with chronic obstructive pulmonary disease (COPD) measured with the St. George's Respiratory Questionnaire (SGRQ), compared with usual care.METHODS: A pragmatic cluster randomised controlled trial, in 39 Dutch primary care practices and 17 hospitals, with 357 patients with COPD (postbronchodilator FEV1/FVC ratio <0.7) aged ≥40 years, who could understand and read the Dutch language. Healthcare providers were randomly assigned to the intervention or control group. The intervention group applied the ABC tool, which consists of a short validated questionnaire assessing the experienced burden of COPD, objective COPD parameter (eg, lung function) and a treatment algorithm including a visual display and treatment advice. The control group provided usual care. Researchers were blinded to group allocation during analyses. Primary outcome was the number of patients with a clinically relevant improvement in SGRQ score between baseline and 18-month follow-up. Secondary outcomes were the COPD Assessment Test (CAT) and the Patient Assessment of Chronic Illness Care (PACIC; a measurement of perceived quality of care).RESULTS: At 18-month follow-up, 34% of the 146 patients from 27 healthcare providers in the intervention group showed a clinically relevant improvement in the SGRQ, compared with 22% of the 148 patients from 29 healthcare providers in the control group (OR 1.85, 95% CI 1.08 to 3.16). No difference was found on the CAT (-0.26 points (scores ranging from 0 to 40); 95% CI -1.52 to 0.99). The PACIC showed a higher improvement in the intervention group (0.32 points (scores ranging from 1 to 5); 95% CI 0.14 to 0.50).CONCLUSIONS: This study showed that use of the ABC tool may increase quality of life and perceived quality of care.TRIAL REGISTRATION NUMBER: NTR3788; Results.
KW - OBSTRUCTIVE PULMONARY-DISEASE
KW - SHARED DECISION-MAKING
KW - ASSESSMENT TEST CAT
KW - GEORGES RESPIRATORY QUESTIONNAIRE
KW - SELF-MANAGEMENT
KW - CLINICAL-TRIALS
KW - CHRONIC ILLNESS
KW - BASE-LINE
KW - MODEL
KW - TIOTROPIUM
U2 - 10.1136/bmjopen-2016-011519
DO - 10.1136/bmjopen-2016-011519
M3 - Article
C2 - 27401361
SN - 2044-6055
VL - 6
JO - BMJ Open
JF - BMJ Open
IS - 7
M1 - e011519
ER -