Self-management interventions for adults living with Chronic Obstructive Pulmonary Disease (COPD) : The development of a Core Outcome Set for COMPAR-EU project
Camus-García, Estela (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)
González González, Ana Isabel (Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC))
Heijmans, Monique (Netherlands Institute for Health Services Research (NIVEL))
Niño de Guzmán, Ena Pery (Institut d'Investigació Biomèdica Sant Pau)
Valli, Claudia (Institut d'Investigació Biomèdica Sant Pau)
Beltran, Jessica (Institut d'Investigació Biomèdica Sant Pau)
Pardo-Hernandez, Hector (Institut d'Investigació Biomèdica Sant Pau)
Ninov, Lyudmil (European Patients' Forum, Brussels)
Strammiello, Valentina (European Patients' Forum, Brussels)
Immonen, Kaisa (European Patients' Forum, Brussels)
Mavridis, Dimitris (University of Ioannina, Ioannina)
Ballester, Marta (Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC))
Suñol Sala, Rosa (Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC))
Orrego, Carola (Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC))

Date:	2021
Abstract:	A large body of evidence suggests that self-management interventions (SMIs) may improve outcomes in chronic obstructive pulmonary disease (COPD). However, accurate comparisons of the relative effectiveness of SMIs are challenging, partly due to heterogeneity of outcomes across trials and uncertainty about the importance of these outcomes for patients. We aimed to develop a core set of patient-relevant outcomes (COS) for SMIs trials to enhance comparability of interventions and ensure person-centred care. We undertook an innovative approach consisting of four interlinked stages: i) Development of an initial catalogue of outcomes from previous EU-funded projects and/or published studies, ii) Scoping review of reviews on patients and caregivers' perspectives to identify outcomes of interest, iii) Two-round Delphi online survey with patients and patient representatives to rate the importance of outcomes, and iv) Face-to-face consensus workshop with patients, patient representatives, health professionals and researchers to develop the COS. From an initial list of 79 potential outcomes, 16 were included in the COS plus one supplementary outcome relevant to all participants. These were related to patient and caregiver knowledge/competence, self-efficacy, patient activation, self-monitoring, adherence, smoking cessation, COPD symptoms, physical activity, sleep quality, caregiver quality of life, activities of daily living, coping with the disease, participation and decision-making, emergency room visits/admissions and cost effectiveness. The development of the COPD COS for the evaluation of SMIs will increase consistency in the measurement and reporting of outcomes across trials. It will also contribute to more personalized health care and more informed health decisions in clinical practice as patients' preferences regarding COPD outcomes are more systematically included.
Grants:	European Commission 754936
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Published in:	PloS one, Vol. 16 (march 2021) , ISSN 1932-6203

DOI: 10.1371/journal.pone.0247522
PMID: 33647039

20 p, 1.2 MB

The record appears in these collections:
Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Avedis Donabedian Research Institute-UAB
Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut de Recerca Sant Pau
Articles > Research articles
Articles > Published articles