Written action plans in chronic obstructive pulmonary disease increase appropriate treatment for acute exacerbations
Open accessAbstract
Objective and background: COPD is a progressive disorder characterized by periodic exacerbations. While comprehensive self‐management programmes decrease health‐care resource utilization, the essential components are unclear. We performed a study of written action plans in the management of COPD. Methodology: A randomized, controlled, prospective parallel‐group study compared written action plans to usual practice. Subjects: Recruited from general practices, received an educational intervention with or without an action plan, which usually emphasized prompt treatment with antibiotics and corticosteroids. Subjects were followed up 3‐monthly for a year. Results: One hundred and thirty‐nine participants, mean FEV 1 45 ± 16% predicted, were recruited, 81% completing the study. Both groups had a decline in lung function and physical activity, but increase in quality of life over the study period. Exacerbations were common. The intervention group was significantly more likely to have treatment with antibiotics (χ 2 = 3.86; d.f. = 1; P = 0.05) or short course oral corticosteroids (χ 2 = 14.25; d.f. = 1; P < 0.001). No differences were found between the number of general practitioner consultations, attendances at emergency departments or hospitalizations. Conclusions: The use of a written action plan in COPD increased appropriate therapeutic interventions for exacerbations, but this effect was not associated with a decrease in the use of health‐care resources.
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Six studies reported on COPD-specific outcomes.
“Six studies reported on COPD-specific outcomes”
From Helping patients help themselves: A systematic review of self-management support strategies in primary health care practice (2019) · cites this paper as [65]
Twenty-four RCTs examined the impact of interventions on health-related quality of life (HRQOL).
“Twenty-four RCTs examined the impact of interventions on HRQOL”
From Helping patients help themselves: A systematic review of self-management support strategies in primary health care practice (2019) · cites this paper as [65]
No significant between-group differences were reported for physical activity in 4 RCTs.
“No significant between group differences were reported for physical activity in 4 RCTs”
From Helping patients help themselves: A systematic review of self-management support strategies in primary health care practice (2019) · cites this paper as [65]
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- Authors
- WOOD‐BAKER, R., McGLONE, S., VENN, A., & WALTERS, E. H.
- Affiliations
- University of Tasmania (AU)
- Venue
- Respirology
- Publisher
- Wiley
- Published
- 2006-08-03
- Volume
- 11
- Issue
- 5
- Pages
- 619-626
- ISSN
- 1323-7799 (ISSN-L)
- 1440-1843
- OpenAlex
- W2040782437
- Cited by
- 53
- References
- 4
- Citations by year
- 2025: 1 · 2023: 1 · 2021: 1 · 2020: 2 · 2019: 1 · 2018: 1 · 2017: 7 · 2016: 7 · 2015: 4 · 2014: 2 · 2013: 5 · 2012: 5
- FWCI
- 2.37
- Type
- journal article
- Language
- en
- Open access
- green
- figshare.com
- Locations
- Respirology (publishedVersion)
- PubMed (publishedVersion)
- UTAS Research Repository (acceptedVersion)
- eCite Digital Repository (University of Tasmania) (submittedVersion)
- ResearchOnline@ND (The University of Notre Dame) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cystic Fibrosis Research Advances
- Keywords
- chronic obstructive pulmonary disease, written action plans, acute exacerbation, self-management, antibiotic therapy, oral corticosteroids, healthcare resource utilization, quality of life, general practice
- MeSH terms
- Aged, Community Health Services, Female, Forced Expiratory Volume, Humans, Male, Middle Aged, Motor Activity, Quality of Life, Self Care, Pulmonary Disease, Chronic Obstructive
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