American journal of respiratory and critical care medicine
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Am. J. Respir. Crit. Care Med.
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Am. J. Respir. Crit. Care Med. · Nov 2023
Randomized Controlled TrialChronic Obstructive Pulmonary Disease Self-Management in Three LMICs: A Pilot Randomized Trial.
Objectives: Chronic obstructive pulmonary disease (COPD) disproportionately affects low- and middle-income countries. Health systems are ill prepared to manage the increase in COPD cases. Methods: We performed a pilot effectiveness-implementation randomized field trial of a community health worker (CHW)-supported, 1-year self-management intervention in individuals with COPD grades B-D. ⋯ Fidelity was high, and intervention engagement was moderate. Although these results cannot differentiate between a failed intervention or implementation, they nonetheless suggest that we need to revisit our strategy. Clinical trial registered with www.clinicaltrials.gov (NCT03359915).