Activating primary care COPD patients with multi-morbidity through tailored self-management support.

Abstract

Given the dearth of COPD self-management interventions that specifically acknowledge multi-morbidity in primary care, we aimed to activate COPD patients through personalised self-management support that recognised the implications of co-morbidities. This single-group experimental study included patients aged 40-84 with a spirometry diagnosis of COPD and at least one co-morbidity. A self-management education programme for COPD in the context of multi-morbidity, based on the Health Belief Model, was tailored and delivered to participants by general practice nurses in face-to-face sessions. At 6 months' follow-up, there was significant improvement in patient activation (p < 0.001), COPD-related quality of life (p = 0.012), COPD knowledge (p < 0.001) and inhaler device technique (p = 0.001), with no significant change in perception of multi-morbidity (p = 0.822) or COPD-related multi-morbidity (0.084). The programme improved patients' self-efficacy for their COPD as well as overall health behaviour. The findings form an empirical basis for further testing the programme in a large-scale randomised controlled trial.

• Authors: Sameera Ansari, Hassan Hosseinzadeh, Sarah Dennis, Nicholas Zwar
• Journal: NPJ primary care respiratory medicine (NPJ Prim Care Respir Med) Vol. 30 Issue 1 Pg. 12 (04 03 2020) ISSN: 2055-1010 [Electronic] England
• PMID: 32245961 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)

Topics

• Adult
• Aged
• Aged, 80 and over
• Female
• General Practice
• Health Belief Model
• Health Knowledge, Attitudes, Practice
• Humans
• Male
• Middle Aged
• Multimorbidity
• Patient Medication Knowledge
• Patient Participation
• Practice Patterns, Nurses'
• Primary Health Care
• Pulmonary Disease, Chronic Obstructive (physiopathology, therapy)
• Quality of Life
• Self Efficacy
• Self-Management (methods)