{
    "abstract": "Self-management interventions (SMIs) may improve outcomes in Chronic Obstructive Pulmonary Disease (COPD). However, accurate comparisons of their relative effectiveness are challenging, partly due to a lack of clarity and detail regarding the intervention content being evaluated. This study systematically describes intervention components and characteristics in randomized controlled trials (RCTs) related to COPD self-management using the COMPAR-EU taxonomy as a framework, identifying components that are insufficiently incorporated into the design of the intervention or insufficiently reported. Overall, 235 RCTs published between 2010 and 2018, from a systematic review were coded using the taxonomy, which includes 132 components across four domains: intervention characteristics, expected patient (or caregiver) self-management behaviours, patient relevant outcomes, and target population characteristics. Risk of bias was also assessed. Interventions mainly focused on physical activity (67.4%), and condition-specific behaviours like breathing exercise (63.5%), self-monitoring (50.8%), and medication use (33.9%). Support techniques like education and skills-training, self-monitoring, and goal setting (over 35% of the RCTs) were mostly used for this. Emotional-based techniques, problem-solving, and shared decision-making were less frequently reported (less than 15% of the studies). Numerous SMIs components were insufficiently incorporated into the design of COPD SMIs or insufficiently reported. Characteristics like mode of delivery, intensity, location, and providers involved were often not described. Only 8% of the interventions were tailored to the target population's characteristics. Outcomes that are considered important by patients were hardly taken into account. There is still a lot to improve in both the design and description of SMIs for COPD. Using a framework such as the COMPAR-EU SMI taxonomy may contribute to better reporting and to better informing of replication efforts. In addition, prospective use of the taxonomy for developing and reporting intervention content would further aid in building a cumulative science of effective SMIs in COPD.",
    "authors": [
        {
            "affiliation": "Netherlands Institute for Health Services Research (NIVEL), 3513 Utrecht, The Netherlands.",
            "firstname": "Monique",
            "initials": "M",
            "lastname": "Heijmans"
        },
        {
            "affiliation": "Netherlands Institute for Health Services Research (NIVEL), 3513 Utrecht, The Netherlands.",
            "firstname": "Rune",
            "initials": "R",
            "lastname": "Poortvliet"
        },
        {
            "affiliation": "Netherlands Institute for Health Services Research (NIVEL), 3513 Utrecht, The Netherlands.",
            "firstname": "Marieke",
            "initials": "M",
            "lastname": "Van der Gaag"
        },
        {
            "affiliation": "Avedis Donabedian Research Institute (FAD), 08037 Barcelona, Spain.\nFaculty of Medicine, Universitat Aut\u00f2noma de Barcelona (UAB), 08025 Barcelona, Spain.\nNetwork for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), 28029 Madrid, Spain.",
            "firstname": "Ana I",
            "initials": "AI",
            "lastname": "Gonz\u00e1lez-Gonz\u00e1lez"
        },
        {
            "affiliation": "Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), 08025 Barcelona, Spain.",
            "firstname": "Jessica",
            "initials": "J",
            "lastname": "Beltran Puerta"
        },
        {
            "affiliation": "Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), 08025 Barcelona, Spain.",
            "firstname": "Carlos",
            "initials": "C",
            "lastname": "Canelo-Aybar"
        },
        {
            "affiliation": "Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), 08025 Barcelona, Spain.",
            "firstname": "Claudia",
            "initials": "C",
            "lastname": "Valli"
        },
        {
            "affiliation": "Avedis Donabedian Research Institute (FAD), 08037 Barcelona, Spain.\nFaculty of Medicine, Universitat Aut\u00f2noma de Barcelona (UAB), 08025 Barcelona, Spain.\nNetwork for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), 28029 Madrid, Spain.",
            "firstname": "Marta",
            "initials": "M",
            "lastname": "Ballester"
        },
        {
            "affiliation": "Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), 08025 Barcelona, Spain.",
            "firstname": "Claudio",
            "initials": "C",
            "lastname": "Rocha"
        },
        {
            "affiliation": "Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), 08025 Barcelona, Spain.",
            "firstname": "Montserrat Le\u00f3n",
            "initials": "ML",
            "lastname": "Garcia"
        },
        {
            "affiliation": "Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), 08025 Barcelona, Spain.",
            "firstname": "Karla",
            "initials": "K",
            "lastname": "Salas-Gama"
        },
        {
            "affiliation": "Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), 08025 Barcelona, Spain.",
            "firstname": "Chrysoula",
            "initials": "C",
            "lastname": "Kaloteraki"
        },
        {
            "affiliation": "Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), 08025 Barcelona, Spain.",
            "firstname": "Marilina",
            "initials": "M",
            "lastname": "Santero"
        },
        {
            "affiliation": "Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), 08025 Barcelona, Spain.",
            "firstname": "Ena",
            "initials": "E",
            "lastname": "Ni\u00f1o de Guzm\u00e1n"
        },
        {
            "affiliation": "Netherlands Institute for Health Services Research (NIVEL), 3513 Utrecht, The Netherlands.",
            "firstname": "Cristina",
            "initials": "C",
            "lastname": "Spoiala"
        },
        {
            "affiliation": "Netherlands Institute for Health Services Research (NIVEL), 3513 Utrecht, The Netherlands.",
            "firstname": "Pema",
            "initials": "P",
            "lastname": "Gurung"
        },
        {
            "affiliation": "Netherlands Institute for Health Services Research (NIVEL), 3513 Utrecht, The Netherlands.",
            "firstname": "Saida",
            "initials": "S",
            "lastname": "Moaddine"
        },
        {
            "affiliation": "Netherlands Institute for Health Services Research (NIVEL), 3513 Utrecht, The Netherlands.",
            "firstname": "Fabienne",
            "initials": "F",
            "lastname": "Willemen"
        },
        {
            "affiliation": "Netherlands Institute for Health Services Research (NIVEL), 3513 Utrecht, The Netherlands.",
            "firstname": "Iza",
            "initials": "I",
            "lastname": "Cools"
        },
        {
            "affiliation": "Netherlands Institute for Health Services Research (NIVEL), 3513 Utrecht, The Netherlands.",
            "firstname": "Julia",
            "initials": "J",
            "lastname": "Bleeker"
        },
        {
            "affiliation": "Netherlands Institute for Health Services Research (NIVEL), 3513 Utrecht, The Netherlands.",
            "firstname": "Angelina",
            "initials": "A",
            "lastname": "Kancheva"
        },
        {
            "affiliation": "Netherlands Institute for Health Services Research (NIVEL), 3513 Utrecht, The Netherlands.",
            "firstname": "Julia",
            "initials": "J",
            "lastname": "Ertl"
        },
        {
            "affiliation": "Netherlands Institute for Health Services Research (NIVEL), 3513 Utrecht, The Netherlands.",
            "firstname": "Tajda",
            "initials": "T",
            "lastname": "Laure"
        },
        {
            "affiliation": "Netherlands Institute for Health Services Research (NIVEL), 3513 Utrecht, The Netherlands.",
            "firstname": "Ivana",
            "initials": "I",
            "lastname": "Kancheva"
        },
        {
            "affiliation": "Avedis Donabedian Research Institute (FAD), 08037 Barcelona, Spain.\nFaculty of Medicine, Universitat Aut\u00f2noma de Barcelona (UAB), 08025 Barcelona, Spain.",
            "firstname": "Kevin",
            "initials": "K",
            "lastname": "Pacheco-Barrios"
        },
        {
            "affiliation": "Avedis Donabedian Research Institute (FAD), 08037 Barcelona, Spain.\nFaculty of Medicine, Universitat Aut\u00f2noma de Barcelona (UAB), 08025 Barcelona, Spain.",
            "firstname": "Jessica",
            "initials": "J",
            "lastname": "Zafra-Tanaka"
        },
        {
            "affiliation": "Department of Primary Education, School of Education, University of Ioannina, 45110 Ioannina, Greece.",
            "firstname": "Dimitris",
            "initials": "D",
            "lastname": "Mavridis"
        },
        {
            "affiliation": "Knowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, ON M5B 1W8, Canada.\nInstitute for Health Policy, Management, and Evaluation, University of Toronto, Toronto, ON M5S 3G8, Canada.",
            "firstname": "Areti",
            "initials": "A",
            "lastname": "Angeliki Veroniki"
        },
        {
            "affiliation": "Department of Primary Education, School of Education, University of Ioannina, 45110 Ioannina, Greece.",
            "firstname": "Stella",
            "initials": "S",
            "lastname": "Zevgiti"
        },
        {
            "affiliation": "Department of Primary Education, School of Education, University of Ioannina, 45110 Ioannina, Greece.",
            "firstname": "Georgios",
            "initials": "G",
            "lastname": "Seitidis"
        },
        {
            "affiliation": "Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), 08025 Barcelona, Spain.",
            "firstname": "Pablo",
            "initials": "P",
            "lastname": "Alonso-Coello"
        },
        {
            "affiliation": "OptiMedis, 20095 Hamburg, Germany.",
            "firstname": "Oliver",
            "initials": "O",
            "lastname": "Groene"
        },
        {
            "affiliation": "Avedis Donabedian Research Institute (FAD), 08037 Barcelona, Spain.\nFaculty of Medicine, Universitat Aut\u00f2noma de Barcelona (UAB), 08025 Barcelona, Spain.",
            "firstname": "Rosa",
            "initials": "R",
            "lastname": "Sunol"
        },
        {
            "affiliation": "Avedis Donabedian Research Institute (FAD), 08037 Barcelona, Spain.\nFaculty of Medicine, Universitat Aut\u00f2noma de Barcelona (UAB), 08025 Barcelona, Spain.\nNetwork for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), 28029 Madrid, Spain.",
            "firstname": "Carola",
            "initials": "C",
            "lastname": "Orrego"
        }
    ],
    "conclusions": null,
    "copyrights": null,
    "doi": "10.3390/ijerph191912685\n10.1016/S0140-6736(11)60988-4\n10.1111/resp.12660\n10.1016/S0140-6736(09)61303-9\n10.1177/1479972311435910\n10.1016/j.rmed.2017.06.007\n10.1186/1465-9921-14-109\n10.1177/1479972315606313\n10.1183/13993003.00025-2016\n10.2147/COPD.S107884\n10.1111/jan.13189\n10.2147/COPD.S133317\n10.1111/jocn.12100\n10.1002/14651858.CD002990.pub3\n10.1371/journal.pmed.1001690\n10.1371/journal.pmed.1000326\n10.1136/bmj.39590.732037.47\n10.1136/bmj.g1687\n10.1136/bmj.f3755\n10.1016/S0738-3991(02)00032-0\n10.1080/08870446.2010.540664\n10.1161/CIRCULATIONAHA.106.177322\n10.1037/0278-6133.27.3.379\n10.1111/j.1360-0443.2012.03845.x\n10.1186/s13012-015-0248-7\n10.1136/bmjopen-2019-034680\n10.1111/hex.13303\n10.1371/journal.pone.0247522\n10.1136/bmj.d5928\n10.1136/bmj.n71\n10.3390/jcm9030646\n10.1371/journal.pone.0220116\n10.1016/j.pec.2020.08.015\n10.2147/COPD.S96391\n10.1016/j.trsl.2013.04.003\n10.1186/s12961-020-00664-z\n10.1037/a0032853",
    "journal": "International journal of environmental research and public health",
    "keywords": [
        "COPD",
        "complex interventions",
        "intervention content",
        "quality improvement",
        "self-management",
        "taxonomy"
    ],
    "methods": null,
    "publication_date": "2022-10-15",
    "pubmed_id": "36231985\n21907865\n26494423\n19716966\n22308549\n28732818\n24138097\n26396159\n27076595\n27621612\n22308551\n27754557\n28652723\n23398312\n24665053\n25117057\n20877712\n18583680\n24609605\n24021722\n12401421\n21678185\n16952985\n18624603\n22340523\n25900104\n31959612\n34252259\n33068715\n33647039\n22008217\n33782057\n32121180\n31369582\n32912809\n19281068\n27103797\n23684710\n25478202\n33568139\n23730717",
    "results": null,
    "title": "Using a Taxonomy to Systematically Identify and Describe Self-Management Interventions Components in Randomized Trials for COPD.",
    "xml": "<Element 'PubmedArticle' at 0x788503607740>"
}