Using a Taxonomy to Systematically Identify and Describe Self-Management Interventions Components in Randomized Trials for COPD
Heijmans, Monique (Netherlands Institute for Health Services Research (NIVEL))
Poortvliet, Rune (Netherlands Institute for Health Services Research (NIVEL))
Van der Gaag, Marieke (Netherlands Institute for Health Services Research (NIVEL))
González González, Ana Isabel (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)
Beltran Puerta, Jessica (Institut d'Investigació Biomèdica Sant Pau)
Canelo Aybar, Carlos Gilberto (Institut d'Investigació Biomèdica Sant Pau)
Valli, Claudia (Institut d'Investigació Biomèdica Sant Pau)
Ballester, Marta (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)
León-García, Montserrat (Institut d'Investigació Biomèdica Sant Pau)
Salas-Gama, Karla (Institut d'Investigació Biomèdica Sant Pau)
Kaloteraki, Chrysoula (Institut d'Investigació Biomèdica Sant Pau)
Santero, Marilina (Institut d'Investigació Biomèdica Sant Pau)
Niño de Guzmán, Ena Pery (Institut d'Investigació Biomèdica Sant Pau)
Spoiala, Cristina (Netherlands Institute for Health Services Research (NIVEL))
Gurung, Pema (Netherlands Institute for Health Services Research (NIVEL))
Moaddine, Saida (Netherlands Institute for Health Services Research (NIVEL))
Willemen, Fabienne (Netherlands Institute for Health Services Research (NIVEL))
Cools, Iza (Netherlands Institute for Health Services Research (NIVEL))
Bleeker, Julia (Netherlands Institute for Health Services Research (NIVEL))
Kancheva, Angelina (Netherlands Institute for Health Services Research (NIVEL))
Ertl, Julia (Netherlands Institute for Health Services Research (NIVEL))
Laure, Tajda (Netherlands Institute for Health Services Research (NIVEL))
Kancheva, Ivana (Netherlands Institute for Health Services Research (NIVEL))
Pacheco-Barrios, Kevin (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)
Zafra-Tanaka, Jessica (Universitat Autònoma de Barcelona. Facultat de Medicina)
Mavridis, Dimitris (University of Ioannina. Department of Primary Education)
Angeliki Veroniki, Areti (University of Toronto, Torontoa)
Zevgiti, Stella (University of Ioannina. Department of Primary Education)
Seitidis, Georgios (University of Ioannina. Department of Primary Education)
Alonso-Coello, Pablo (Institut d'Investigació Biomèdica Sant Pau)
Groene, Oliver (OptiMedis (Hamburg, Alemanya))
Suñol Sala, Rosa (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)
Orrego, Carola (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)

Data:	2022
Resum:	Self-management interventions (SMIs) may improve outcomes in Chronic Obstructive Pulmonary Disease (COPD). However, accurate comparisons of their relative effectiveness are challenging, partly due to a lack of clarity and detail regarding the intervention content being evaluated. This study systematically describes intervention components and characteristics in randomized controlled trials (RCTs) related to COPD self-management using the COMPAR-EU taxonomy as a framework, identifying components that are insufficiently incorporated into the design of the intervention or insufficiently reported. Overall, 235 RCTs published between 2010 and 2018, from a systematic review were coded using the taxonomy, which includes 132 components across four domains: intervention characteristics, expected patient (or caregiver) self-management behaviours, patient relevant outcomes, and target population characteristics. Risk of bias was also assessed. Interventions mainly focused on physical activity (67. 4%), and condition-specific behaviours like breathing exercise (63. 5%), self-monitoring (50. 8%), and medication use (33. 9%). Support techniques like education and skills-training, self-monitoring, and goal setting (over 35% of the RCTs) were mostly used for this. Emotional-based techniques, problem-solving, and shared decision-making were less frequently reported (less than 15% of the studies). Numerous SMIs components were insufficiently incorporated into the design of COPD SMIs or insufficiently reported. Characteristics like mode of delivery, intensity, location, and providers involved were often not described. Only 8% of the interventions were tailored to the target population's characteristics. Outcomes that are considered important by patients were hardly taken into account. There is still a lot to improve in both the design and description of SMIs for COPD. Using a framework such as the COMPAR-EU SMI taxonomy may contribute to better reporting and to better informing of replication efforts. In addition, prospective use of the taxonomy for developing and reporting intervention content would further aid in building a cumulative science of effective SMIs in COPD.
Ajuts:	European Commission. Horizon 2020 754936
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	COPD ; Self-management ; Complex interventions ; Taxonomy ; Quality improvement ; Intervention content
Publicat a:	International journal of environmental research and public health, Vol. 19 (october 2022) , ISSN 1660-4601

DOI: 10.3390/ijerph191912685
PMID: 36231985

24 p, 1.4 MB

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Documents de recerca > Documents dels grups de recerca de la UAB > Centres i grups de recerca (producció científica) > Ciències de la salut i biociències > Institut Universitari Avedis Donabedian-UAB
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