Effectiveness of the Assessment of Burden of COPD (ABC) tool on health-related quality of life in patients with COPD: a cluster randomised controlled trial in primary and hospital care

Annerika H. M.  Slok; Daniel Kotz; Gerard van Breukelen; Niels H Chavannes; Maureen P M H Rutten-van Mölken; Huib A M Kerstjens; Thys van der Molen; Guus M Asijee; P N Richard Dekhuijzen; Sebastiaan Holverda; Philippe L Salomé; Lucas M A Goossens; Mascha Twellaar; Johannes C C M In 't Veen; Onno C.P. van Schayck

doi:10.1136/bmjopen-2016-011519

Effectiveness of the Assessment of Burden of COPD (ABC) tool on health-related quality of life in patients with COPD: a cluster randomised controlled trial in primary and hospital care

Annerika H. M. Slok^*
, Daniel Kotz
, Gerard van Breukelen
, Niels H Chavannes
, Maureen P M H Rutten-van Mölken
, Huib A M Kerstjens
, Thys van der Molen
, Guus M Asijee
, P N Richard Dekhuijzen
, Sebastiaan Holverda
, Philippe L Salomé
, Lucas M A Goossens
, Mascha Twellaar
, Johannes C C M In 't Veen
, Onno C.P. van Schayck

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

256 Downloads (Pure)

Abstract

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.

Original language	English
Article number	e011519
Number of pages	12
Journal	BMJ Open
Volume	6
Issue number	7
DOIs	https://doi.org/10.1136/bmjopen-2016-011519
Publication status	Published - 2016

Keywords

OBSTRUCTIVE PULMONARY-DISEASE
SHARED DECISION-MAKING
ASSESSMENT TEST CAT
GEORGES RESPIRATORY QUESTIONNAIRE
SELF-MANAGEMENT
CLINICAL-TRIALS
CHRONIC ILLNESS
BASE-LINE
MODEL
TIOTROPIUM

Access to Document

10.1136/bmjopen-2016-011519Licence: CC BY-NC

FulltextFinal published version, 2.04 MB

Cite this

Slok, A. H. M., Kotz, D., van Breukelen, G., Chavannes, N. H., Rutten-van Mölken, M. P. M. H., Kerstjens, H. A. M., van der Molen, T., Asijee, G. M., Dekhuijzen, P. N. R., Holverda, S., Salomé, P. L., Goossens, L. M. A., Twellaar, M., In 't Veen, J. C. C. M., & van Schayck, O. C. P. (2016). Effectiveness of the Assessment of Burden of COPD (ABC) tool on health-related quality of life in patients with COPD: a cluster randomised controlled trial in primary and hospital care. BMJ Open, 6(7), Article e011519. https://doi.org/10.1136/bmjopen-2016-011519

@article{2666d916a4c24ec6aef354a286a50889,

title = "Effectiveness of the Assessment of Burden of COPD (ABC) tool on health-related quality of life in patients with COPD: a cluster randomised controlled trial in primary and hospital care",

abstract = "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.",

keywords = "OBSTRUCTIVE PULMONARY-DISEASE, SHARED DECISION-MAKING, ASSESSMENT TEST CAT, GEORGES RESPIRATORY QUESTIONNAIRE, SELF-MANAGEMENT, CLINICAL-TRIALS, CHRONIC ILLNESS, BASE-LINE, MODEL, TIOTROPIUM",

author = "Slok, \{Annerika H. M.\} and Daniel Kotz and \{van Breukelen\}, Gerard and Chavannes, \{Niels H\} and \{Rutten-van M{\"o}lken\}, \{Maureen P M H\} and Kerstjens, \{Huib A M\} and \{van der Molen\}, Thys and Asijee, \{Guus M\} and Dekhuijzen, \{P N Richard\} and Sebastiaan Holverda and Salom{\'e}, \{Philippe L\} and Goossens, \{Lucas M A\} and Mascha Twellaar and \{In 't Veen\}, \{Johannes C C M\} and \{van Schayck\}, \{Onno C.P.\}",

note = "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/",

year = "2016",

doi = "10.1136/bmjopen-2016-011519",

language = "English",

volume = "6",

journal = "BMJ Open",

issn = "2044-6055",

publisher = "BMJ Publishing Group",

number = "7",

}

Slok, AHM, Kotz, D, van Breukelen, G, Chavannes, NH, Rutten-van Mölken, MPMH, Kerstjens, HAM, van der Molen, T, Asijee, GM, Dekhuijzen, PNR, Holverda, S, Salomé, PL, Goossens, LMA, Twellaar, M, In 't Veen, JCCM & van Schayck, OCP 2016, 'Effectiveness of the Assessment of Burden of COPD (ABC) tool on health-related quality of life in patients with COPD: a cluster randomised controlled trial in primary and hospital care', BMJ Open, vol. 6, no. 7, e011519. https://doi.org/10.1136/bmjopen-2016-011519

Effectiveness of the Assessment of Burden of COPD (ABC) tool on health-related quality of life in patients with COPD: a cluster randomised controlled trial in primary and hospital care. / Slok, Annerika H. M. ; Kotz, Daniel; van Breukelen, Gerard et al.
In: BMJ Open, Vol. 6, No. 7, e011519, 2016.

Research output: Contribution to journal › Article › Academic › peer-review

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 -

Effectiveness of the Assessment of Burden of COPD (ABC) tool on health-related quality of life in patients with COPD: a cluster randomised controlled trial in primary and hospital care

Abstract

Keywords

Access to Document

Fingerprint

Cite this