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Related Experiment Video

Updated: May 30, 2026

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
06:28

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

Published on: August 1, 2019

Expert patient self-management program versus usual care in bronchiectasis: a randomized controlled trial.

Katherine A Lavery1, Brenda O'Neill, Michael Parker

  • 1Physiotherapy Department, Belfast Health and Social Care Trust, Belfast, Northern Ireland.

Archives of Physical Medicine and Rehabilitation
|August 3, 2011
PubMed
Summary

A disease-specific Expert Patient Programme (EPP) improved self-efficacy in adults with bronchiectasis short-term. Further research is needed to confirm these findings for patients with bronchiectasis.

Related Experiment Videos

Last Updated: May 30, 2026

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
06:28

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

Published on: August 1, 2019

Area of Science:

  • Respiratory Medicine
  • Chronic Disease Management
  • Health Psychology

Background:

  • Bronchiectasis is a chronic respiratory condition requiring ongoing self-management.
  • Expert Patient Programmes (EPPs) aim to empower patients to manage their health.
  • The efficacy of a disease-specific EPP for bronchiectasis has not been extensively studied.

Purpose of the Study:

  • To evaluate the effectiveness of a disease-specific Expert Patient Programme (EPP) compared to usual care in patients with bronchiectasis.
  • To assess the impact of the EPP on self-efficacy, illness perception, and quality of life.

Main Methods:

  • A proof-of-concept randomized controlled trial was conducted with 64 adult patients diagnosed with bronchiectasis.
  • Participants were assigned to either usual care plus EPP or usual care alone.
  • Outcomes, including self-efficacy (CDSS), illness perception (IPQ-R), and respiratory quality of life (SGRQ), were measured at baseline, post-intervention, and at 3 and 6 months.

Main Results:

  • The disease-specific EPP significantly improved self-efficacy in 6 out of 10 subscales compared to usual care.
  • No significant improvements were observed in illness perception or lung function.
  • Patients in the EPP group reported increased symptoms and decreased quality of life between 3 and 6 months post-intervention, despite satisfaction with the program.

Conclusions:

  • A disease-specific EPP demonstrates short-term benefits in enhancing self-efficacy for bronchiectasis patients.
  • The preliminary findings support the need for larger, powered studies to confirm the efficacy of EPPs in this population.
  • Further investigation is warranted to address potential increases in symptoms and decreases in quality of life observed in the medium term.