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Home > "M" Clinical Trials Conditions > Medication Adherence in COPD--A Self-Regulation Study  Medication Adherence in COPD--A Self-Regulation Study
Medication Adherence in COPD--A Self-Regulation Study
For Condition: Chronic Obstructive Pulmonary Disease,Lung Diseases, Obstructive,Emphysema,Bronchitis
Status: Completed
Sponsor(s): National Heart, Lung, and Blood Institute (NHLBI) ,
Synopsis: To test the effectiveness of a self-management program for chronic obstructive disease (COPD) patients. The program to improve adherence could be conducted by nurses or other clinic staff in settings where comprehensive rehabilitation services were not available.
Details: BACKGROUND: In 1990, the available data on medication adherence among chronic obstructive pulmonary disease (COPD) patients consistently indicated that adherence was a significant problem. This was a particularly distressing finding, considering that pharmacological therapy was considered the backbone of COPD management in settings where comprehensive rehabilitation services were limited. Despite the importance of this issue and a large data base on how to enhance medication adherence among medical populations, there had been no empirical investigations evaluating the implementation of these strategies with COPD patients. DESIGN NARRATIVE: The prospective, controlled study randomized 230 emphysema and chronic bronchitis patients from an urban university medical center into either a "usual care", control group or into a self-management skills training program for improving adherence. The training program was based on self-management procedures for enhancing adherence which had proven efficacious with diverse populations. Self-reported and objective measures of adherence were examined during the two month baseline period and the one year follow-up in the controlled study. A range of possible covariates including demographics, patient characteristics, treatment, and therapeutic outcome variables were also collected during the baseline phase and at the 6-month and 12-month follow-up visits in the controlled study to evaluate their relationship to the observed adherence levels.
Eligibility:
Study Type: Observational, Natural History, Longitudinal
Minimum Age/Maximum Age: /
Genders: Male
Protocol Entry Criteria: No eligibility criteria
Total Enrollment:
Location and Contact Information:
Additional Information:
Study ID Numbers: 4926;
Study Start Date: August 1990
Record last reviewed: June 2001
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00005717
Other Chronic Obstructive Pulmonary Disease Studies:
1. Clinical Trial of Acid Reflux Therapy in Asthma
2. Intervention for Resistant Pregnant Smokers
3. Longitudinal Study of Cortisol and Pulmonary Function
4. Effectiveness and Cost Impact of a Telecommunications System in COPD
5. Lung Health Study (LHS) I and III
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Medication Adherence in COPD--A Self-Regulation Study
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