Julia Billington|Samantha Coster|Trevor Murrells|Ian Norman
Evaluation of a Nurse-Led Educational Telephone Intervention to Support Self-Management of Patients With Chronic Obstructive Pulmonary Disease: A Randomized Feasibility Study
King's College London|King's College London|King's College London
randomized two armed feasibility study uk general practice surgery investigated feasibility introducing nurseled educational telephone intervention patients chronic obstructive pulmonary disease copd reinforce understanding use selfmanagement plan methods 73 patients randomly allocated control group received standard care including selfmanagement plan intervention group received addition two scheduled telephone calls six weeks practice nurse calls tailored needs patient provided education use plan manage exacerbations use health services emergency medication primary endpoint tested impact symptoms assessed copd assessment tool cat baseline 12 weeks secondary endpoints selfreported exacerbations emergency visits service satisfaction results followup cat data available 69 73 randomized patients cat scores intervention group decreased significantly showing improvement time 1 2 time 1 1556 vs 1244 time 2 mean difference 312 ci 152 472 p 005 significant change control group significant difference cat scores intervention control groups found time 2 adjusting baseline cat scores time 1 238 440 036 p 005 significant change found exacerbations groups time 2 satisfaction ratings vary significantly intervention control groups time conclusion nurseled telephone intervention feasible primary care may help improve patients health wellbeing