Umeå University's logo

umu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Web-based support for self-management strategies versus usual care for people with COPD in primary healthcare: a protocol for a randomised, 12-month, parallel-group pragmatic trial
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Section of Physiotherapy.
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Section of Physiotherapy.ORCID iD: 0000-0003-2782-7959
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Section of Physiotherapy.ORCID iD: 0000-0001-9688-8101
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Section of Physiotherapy.
2019 (English)In: BMJ Open, E-ISSN 2044-6055, Vol. 9, no 10, article id e030788Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: The use of adequate self-management strategies for people with chronic obstructive pulmonary disease (COPD) may increase the level of physical activity (PA), improve health-related quality of life (HRQoL) and reduce healthcare use. Whether web-based support in addition to prompts (email and SMS) could be used to promote self-management strategies to facilitate behaviour change in people with COPD is not clear. This clinical trial aims to generate evidence on the effect of a web-based solution, the COPD Web, in a cohort of people with COPD in a primary healthcare context.

METHODS AND ANALYSIS: The overall design is a pragmatic randomised controlled trial with preassessments and postassessments (3 and 12 months) and an implementation and user experience evaluation. People with a diagnosis of COPD, treated in primary healthcare will be eligible for the study. A total of 144 participants will be enrolled by healthcare professionals at included primary healthcare units and, after fulfilled baseline assessments, randomised to either control or intervention group. All participants will receive usual care, a pedometer and a leaflet about the importance of PA. Participants in the intervention will, in addition, get access to the COPD Web, an interactive self-managed website that aims to support people with COPD in self-management strategies. They will also continuously get support from prompts with a focus on behaviour change.The effect on participants' PA, dyspnoea, COPD-related symptoms, HRQoL and health economics will be assessed using accelerometer and questionnaires. To identify enablers and barriers for the use of web-based support to change behaviour, semistructured interviews will be conducted in a subgroup of participants at the 3 months follow-up.

ETHICS AND DISSEMINATION: Ethical approval has been received from the Regional Ethical Review Board in Umeå, Sweden. Dnr 2018-274-31. Findings will be presented at conferences, submitted for publication in peer-reviewed journals and presented to the involved healthcare professionals, participants and patient organisations.

TRIAL REGISTRATION NUMBER: NCT03746873.

Place, publisher, year, edition, pages
2019. Vol. 9, no 10, article id e030788
Keywords [en]
eHealth, primary care, pulmonary disease, chronic obstructive, self-management strategies
National Category
Physiotherapy
Research subject
Lung Medicine; physiotherapy
Identifiers
URN: urn:nbn:se:umu:diva-164831DOI: 10.1136/bmjopen-2019-030788ISI: 000512882200164PubMedID: 31594889Scopus ID: 2-s2.0-85073059897OAI: oai:DiVA.org:umu-164831DiVA, id: diva2:1367464
Funder
Swedish Research Council, 521-2013-3503Available from: 2019-11-04 Created: 2019-11-04 Last updated: 2025-02-11Bibliographically approved

Open Access in DiVA

fulltext(452 kB)302 downloads
File information
File name FULLTEXT01.pdfFile size 452 kBChecksum SHA-512
d87ffb04519452e4ef4e5540ca7d679595f5ef2b4fc54b4c3ea643a2d892315d15094d57d6db21e0e5cecd4162253fd40194c7a7145cea9f399f06d7aaaab04e
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMedScopus

Authority records

Stenlund, TobiasNyberg, AndreLundell, SaraWadell, Karin

Search in DiVA

By author/editor
Stenlund, TobiasNyberg, AndreLundell, SaraWadell, Karin
By organisation
Section of Physiotherapy
In the same journal
BMJ Open
Physiotherapy

Search outside of DiVA

GoogleGoogle Scholar
Total: 303 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 505 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf