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Trial registered on ANZCTR
Registration number
ACTRN12605000006640
Ethics application status
Approved
Date submitted
7/07/2005
Date registered
13/07/2005
Date last updated
15/06/2012
Type of registration
Prospectively registered
Titles & IDs
Public title
Pathways Home: Chronic Disease Management Partnerships
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Scientific title
The effect of a self-management programme supported by computerised symptom feedback on quality of life in community dwelling people with Chronic Obstructive Pulmonary Disease
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Secondary ID [1]
280680
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Pathways Home 1
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Chronic Obstructive Pulmonary Disease
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Condition category
Condition code
Respiratory
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Chronic obstructive pulmonary disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Patients will be recruited at the Royal Hobart Hospital with an acute exacerbation of Chronic Obstructive Pulmonary Disease (COPD). Following discharge, active participants will be provided with a Community Health Nurse mentor who will act to facilitate their self-efficacy over the 1-year duration of the study. Information Technology systems will be developed to enable participants to closely monitor their disease using their newly developed skills of self-efficacy to respond appropriately.
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Intervention code [1]
2
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None
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Comparator / control treatment
The comparison group will receive usual treatment for COPD, including follow-up by GP or respiratory specialist.
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Control group
Active
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Outcomes
Primary outcome [1]
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Health Related Quality of Life
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Assessment method [1]
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Timepoint [1]
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Baseline, 3, 6, 9 & 12 months
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Secondary outcome [1]
250
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Self-efficacy
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Assessment method [1]
250
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Timepoint [1]
250
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Baseline, 3, 6, 9 & 12 months
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Secondary outcome [2]
251
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Daily physical activity
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Assessment method [2]
251
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Timepoint [2]
251
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Baseline, 3, 6, 9 & 12 months
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Secondary outcome [3]
252
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Symptom scores
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Assessment method [3]
252
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Timepoint [3]
252
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Baseline, 3, 6, 9 & 12 months
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Secondary outcome [4]
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Healthcare resource utilisation
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Assessment method [4]
253
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Timepoint [4]
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12 months
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Eligibility
Key inclusion criteria
Lives in catchment area;Formal diagnosis of COPD following the COPDX guidelines, including spirometry;Has had one exacerbation of COPD in the last 12 months, including current if applicable;Passes a cognitive assessment, has ability to fill in questionnaires and understand IT. Mini Mental score >21 for client and for those carers responsible for IT;Able to provide informed consent; Home environment has the capacity to cope with IT;Has telephone.
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Minimum age
45
Years
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Maximum age
Not stated
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Diagnosis of other active lung disease; Undergoing palliative care.
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
No allocation concealment
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
By domicile
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/08/2005
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
200
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
116
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Government body
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Name [1]
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Commonwealth Department of Health and Ageing
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Address [1]
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Not known
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Country [1]
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Australia
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Primary sponsor type
Government body
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Name
Tasmanian Department of Health and Human Services
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Address
34 Murray Street, Hobart, 7000
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Country
Australia
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Secondary sponsor category [1]
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University
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Name [1]
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School of Medicine, School of Nursing, School of Information Systems (University of Tasmania)
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Address [1]
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Private Bag, Hobart, 7001
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Country [1]
85
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
287454
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Human Research Ethics Committee (Tasmania) Network
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Ethics committee address [1]
287454
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Research Services, University of Tasmania, Private Bag 1, Hobart, Tasmania, 7001
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Ethics committee country [1]
287454
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Australia
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Date submitted for ethics approval [1]
287454
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Approval date [1]
287454
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Ethics approval number [1]
287454
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H8370
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Summary
Brief summary
We investigated the effect of a programme to increase self-management behaviours delivered by community health nurses, compared to usual care, on health-related quality of life and healthcare utilisation in people with COPD following hospitalisation. Participants were recruited during an admission to hospital and allocated according to domicile. The mentor role was to collaboratively develop self-management strategies over the 12-month study duration. Outcomes included quality of life and healthcare utilisation. Linear mixed models analyses found a significant benefit in the Physical Functioning and General Health components of the SF-36 questionnaire for the mentored arm, the average difference between interventions being 5.60 and 4.14 respectively over 12 months. Survival analysis using a combined end-point of time to next acute exacerbation requiring rehospitalisation or death found a significant benefit favouring the mentored group (p = 0.037).
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Trial website
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Trial related presentations / publications
E Cummings, A Robinson, H Courtney-Pratt, H Cameron-Tucker, R Wood-Baker, E Walters, P Turner Pathways Home: Comparing Voluntary IT and Non-IT Users Participating in a Mentored Self-Management Project Stud Health Technol Inform. 2010;160:23-7 K Willis, A Robinson, R Wood-Baker, E Walters, P Turner Participating in Research: Exploring Participation and Engagement in a Study of Self-Management for People With Chronic Obstructive Pulmonary Disease Qualitative Health Research 2011; 21(9): 1283-1294
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Public notes
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Contacts
Principal investigator
Name
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Address
35893
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Country
35893
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Phone
35893
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Fax
35893
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Email
35893
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Contact person for public queries
Name
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Richard Wood-Baker
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Address
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Discipline of Medicine University of Tasmania Private Bag 34 Hobart TAS 7001
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Country
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Australia
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Phone
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+61 3 6222 7353
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Fax
9191
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+61 3 6222 7579
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Richard Wood-Baker
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Address
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Discipline of Medicine
University of Tasmania
Private Bag 34
Hobart TAS 7001
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Country
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Australia
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Phone
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+61 3 6222 7353
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Fax
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+61 3 6222 7579
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Dimensions AI
Clinical diaries in COPD: compliance and utility in predicting acute exacerbations
2012
https://doi.org/10.2147/copd.s32222
N.B. These documents automatically identified may not have been verified by the study sponsor.
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