Well Being and Rehabilitation in Chronically Ill Patients: Structured Patient Education and Physical Exercise
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.
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
연구 개요
상세 설명
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.
연구 유형
등록 (실제)
단계
- 해당 없음
연락처 및 위치
연구 장소
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Møre og Romsdal County
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Surnadal, Møre og Romsdal County, 노르웨이, 6650
- Surnadal Municipality
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Møre og Romsdal county
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Sunndal, Møre og Romsdal county, 노르웨이, 6600
- Sunndal Municipality
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Sør - Trøndelag
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Klaebu, Sør - Trøndelag, 노르웨이, 7540
- Klæbu Municipality
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Sør Trøndelag County
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Trondheim, Sør Trøndelag County, 노르웨이, 7000
- Trondheim Municipality
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Sør-Trøndelag County
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Hitra, Sør-Trøndelag County, 노르웨이, 7240
- Hitra Municipality
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참여기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
Inclusion Criteria:
- 45 years of age or more
- Living at home
- Capable of active participation in a group setting
- Walking distance within 550 meter in 6 minutes
- Chronic obstructive pulmonary disease (COPD) I-III
- Chronic heart disease I-III
- Stroke(0-2 on Modified Rankin Scale)
Exclusion Criteria:
- Speaking and language problems or other substantial communication problems
- Unstable medical or social situation
- Participation in another science study
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 지지 요법
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 없음(오픈 라벨)
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
|---|---|
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실험적: exercise and education
Supervised physical exercise in groups, plus a self management education programme (patient education).
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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. |
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활성 비교기: exercise only
Supervised physical exercise in groups.
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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.
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
기간 |
|---|---|
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건강 관련 삶의 질
기간: 1년
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1년
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2차 결과 측정
결과 측정 |
기간 |
|---|---|
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Sustainability of the physiological effects of muscular training (6 Minutes Walk)
기간: One year
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One year
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공동 작업자 및 조사자
수사관
- 연구 책임자: Helge Garåsen, Norwegian University of Science and Technology
간행물 및 유용한 링크
연구 기록 날짜
연구 주요 날짜
연구 시작 (실제)
기본 완료 (실제)
연구 완료 (실제)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (추정)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
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