To test the effects of a short psychological intwervention on quality of life, exercise capacity, self-management and health care utilisation.
ID
Source
Brief title
Condition
- Bronchial disorders (excl neoplasms)
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Quality of life, dyspnea domain (CRQ)
Secondary outcome
Levels of anxiety and depression, the other CRQ-domains (fatigue, mastery,
emotional function), change in illness perception, exercise capacity (step
counter) and healthcare use.
Mediating effects, i.e. to see whether improvements in perceived control
(Mastery), illness cognitions (IPQ) and self-management tasks are associated
with a better outcome on QoL in both groups.
Background summary
COPD-exacerbations have a large impact on exercise tiolerance, quality of life
and health care utilisation and may lead to higher levels of anxiety and
depression. Moreover, anxiety is a strong predictor of future hospitalisations.
Pulmonary rehabilitation is an established treatment modality for COPD with
beneficial effects on exercise capacity, quality of life end even radmissions.
The main targets of a rehabilitation program are improvements in exercise
capacity and self management skills and a program contains both physical and
psycho-educational components. The effect of exercise training (ebdurance- or
strength training) is now beyond discussion. The effects of psychological
interventions, however, are less clear. physical
Study objective
To test the effects of a short psychological intwervention on quality of life,
exercise capacity, self-management and health care utilisation.
Study design
Prospective, randomised, controlled 2-center study. Duration follow-up 6
months.
Intervention
Psychological intervention, aiming at improving problem-solving capability.
Study burden and risks
The intervention group has 6 psychotherapy sessions of 1 hour. Both groups have
to fill out questionnaires (5 times) and a diary (whole period), wear a step
counter (3 times) and do blood tests (2 times) during the entire study period
of 6 months.
Postbus 30001
9700 RB Groningen
NL
Postbus 30001
9700 RB Groningen
NL
Listed location countries
Age
Inclusion criteria
COPD, GOLD class 2-4.
age 40-80 y
Patientes who are hospitalized with an exacerbation or visit the outpatient clinic of the hospital
Exclusion criteria
1. comorbidity such as malignancies causing a life expectancy shorter than 1 year.
2. inability to fill out questionnaires or perform exercise tests
3. inability to undergo psychotherapy
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL16440.042.07 |