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COPD Action Plan

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1. Effectiveness-implementation of COPD case finding and self-management action plans in low- and middle-income countries: global excellence in COPD outcomes (GECo) study protocol (PubMed)

Effectiveness-implementation of COPD case finding and self-management action plans in low- and middle-income countries: global excellence in COPD outcomes (GECo) study protocol Chronic obstructive pulmonary disease (COPD) is the end result of a susceptible individual being exposed to sufficiently deleterious environmental stimuli. More than 90% of COPD-related deaths occur in low- and middle-income countries (LMICs). LMICs face unique challenges in managing COPD; for example, deficient primary (...) and implementation of COPD self-management Action Plans in LMIC settings. The ultimate goal is to develop simple, low-cost models of care that can be implemented in LMICs. This study will be carried out in Nepal, Peru and Uganda, three distinct LMIC settings.We aim to assess the diagnostic accuracy of a simple questionnaire with and without PEF to case-find COPD (GECo1), and examine the effectiveness, cost-effectiveness and implementation of a community-health-worker-supported self-management Action Plan

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2018 Trials

2. Self-management interventions including action plans for exacerbations versus usual care in patients with chronic obstructive pulmonary disease. (PubMed)

Self-management interventions including action plans for exacerbations versus usual care in patients with chronic obstructive pulmonary disease. Chronic Obstructive Pulmonary Disease (COPD) self-management interventions should be structured but personalised and often multi-component, with goals of motivating, engaging and supporting the patients to positively adapt their behaviour(s) and develop skills to better manage disease. Exacerbation action plans are considered to be a key component (...) of COPD self-management interventions. Studies assessing these interventions show contradictory results. In this Cochrane Review, we compared the effectiveness of COPD self-management interventions that include action plans for acute exacerbations of COPD (AECOPD) with usual care.To evaluate the efficacy of COPD-specific self-management interventions that include an action plan for exacerbations of COPD compared with usual care in terms of health-related quality of life, respiratory-related hospital

2017 Cochrane

3. Action Plans for Individuals with Chronic Obstructive Pulmonary Disease (COPD): A Rapid Review

Action Plans for Individuals with Chronic Obstructive Pulmonary Disease (COPD): A Rapid Review Action plans for individuals with chronic obstructive pulmonary disease (COPD): a rapid review Action plans for individuals with chronic obstructive pulmonary disease (COPD): a rapid review McCurdy BR Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database (...) . Citation McCurdy BR. Action plans for individuals with chronic obstructive pulmonary disease (COPD): a rapid review. Toronto: Health Quality Ontario (HQO). Rapid Review. 2013 Authors' conclusions Based on 1 systematic review that evaluated the effectiveness of action plans with or without limited education (education sessions up to 1 hour in length) compared with usual care, the following conclusions were reached: - Action plans significantly increase antibiotic and corticosteroid use during an acute

2013 Health Technology Assessment (HTA) Database.

4. GECo: Implementation and Effectiveness of COPD Self Management Action Plans in Low and Middle Income Countries

GECo: Implementation and Effectiveness of COPD Self Management Action Plans in Low and Middle Income Countries GECo: Implementation and Effectiveness of COPD Self Management Action Plans in Low and Middle Income Countries - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved (...) studies (100). Please remove one or more studies before adding more. GECo: Implementation and Effectiveness of COPD Self Management Action Plans in Low and Middle Income Countries (GECo2) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov

2017 Clinical Trials

5. Action plans with brief patient education for exacerbations in chronic obstructive pulmonary disease. (PubMed)

Action plans with brief patient education for exacerbations in chronic obstructive pulmonary disease. Exacerbations of chronic obstructive pulmonary disease (COPD) are a major driver of decline in health status and impose high costs on healthcare systems. Action plans offer a form of self-management that can be delivered in the outpatient setting to help individuals recognise and initiate early treatment for exacerbations, thereby reducing their impact.To compare effects of an action plan (...) 2015. We handsearched bibliographic lists and contacted study authors to identify additional studies.We included randomised controlled trials (RCT) and quasi-RCTs comparing use of an action plan versus usual care for patients with a clinical diagnosis of COPD. We permitted inclusion of a single short education component that would allow individualisation of action plans according to management needs and symptoms of people with COPD, as well as ongoing support directed at use of the action plan.We

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2016 Cochrane

6. COPD Action Plan

COPD Action Plan COPD Action Plan Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 COPD Action Plan COPD Action Plan Aka: COPD Action (...) (e.g. Fluticasone) if indicated Initiate acute management Increase use of MDI or nebulizer (rescue ) Start 40 mg orally daily for 5 days (see emergency prescriptions listed above) Start antibiotic for 5 days (see emergency prescriptions listed above) VI. References (2014) Presc Lett 21(1): 2 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "COPD Action Plan." Click on the image (or right click) to open the source website in a new

2018 FP Notebook

7. Action plans for COPD: strategies to manage exacerbations and improve outcomes (PubMed)

Action plans for COPD: strategies to manage exacerbations and improve outcomes COPD is the third-largest killer in the world, and certainly takes a toll on the health care system. Recurrent COPD exacerbations accelerate lung-function decline, worsen mortality, and consume over US$50 billion in health care spending annually. This has led to a tide of payment reforms eliciting interest in strategies reducing preventable COPD exacerbations. In this review, we analyze and discuss the evidence (...) for COPD action plan-based self-management strategies. Although action plans may provide stabilization of acute symptomatology, there are several limitations. These include patient-centered attributes, such as comprehension and adherence, and nonadherence of health care providers to established guidelines. While no single intervention can be expected independently to translate into improved outcomes, structured together within a comprehensive integrated disease-management program, they may provide

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2016 International journal of chronic obstructive pulmonary disease

8. Action Plans for Individuals with Chronic Obstructive Pulmonary Disease

Action Plans for Individuals with Chronic Obstructive Pulmonary Disease Action Plans for Individuals with COPD: A Rapid Review. January 2013; pp. 1–20. Action Plans for Individuals with Chronic Obstructive Pulmonary Disease (COPD): A Rapid Review BR McCurdy January 2013 Action Plans for Individuals with COPD: A Rapid Review. January 2013; pp. 1–20. 2 Suggested Citation McCurdy BR. Action plans for individuals with chronic obstructive pulmonary disease (COPD): a rapid review. Toronto, ON: Health (...) /evidence/publications-and-ohtac-recommendations. Action Plans for Individuals with COPD: A Rapid Review. January 2013; pp. 1–20. 3 About Health Quality Ontario Health Quality Ontario is an arms-length agency of the Ontario government. It is a partner and leader in transforming Ontario’s health care system so that it can deliver a better experience of care, better outcomes for Ontarians, and better value for money. Health Quality Ontario strives to promote health care that is supported by the best

2013 Health Quality Ontario

9. Innovations in Treating COPD Exacerbations: Pilot Project on Action Plans Using New Technology.

Innovations in Treating COPD Exacerbations: Pilot Project on Action Plans Using New Technology. Innovations in Treating COPD Exacerbations: Pilot Project on Action Plans Using New Technology. - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one (...) or more studies before adding more. Innovations in Treating COPD Exacerbations: Pilot Project on Action Plans Using New Technology. The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02275078 Recruitment Status : Completed First Posted : October 27, 2014 Last Update Posted : August 20, 2018 Sponsor

2014 Clinical Trials

10. Strategy for Early Treatment of Exacerbations in COPD: Standing Prescriptions of Advair With a Written Action Plan in the Event of an Exacerbation

Strategy for Early Treatment of Exacerbations in COPD: Standing Prescriptions of Advair With a Written Action Plan in the Event of an Exacerbation Strategy for Early Treatment of Exacerbations in COPD: Standing Prescriptions of Advair With a Written Action Plan in the Event of an Exacerbation - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies (...) Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Strategy for Early Treatment of Exacerbations in COPD: Standing Prescriptions of Advair With a Written Action Plan in the Event of an Exacerbation The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details

2014 Clinical Trials

11. Efficacy of a self-management plan in exacerbations for patients with advanced COPD. (PubMed)

severe or very severe COPD, and had gone to either an accident and emergency (A&E) department or had been admitted to a hospital at least once in the previous year due to exacerbation of COPD. The intervention consisted of a group education session on the main characteristics of the disease, an individual training session on inhalation techniques, at the start and during the 3rd month, and a written action plan containing instructions for physical activity and treatment for stable phases (...) Efficacy of a self-management plan in exacerbations for patients with advanced COPD. Self-management interventions improve different outcome variables in various chronic diseases. Their role in COPD has not been clearly established. We assessed the efficacy of an intervention called the self-management program on the need for hospital care due to disease exacerbation in patients with advanced COPD.Multicenter, randomized study in two hospitals with follow-up of 1 year. All the patients had

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2016 International journal of chronic obstructive pulmonary disease

12. COPD

that achieves optimal control based on the patient’s severity of COPD . [New, 2017] • Develop an exacerbation action plan with the patient for pharmacologic 2017 6. Global Strategy for Diagnosis, Management, and Prevention of COPD Global Strategy for Diagnosis, Management, and Prevention of COPD - 2016 - Global Initiative for Chronic Obstructive Lung Disease - GOLD Global Strategy for Diagnosis, Management, and Prevention of COPD – 2016 Please reference this document as follows: From the Global Strategy (...) COPD Top results for copd - Trip Database or use your Google+ account Liberating the literature ALL of these words: Title only Anywhere in the document ANY of these words: Title only Anywhere in the document This EXACT phrase: Title only Anywhere in the document EXCLUDING words: Title only Anywhere in the document Timeframe: to: Combine searches by placing the search numbers in the top search box and pressing the search button. An example search might look like (#1 or #2) and (#3 or #4) Loading

2018 Trip Latest and Greatest

13. Chronic Obstructive Pulmonary Disease (COPD): Diagnosis and Management

of having COPD. [Amended, 2017] • Promote smoking cessation or reduction (even in long-term smokers) to improve symptom control and slow the progression of COPD, among other bene$ts. [2011] • Refer patients with moderate to severe COPD to pulmonary rehabilitation. [2011] • Implement pharmacologic therapy in a stepwise approach and use the lowest step that achieves optimal control based on the patient’s severity of COPD. [New, 2017] • Develop an exacerbation action plan with the patient for pharmacologic (...) Chronic Obstructive Pulmonary Disease (COPD): Diagnosis and Management ' ? s E G u s Y G ? T W ? Ž l Ž Ð Ž u ? E | s ? Ž ? ? Ž w w s ? G G Chronic Obstructive Pulmonary Disease (COPD): Diagnosis and Management E ective Date: February 22, 2017 Scope This guideline provides recommendations for the diagnosis and management of adults aged = 19 years with chronic obstructive pulmonary disease (COPD). Key Recommendations • Use spirometry to con$rm air%ow obstruction in all patients suspected

2017 Clinical Practice Guidelines and Protocols in British Columbia

14. Digital Action Plan for Asthma Attacks

Digital Action Plan for Asthma Attacks Digital Action Plan for Asthma Attacks - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Digital Action Plan for Asthma Attacks (PANAME) The safety and scientific (...) Party): Assistance Publique - Hôpitaux de Paris Study Details Study Description Go to Brief Summary: It is recommended that patients with asthma owned a written action plan which must include the names, doses and dosing of the treatment they should take when acute respiratory symptoms occur. Current written action plans must be short to be readily used (1 page) and, therefore, cannot fit all acute situations. Moreover, they may not be available where and when required. The investigators sought

2016 Clinical Trials

15. COPD Disease Education in Pulmonary Rehabilitation: A Workshop Report

inthechronicityoftheirillnessandagreater negative emotional representation of their disease is present in those patients with COPD with poor health literacy, and is linked to impaired self-management behavior (91). Lower health literacy also in?uencesmotivation,withlessinformation seeking and decreased self-ef?cacy noted for health-related actions (97, 100). Baselineliteracylevelsarepredictorsof participation in adult education: the higher the levels, the greater the likelihood of participation and engagement (101). Those engaged (...) COPD Disease Education in Pulmonary Rehabilitation: A Workshop Report WORKSHOPREPORT Chronic Obstructive Pulmonary Disease Education in Pulmonary Rehabilitation An Of?cial American Thoracic Society/Thoracic Society of Australia and New Zealand/Canadian Thoracic Society/British Thoracic Society Workshop Report Felicity C. Blackstock, Suzanne C. Lareau, Linda Nici, Richard ZuWallack, Jean Bourbeau, Maria Buckley, StevenJ.Durning,TanjaW.Ef?ng,EllenEgbert,RogerS.Goldstein,William Kelly,AnnemarieLee

2018 American Thoracic Society

16. Home health monitoring compared with usual care for patients with moderate to severe COPD

COPD patients from six regions in Europe is currently ongoing (January 2013–December 2015). This study is being planned by the United4Health consortium, whose coordinating body is based in Scotland 29 . The study is aimed at assessing the effectiveness and organisational aspects of the telehealth service model. A telemonitoring package, consisting of videoconferencing with a pulse oximeter, will be provided to patients recently discharged from the hospital after admission due to respiratory (...) exacerbation. Data will be collected frequently and a medical action will be taken if required. Patients will be followed up for up to 12 months 29 . Discussion As shown in Table 2, inconsistent results regarding the impact of HHM were reported for most of the outcomes assessed for patients with moderate to severe COPD. Overall, evidence suggests that: ? HHM interventions (HHM plus usual care and HHM alone) compared with usual care appear to have a positive impact in reducing hospitalisation rates as well

2016 Evidence Notes from Healthcare Improvement Scotland

17. A self-management approach using self-initiated action plans for symptoms with ongoing nurse support in patients with Chronic Obstructive Pulmonary Disease (COPD) and comorbidities: The COPE-III study protocol.

A self-management approach using self-initiated action plans for symptoms with ongoing nurse support in patients with Chronic Obstructive Pulmonary Disease (COPD) and comorbidities: The COPE-III study protocol. Chronic Obstructive Pulmonary Disease (COPD) frequently coexists with other diseases. Whereas COPD action plans are currently part of usual care, they are less suitable and potentially unsafe for use in the presence of comorbidities. This study evaluates whether an innovative treatment (...) approach directed towards COPD and frequently existing comorbidities can reduce COPD exacerbation days. We hypothesise that this approach, which combines self-initiated action plans and nurse support, will accelerate proper treatment actions and lead to better control of deteriorating symptoms.In this multicenter randomised controlled trial we aim to include 300 patients with COPD (GOLD II-IV), and with at least one comorbidity (cardiovascular disease, diabetes, anxiety and/or depression). Patients

2013 Contemporary clinical trials

18. COPD Action Plan

COPD Action Plan COPD Action Plan Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 COPD Action Plan COPD Action Plan Aka: COPD Action (...) (e.g. Fluticasone) if indicated Initiate acute management Increase use of MDI or nebulizer (rescue ) Start 40 mg orally daily for 5 days (see emergency prescriptions listed above) Start antibiotic for 5 days (see emergency prescriptions listed above) VI. References (2014) Presc Lett 21(1): 2 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "COPD Action Plan." Click on the image (or right click) to open the source website in a new

2015 FP Notebook

19. Program of Integrated Care for Patients with Chronic Obstructive Pulmonary Disease and Multiple Comorbidities (PIC COPD(+)): a randomised controlled trial

and depression.Two-centre randomised controlled trial recruiting patients with ≥2 prognostically important COPD-associated comorbidities. We compared our multi-component intervention including individualised care/action plans and telephone consults (12-weekly then 9-monthly) with usual care (both groups). We used zero-inflated Poisson models to examine emergency department visits and hospitalisation; Cox proportional hazard model for mortality.We randomised 470 participants (236 intervention, 234 control (...) Program of Integrated Care for Patients with Chronic Obstructive Pulmonary Disease and Multiple Comorbidities (PIC COPD(+)): a randomised controlled trial We sought to evaluate the effectiveness of a multi-component, case manager-led exacerbation prevention/management model for reducing emergency department visits. Secondary outcomes included hospitalisation, mortality, health-related quality of life, chronic obstructive pulmonary disease (COPD) severity, COPD self-efficacy, anxiety

2018 EvidenceUpdates

20. Self management of patients with mild COPD in primary care: randomised controlled trial. (PubMed)

with spirometry confirmed diagnosis. Patients were randomised to telephone health coaching (n=289) or usual care (n=288).Telephone health coaching intervention delivered by nurses, underpinned by Social Cognitive Theory. The coaching promoted accessing smoking cessation services, increasing physical activity, medication management, and action planning (4 sessions over 11 weeks; postal information at weeks 16 and 24). The nurses received two days of training. The usual care group received a leaflet about (...) Self management of patients with mild COPD in primary care: randomised controlled trial. To evaluate the effectiveness of telephone health coaching delivered by a nurse to support self management in a primary care population with mild symptoms of chronic obstructive pulmonary disease (COPD).Multicentre randomised controlled trial.71 general practices in four areas of England.577 patients with Medical Research Council dyspnoea scale scores of 1 or 2, recruited from primary care COPD registers

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2018 BMJ

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