Chest
Original Research: COPDFamily-Based Psychosocial Support and Education as Part of Pulmonary Rehabilitation in COPD: A Randomized Controlled Trial
Section snippets
Study Design
This was a single-blinded, randomized controlled trial. Family dyads (ie, patient with COPD and family member) were randomly assigned to family-based PR (experimental) or conventional PR (control) and were unaware of group allocation. Participants were only told that they were entering a PR program that involved the family and that, depending on group allocation, the involvement of the family member would differ.
The outcome measures were collected from patients and family members 3 days before
Participants' Characteristics
Figure 1 shows the CONSORT flow diagram of the trial. Of the 69 dyads screened for this study, 13 were excluded. Eight did not meet inclusion criteria, and five declined to participate. Therefore, 56 dyads were allocated to the experimental (n = 28) or control (n = 28) group. Forty-two dyads completed the intervention and posttest assessments and were included in the analysis. There were no significant differences between completers and dropouts regarding any of the sociodemographic, clinical,
Discussion
To our knowledge, this is the first randomized controlled trial to investigate the impact of family-based PR on patients and family members' coping strategies. The main findings indicate that integrating the family member in PR contributed to improve the coping strategies of the family to manage the disease, with further improvement in family members' sexual functioning and psychologic distress. In addition, patients from both groups experienced significant improvements in exercise tolerance,
Conclusions
Family-based PR benefits the family by improving the coping strategies and the psychosocial adjustment to illness. To contribute to integrated care toward managing COPD, PR programs should consider actively involving the family system within the care delivery.
Acknowledgments
Author contributions: A. M. is the guarantor of the study. A. M. and D. F. contributed to study conception and design and obtaining funding; D. B. contributed as a consultant and provided advice during the conception and design of the project; C. J., J. C., and R. G. contributed to data collection and analysis; and A. M. contributed to drafting the manuscript. All authors critically revised the paper for important intellectual content.
Financial/nonfinancial disclosures: The authors have
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This work was presented in abstract form at the European Respiratory Society International Congress, September 6-10, 2014, Munich, Germany, and received the 1st Grant for Best Abstracts in Rehabilitation and Chronic Care.
FUNDING/SUPPORT: This work was supported by Portuguese National Funds through FCT-Foundation for Science and Technology [Grant RIPD/CIF/109502/2009].
Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.