Well Being and Rehabilitation in Chronically Ill Patients: Structured Patient Education and Physical Exercise
This study addresses self management and maintenance of health through evaluation of a program of patient education in combination with physical training and with a structured follow-up.
It is hypothesized that such a program will:
- improve quality of life, physical functioning, coping in everyday-life
- reduce hospitalization and (re-)admissions for patients with chronic disease, reduce consumption of home care services and can increase consumption of general practice and physiotherapy services in primary health care.
- improve patient satisfaction and health care providers satisfaction
|Chronic Obstructive Pulmonary Disease Heart Failure Stroke||Behavioral: Self management education programme Behavioral: exercise only|
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: No masking
Primary Purpose: Supportive Care
|Official Title:||Structured Patient Education in Combination With Physical Exercise as Part of the Integrated Care to Chronically Ill Patients With Chronic Obstructive Pulmonary Disease, Heart Failure and Stroke. A Randomized Controlled Intervention Trial.|
- Health related quality of life [ Time Frame: One year ]
- Sustainability of the physiological effects of muscular training (6 Minutes Walk) [ Time Frame: One year ]
|Actual Study Start Date:||September 2009|
|Study Completion Date:||April 2013|
|Primary Completion Date:||November 2011 (Final data collection date for primary outcome measure)|
Experimental: exercise and education
Supervised physical exercise in groups, plus a self management education programme (patient education).
Behavioral: Self management education programme
The structured patient educational self - management programme consists of 6 weekly sessions à 2 hours. The educational programme will take place prior to one of the two weekly training sessions.
After the initial period of 8 weeks participants are encouraged to practicing self- management on their own for a period of 9 months. They receive,in addition to standard follow - up, an offer of extra follow - up consisting of regular contact with their group supervisors in primary health care. During the last month of the intervention year educational self - management will be offered twice and focus on themes that the participants wish to refresh.
Active Comparator: exercise only
Supervised physical exercise in groups.
Behavioral: exercise only
6 week waiting list, followed by two weekly training sessions. After the initial period of 8 weeks participants are encouraged to practicing self- management on their own for a period of 9 months. They receive,in addition to standard follow - up, an offer of extra follow - up consisting of regular contact with their group supervisors in primary health care.
Patients with chronically, long-lasting illness, have complex needs for treatment and care, which none of the service providers can fulfill on their own. Both patients and their relatives are in danger of experiencing severe lack of quality. Integrated care path programs are increasingly put into use. There is insufficient research-based documentation of the effect of such care paths.
The available documentation of different integrated care paths emphasizes early mobilization and discharge, rehabilitation in familiar surroundings, more effective communication and exchange of competence between the different service providers and educational self-management for patients as main elements in order to expect effect.
There are no studies that evaluate the effect of quality of life, functional skills and personal coping if group-based educational self management is combined with physical exercise and patients with different chronically illnesses participate in the same group.
Please refer to this study by its ClinicalTrials.gov identifier: NCT00989456
|Sunndal, Møre og Romsdal county, Norway, 6600|
|Surnadal, Møre og Romsdal County, Norway, 6650|
|Klaebu, Sør - Trøndelag, Norway, 7540|
|Trondheim, Sør Trøndelag County, Norway, 7000|
|Hitra, Sør-Trøndelag County, Norway, 7240|
|Study Director:||Helge Garåsen||Norwegian University of Science and Technology|