Evaluation of a self-management programme for patients with chronic obstructive pulmonary disease

Andrew P. Turner, Joanna Kosmala-Anderson, Louise M. Wallace, Patrick Kennedy-Williams

    Research output: Contribution to journalArticle

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    Abstract

    Self-management is becoming an important part of treatment for patients with chronic obstructive pulmonary disease (COPD). We conducted a longitudinal survey of patients with COPD who attended a 7-week group-based lay and clinician co-delivered COPD self-management programme (SMP)to see whether they became more activated, enjoyed better health status, and quality of life, were less psychologically distressed and improved their self-management abilities. The main analysis was a per-protocol analysis (N = 131), which included only patients who attended ?5 SMP sessions and who returned a 6-month follow-up questionnaires. Changes in the mean values of the patient outcomes were compared over time using paired t tests and general linear model for repeated measures. Patient activation significantly improved 6 months after the SMP (p <0.001). There were also significant improvements in COPD mastery (p = 0.001) and significant improvements in a range of self-management abilities (self-monitoring and insight p = 0.03), constructive attitude shift (p = 0.04), skills and technique acquisition, (p <0.001)). This study showed that a lay and clinician-led SMP for patients with COPD has the potential to produce improvements in important outcomes such as activation, mastery and self-management abilities.
    Original languageEnglish
    Pages (from-to)163-172
    JournalChronic Respiratory Disease
    Volume11
    Issue number3
    Early online date30 Jun 2014
    DOIs
    Publication statusPublished - 1 Aug 2014

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    Keywords

    • chronic obstructive pulmonary disease
    • mastery
    • patient activation
    • self-management programme

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