Journal article

Interdisciplinary COPD intervention in primary care: a cluster randomised controlled trial

Jenifer Liang, Michael J Abramson, Grant Russell, Anne E Holland, Nicholas A Zwar, Billie Bonevski, Ajay Mahal, Paula Eustace, Eldho Paul, Kirsten Phillips, Narelle S Cox, Sally Wilson, Johnson George

EUROPEAN RESPIRATORY JOURNAL | EUROPEAN RESPIRATORY SOC JOURNALS LTD | Published : 2019

Abstract

We evaluated the effectiveness of an interdisciplinary, primary care-based model of care for chronic obstructive pulmonary disease (COPD).A cluster randomised controlled trial was conducted in 43 general practices in Australia. Adults with a history of smoking and/or COPD, aged ≥40 years with two or more clinic visits in the previous year were enrolled following spirometric confirmation of COPD. The model of care comprised smoking cessation support, home medicines review (HMR) and home-based pulmonary rehabilitation (HomeBase). Main outcomes included changes in St George's Respiratory Questionnaire (SGRQ) score, COPD Assessment Test (CAT), dyspnoea, smoking abstinence and lung function at 6 ..

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Grants

Awarded by Australian National Health and Medical Research Council Career Development Fellowship


Funding Acknowledgements

We wish to thank all our funding bodies and partner organisations for supporting the trial (Boehringer Ingelheim, Eastern Melbourne PHN, Lung Foundation Australia and National Health and Medical Research Council). Lung Foundation Australia and Eastern Melbourne PHN were involved in project design and conduct, and contributed to data interpretation and writing of manuscripts. Boehringer Ingelheim was involved in project discussions, planning and progress review, but had no involvement in the design of the intervention programme and did not contribute to decisions regarding data analysis and dissemination of findings. B. Bonevski is supported by an Australian National Health and Medical Research Council Career Development Fellowship (GNT1063206) and a Faculty of Health and Medicine, University of Newcastle Gladys M Brawn Career Development Fellowship. J. Liang is the recipient of the Cyril Tonkin Scholarship 2014 (Faculty of Pharmacy and Pharmaceutical Sciences Foundation Board, Monash University). Funding information for this article has been deposited with the Crossref Funder Registry.