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Table 1 Components of IDM included in the RECODE course for multidisciplinary teams in primary care

From: RECODE: Design and baseline results of a cluster randomized trial on cost-effectiveness of integrated COPD management in primary care

DM interventions


Optimal medication adherence

Tailoring of advices from international guidelines, e.g. frequent exacerbations necessitate inhaled corticosteroids; daily respiratory complaints necessitate long-acting bronchodilators

Proper diagnosis

Performing and interpreting spirometry, assessment of disease burden using MRC and CCQ

Motivational interviewing

Understanding and making use of patients’ personal goal in physical reactivation and lifestyle changes

Smoking cessation counselling

Review of the recent literature, discussion of bottlenecks, applying behavioural techniques and drug therapy for smoking cessation

Applying self-management plans

Teaching self-management techniques, including early recognition and treatment of exacerbations

Guideline based physiotherapeutic reactivation

Using a patients’ personal goal, referral for physiotherapeutic reactivation in patients with MRC score >2.

Dietary interventions

Early recognition and treatment of nutritionally depleted patients