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OpenTrials
Completed

NCT Number: NCT07419906

Effect of Introducing Digital Multimedia Nursing on Improving With COPD

COPD is a progressive and irreversible lung disease characterized by persistent airflow limitation, dyspnea, chronic cough, and impaired daily functioning, often accompanied by comorbidities that reduce quality of life. Despite its high prevalence in Taiwan, COPD remains underdiagnosed and undertreated. This study aims to evaluate a transtheoretical model-based digital multimedia nursing education intervention for elderly patients with COPD. The intervention is designed to enhance disease knowledge, promote self-care behaviors, and improve self-management abilities, ultimately supporting better quality of life and daily functioning in this population.

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Key information

About this study

COPD is a chronic and progressive respiratory disease characterized by persistent airflow limitation and symptoms such as dyspnea, chronic cough, and sputum production. The disease significantly impairs daily functioning and quality of life, particularly among older adults. Despite its high prevalence, COPD remains underdiagnosed and inadequately managed in Taiwan.

To improve disease management, digital health education strategies may enhance patients' knowledge and self-care abilities. This study aims to evaluate the effectiveness of a transtheoretical model-based digital multimedia nursing education intervention in improving disease knowledge, self-management behaviors, and quality of life among elderly patients with COPD.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patients diagnosed with pulmonary obstruction after evaluation by a physician.
  • Elderly people aged 60 years or above.
  • Those who are literate, have clear consciousness and can communicate in Chinese and Taiwanese.
  • Those who agree to participate in this research and sign the consent form.

Exclusion criteria

  • Patients with respiratory distress syndrome.
  • Those who use respirators.
  • Those who are unable to communicate due to cognitive impairment due to major mental illness or dementia.
  • Color blindness and visual impairment.
  • Those who do not have mobile phones or tablet computers at home and cannot obtain electronic equipment.

Treatment and study plan

E-book on Pulmonary Obstruction

Behavioral

The digital teaching intervention group used a computer-downloaded "E-book on Pulmonary Obstruction" for one-on-one teaching. The subjects were also taught how to use their mobile phones to download the "E-book on Pulmonary Obstruction" and how to read it, so that they could use it on their own after returning home. The intervention time for both groups was once a week for 50 minutes each time for a total of 8 weeks. The teaching content is divided into eight themes: (1) How much do you know about pulmonary obstruction? (2) Inhalation treatment for pulmonary obstruction - Introduction to inhalers? (3) Care for pulmonary obstruction - Breathing exercise techniques? (4) Activities and exercise training? (5) Self-management methods for acute pulmonary obstruction? (6) Lung rehabilitation for pulmonary obstruction? (7) Nutritional care for pulmonary obstruction? (8) Care for pulmonary obstruction - Smoking cessation?

Primary outcomes

  1. COPD assessment test; CAT

    Time frame: Baseline (Week 1), Week 8, and Week 12

    The CAT is an 8-item questionnaire assessing the impact of COPD on health status and daily functioning. Higher scores indicate greater disease burden. This study evaluates the effectiveness of a digital multimedia nursing education intervention in improving disease knowledge, self-care, and self-management.

Secondary outcomes

  1. Knowledge of COPD Score

    Time frame: Baseline (Week 1), Week 8, and Week 12

    Assessed using a validated COPD knowledge questionnaire to evaluate participants' understanding of disease management and self-care principles.

  2. Self-Care Behavior Score

    Time frame: Baseline (Week 1), Week 8, and Week 12

    Measured using a self-care behavior scale adapted for COPD, evaluating adherence to recommended lifestyle and symptom management strategies.

Sponsors and collaborators

Lead sponsor

Fu Jen Catholic University Hospital

Other

Registry information

Official study title

Effect of Introducing Transtheory-based Digital Multimedia Nursing and Health Education Model on Improving the Self-Care of Older Adult Patients With Chronic Obstructive Pulmonary Disease

Acronym: COPD

Important dates

Study start
2020
Primary completion
2021
Study completion
2023
First posted
Feb 19, 2026
Registry last updated
Feb 19, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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