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Table 7 Characteristics of trials evaluating IDM programmes in primary care or home-based setting

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

 

RECODE

Rea 2004

Boxall 2005

Fernandez 2009

Wetering 2010

Gottlieb 2011

Recruitment

P

P + S

P + S

S

S

P

Pilot study

+

-

-

-

-

-

Population

GOLD stage 1-4

GOLD stage 1-4

GOLD 4

GOLD 4

GOLD 2-3

GOLD 2

Intervention

Multidisciplinary team training, designing practice and patient relevant treatment plans including education, smoking cessation, physiotherapeutic reactivation, dietary intervention (24 mo)

Exacerbation action plan, structured follow-up by nurse, GP. Education about smoking cessation, medication (12 mo)

Home rehabilitation programma (12 wks), under supervision of physiotherapist. Educational sessions for patients and carers, including structured follow up by physiotherapists, nurses, occupational therapy

Home-rehabilitation programme (11 mo) under supervision of physiotherapist. Three education sessions

Intensive exercise programme (4mo), individualized education programme, smoking cessation, dietary intervention (if needed). 20mo maintenance phase, exercise at home (under supervision).

Intensive exercise and educational programme (7wks) led by multidisciplinary team. Smoking cessation counseling.

Included HCP

3-5

3

3

2

3

?

Randomization

Clustered

Clustered

Individual

Individual

Individual

Individual

Blinding outcome

assessor

+

-

-

-

+

-

Stratification/matching

+

-

-

-

-

-

Powercalculation based on

MRC score >2

Hospital days

6MWD

Not mentioned

SGRQ

Not mentioned

Cost-effectiveness analysis

+

-

-

-

+

-

Included patients

1086

135

60

50

199

61

Follow-up (months)

24

12

3

12

24

18