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P51 PILOT RANDOMISED CONTROLLED TRIAL OF A 7-WEEK DISEASE-SPECIFIC SELF-MANAGEMENT PROGRAMME FOR PATIENTS WITH COPD: BELLA (BETTER LIVING WITH LONG TERM AIRWAYS DISEASE STUDY)
S. J. C. Taylor, R. Sohanpal, S. A. Bremner, A. Devine, S. Eldridge, C. J. Griffiths. Barts and The London School of Medicine, Queen Mary, University of London, London, UK
Introduction Trials of self-management (SM) interventions for chronic obstructive pulmonary disease (COPD) have often had disappointing results. A recent Cochrane review suggested SM may reduce hospital admissions but concluded data are still insufficient to formulate recommendations.1
Objectives To conduct a pilot randomised controlled trial of a new disease-specific self-management programme for COPD.
Methods The intervention was based on the UK Expert Patients Programme (EPP) which is underpinned by the sociocognitive self-efficacy theory.2 It was distinct in three ways: (1) COPD relevant content; (2) sessions delivered by a trained lay tutor with COPD who “models” good SM; (3) involvement of a respiratory clinician (COPD patients have significant information needs). It involved seven weekly 2.5 h group sessions. Patients were recruited from primary care disease registers …