Evidence mapPaperPMID 41857553Full record

Trial reportBMC geriatrics2026

Health outcomes of self- and family management programs among community-dwelling older people with chronic obstructive pulmonary disease: a randomized controlled trial.

Theepapha Jamkrajang, Doungrut Wattanakitkrileart, Virapun Wirojratana, Pratana Satitvipawee, Wanchai Dejsomritrutai

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC geriatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Theepapha JamkrajangFaculty of Nursing, Mahidol University, 2 Wang Lang Road, Siriraj, Bangkoknoi, Bangkok, 10700, Thailand.ORCID http://orcid.org/0009-0009-2780-3157
Doungrut WattanakitkrileartFaculty of Nursing, Mahidol University, 2 Wang Lang Road, Siriraj, Bangkoknoi, Bangkok, 10700, Thailand. doungrut.wat@mahidol.ac.th.ORCID http://orcid.org/0000-0002-4616-230X
Virapun WirojratanaFaculty of Nursing, Mahidol University, 2 Wang Lang Road, Siriraj, Bangkoknoi, Bangkok, 10700, Thailand.ORCID http://orcid.org/0000-0002-6923-9285
Pratana SatitvipaweeDepartment of Biostatistics, Faculty of Public Health, Mahidol University, Bangkok, Thailand.ORCID http://orcid.org/0000-0002-7614-1171
Wanchai DejsomritrutaiDepartment of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.ORCID http://orcid.org/0000-0002-5903-5465

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic obstructive pulmonary disease (COPD) significantly affects the quality of life of older adults. The growing impact of this chronic condition poses significant challenges for healthcare systems worldwide. This study evaluated an 8-week technology-enhanced self-and family management program targeting health outcomes, including self-management behaviors, exercise tolerance assessed by the 6-Minute Walk Test (6MWT), dyspnea severity, depression, and family functioning as reported by family members.

methodsThis randomized controlled trial included 86 older adults with COPD. Participants were matched by age, sex, and disease severity, and then randomly assigned to either the experimental group (n = 43) or the control group (n = 43) using a simple randomization procedure based on a lottery method. The experimental group received the self- and family management program supported by the LINE application in addition to standard care, while the control group received standard care alone. Outcomes were assessed using validated instruments at baseline, Week 4, and Week 8.

resultsWithin the intervention group, significant improvements over time were observed in self-management behaviors, exercise tolerance, dyspnea severity, and family functioning (all p < .001). Depression levels did not change significantly within either group, as baseline scores were within the normal range. Between groups, the intervention group demonstrated significantly greater improvements than the control group in exercise tolerance (6MWT: Week 4: MD = 56.29 m, p = .003; Week 8: MD = 99.07 m, 95% CI [62.59, 135.55], p < .001), dyspnea severity (Week 4: MD = − 15.24, p < .001; Week 8: MD = − 29.29, 95% CI [− 32.11, − 26.47], p < .001), and family functioning (Week 4: MD = − 9.69, p < .001; Week 8: MD = − 11.69, 95% CI [− 13.61, − 9.77], p < .001). Between-group differences in self-management behaviors and depression were not statistically significant at any time point.

conclusionsThe technology-enhanced self-and family management program demonstrated significant effectiveness in improving health outcomes among older adults with COPD in community settings. This evidence-based nursing intervention, which integrates mobile technology and family support, provides a practical framework for nurses to enhance patient care and achieve positive health outcomes while also improving family functioning.

trial registrationThis study was registered in the Thai Clinical Trials Registry (TCTR) with registration number TCTR20240903003, registered on 03/09/2024 (retrospectively registered). URL: https://www.thaiclinicaltrials.org/TCTR20240903003 .

Indexed as

Independent LivingPulmonary Disease, Chronic ObstructiveSelf-ManagementAgedAged, 80 and overAging in PlaceExercise ToleranceFemaleHumansMaleQuality of LifeTreatment OutcomeChronic obstructive pulmonary diseaseCommunity-dwelling older peopleDyspneaFamily functioningMobile technologySelf-family management program

Identifiers

PMID41857553
PMCPMC13123171

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.