Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: Proyecto Madrileño Sobre el Manejo de la Enfermedad Pulmonar Obstructiva Crónica Con Telemonitorización a Domicilio. (Multicentre Project on the Home Telemonitoring of Patients With Severe Chronic Obstructive Pulmonary Disease).
Brief Summary: The purpose of the study is to verify the clinical effectiveness of a managed home telemonitoring program in patients with severe COPD against usual clinical practice, as measured by the decrease in the number of exacerbations, number of hospitalizations, hospital days and emergency room visits in a 12 month period

The primary endpoint of effectiveness is "severe exacerbations avoided."

The main hypothesis is that patients with severe or very severe COPD patients managed with a home telehealth program have better outcomes than patients managed according to usual clinical practice.


Options:
A: Arm Label: Case Management; Type: EXPERIMENTAL; Interventions: Behavioral: 40 minute standardized education session, Behavioral: Individualized action plan, Behavioral: Individualized care plan, Behavioral: Standardized reinforcement/motivational interviewing and action plan teach-back sessions, Behavioral: Tele-home monitoring, Behavioral: Coordinated and improved communication, Behavioral: Priority access, Behavioral: Dictated patient summary, Behavioral: in-hospital rehabilitation/self-management program, Behavioral: Smoking cessation | Arm Label: Usual care; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Dictated patient summary, Behavioral: in-hospital rehabilitation/self-management program, Behavioral: Smoking cessation, Behavioral: Action plan Respirologist, Behavioral: Web based self management materials | Intervention Type: BEHAVIORAL; Name: 40 minute standardized education session; Assigned to Arm(s): Case Management | Intervention Type: BEHAVIORAL; Name: Individualized action plan; Assigned to Arm(s): Case Management | Intervention Type: BEHAVIORAL; Name: Individualized care plan; Assigned to Arm(s): Case Management | Intervention Type: BEHAVIORAL; Name: Standardized reinforcement/motivational interviewing and action plan teach-back sessions; Assigned to Arm(s): Case Management | Intervention Type: BEHAVIORAL; Name: Tele-home monitoring; Assigned to Arm(s): Case Management | Intervention Type: BEHAVIORAL; Name: Coordinated and improved communication; Assigned to Arm(s): Case Management | Intervention Type: BEHAVIORAL; Name: Priority access; Assigned to Arm(s): Case Management | Intervention Type: BEHAVIORAL; Name: Dictated patient summary; Assigned to Arm(s): Case Management, Usual care | Intervention Type: BEHAVIORAL; Name: in-hospital rehabilitation/self-management program; Assigned to Arm(s): Case Management, Usual care | Intervention Type: BEHAVIORAL; Name: Smoking cessation; Assigned to Arm(s): Case Management, Usual care | Intervention Type: BEHAVIORAL; Name: Action plan Respirologist; Assigned to Arm(s): Usual care | Intervention Type: BEHAVIORAL; Name: Web based self management materials; Assigned to Arm(s): Usual care
B: Arm Label: Disease management program; Type: EXPERIMENTAL; Interventions: Other: Disease Management | Arm Label: Usual site management; Type: ACTIVE_COMPARATOR; Interventions: Other: Usual site management | Intervention Type: OTHER; Name: Disease Management; Assigned to Arm(s): Disease management program | Intervention Type: OTHER; Name: Usual site management; Assigned to Arm(s): Usual site management
C: Arm Label: Telemedicine; Type: EXPERIMENTAL; Interventions: Device: telemedicine program | Arm Label: Control group; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: DEVICE; Name: telemedicine program; Assigned to Arm(s): Telemedicine
D: Arm Label: COPD, Telehealth; Type: EXPERIMENTAL; Interventions: Device: Telehealth | Arm Label: COPD, Normal clinical practice; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: DEVICE; Name: Telehealth; Assigned to Arm(s): COPD, Telehealth

Answer: D