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Study aim:
To evaluate the effect of a transtheoretical model-based educational intervention on self-care in adults with chronic obstructive pulmonary disease (COPD).
Design:
Randomized, parallel-group, controlled clinical trial with two study arms (intervention and control). A total of 40 participants will be randomly allocated to the intervention and control groups in a 1:1 ratio using a random number table.
Settings and conduct:
The study will be conducted at Khatam al-Anbia Hospital in Abarkooh. A total of 40 eligible participants will be recruited through convenience sampling and randomly allocated to the intervention and control groups (20 participants per group) in a 1:1 ratio using a random number table. Outcomes will be assessed at baseline, immediately after the intervention, and at 3-month follow-up.
Participants/Inclusion and exclusion criteria:
Inclusion criteria: Adults with confirmed COPD, in the precontemplation, contemplation, or preparation stage of behavior change, able to provide written informed consent, and without asthma, pneumonia, active malignancy, or immunodeficiency.
Exclusion criteria: Development of dementia, uncontrolled psychiatric or serious cardiopulmonary disease during the study, or withdrawal of informed consent.
Intervention groups:
Intervention group: Participants will receive a transtheoretical model (TTM)-based educational intervention according to their stage of behavior change (precontemplation, contemplation, preparation, action, and maintenance). The intervention will be delivered through face-to-face training sessions lasting 45–60 minutes.
Control group: Participants will receive routine care without the TTM-based educational intervention during the study period.
Main outcome variables:
Self-care status
Stage of behavior change
Self-efficacy