Please use this identifier to cite or link to this item:
Title: Interdisciplinary model of care (RADICALS) for early detection and management of chronic obstructive pulmonary disease (COPD) in Australian primary care: study protocol for a cluster randomised controlled trial
Austin Authors: Liang, Jenifer;Abramson, Michael J;Zwar, Nicholas;Russell, Grant;Holland, Anne E ;Bonevski, Billie;Mahal, Ajay;van Hecke, Benjamin;Phillips, Kirsten;Eustace, Paula;Paul, Eldho;Petrie, Kate;Wilson, Sally;George, Johnson
Affiliation: Institute for Breathing and Sleep, Austin Health, Heidelberg, Victoria, Australia
Centre for Medicine Use and Safety, Monash University, Parkville, Victoria, Australia
School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
School of Public Health and Community Medicine, University of New South Wales, Sydney, New South Wales, Australia
School of Medicine, University of Wollongong, Keiraville, New South Wales, Australia
Southern Academic Primary Care Research Unit, Department of General Practice, Monash University, Notting Hill, Victoria, Australia
Discipline of Physiotherapy, La Trobe University, Bundoora, Victoria, Australia
Department of Physiotherapy, Alfred Health, Prahran, Victoria, Australia
School of Medicine and Public Health, University of Newcastle, Callaghan, New South Wales, Australia
The Nossal Institute for Global Health, University of Melbourne, Carlton, Victoria, Australi
Boehringer Ingelheim (BI) Pty Ltd, North Ryde, New South Wales, Australia
Lung Foundation Australia (LFA), Milton, Queensland, Australia
Eastern Melbourne PHN (EMPHN), Box Hill, Victoria, Australia
Clinical Haematology Department, Alfred Hospital, Melbourne, Victoria, Australia
Issue Date: 18-Sep-2017
Publication information: BMJ Open 2017; 7(9): e016985
Abstract: INTRODUCTION: Up to half of all smokers develop clinically significant chronic obstructive pulmonary disease (COPD). Gaps exist in the implementation and uptake of evidence-based guidelines for managing COPD in primary care. We describe the methodology of a cluster randomised controlled trial (cRCT) evaluating the efficacy and cost-effectiveness of an interdisciplinary model of care aimed at reducing the burden of smoking and COPD in Australian primary care settings. METHODS AND ANALYSIS: A cRCT is being undertaken to evaluate an interdisciplinary model of care (RADICALS - Review of Airway Dysfunction and Interdisciplinary Community-based care of Adult Long-term Smokers). General practice clinics across Melbourne, Australia, are identified and randomised to the intervention group (RADICALS) or usual care. Patients who are current or ex-smokers, of at least 10 pack years, including those with an existing diagnosis of COPD, are being recruited to identify 280 participants with a spirometry-confirmed diagnosis of COPD. Handheld lung function devices are being used to facilitate case-finding. RADICALS includes individualised smoking cessation support, home-based pulmonary rehabilitation and home medicines review. Patients at control group sites receive usual care and Quitline referral, as appropriate. Follow-ups occur at 6 and 12 months from baseline to assess changes in quality of life, abstinence rates, health resource utilisation, symptom severity and lung function. The primary outcome is change in St George's Respiratory Questionnaire score of patients with COPD at 6 months from baseline. ETHICS AND DISSEMINATION: This project has been approved by the Monash University Human Research Ethics Committee and La Trobe University Human Ethics Committee (CF14/1018 - 2014000433). Results of the study will be disseminated in peer-reviewed journals and research conferences. If the intervention is successful, the RADICALS programme could potentially be integrated into general practices across Australia and sustained over time.
DOI: 10.1136/bmjopen-2017-016985
Journal: BMJ Open
PubMed URL:
Type: Journal Article
Subjects: COPD
Chronic obstructive pulmonary disease
Home medicines review
Primary care
Pulmonary rehabilitation
Appears in Collections:Journal articles

Show full item record

Page view(s)

checked on May 28, 2024

Google ScholarTM


Items in AHRO are protected by copyright, with all rights reserved, unless otherwise indicated.