A case series of an off-the-shelf online health resource with integrated nurse coaching to support self-management in COPD

Abstract

BackgroundCOPD has significant psychosocial impact. Self-management support improves quality of life, but programs are not universally available. IT-based self-management interventions can provide home-based support, but have mixed results. We conducted a case series of an off-the-shelf Internet-based health-promotion program, The Preventive Plan (TPP), coupled with nurse-coach support, which aimed to increase patient activation and provide self-management benefits.Materials and methodsA total of 19 COPD patients were recruited, and 14 completed 3-month follow-up in two groups: groups 1 and 2 with more and less advanced COPD, respectively. Change in patient activation was determined with paired t-tests and Wilcoxon signed-rank tests. Benefits and user experience were explored in semistructured interviews, analyzed thematically.ResultsOnly group 1 improved significantly in activation, from a lower baseline than group 2; group 1 also improved significantly in mastery and anxiety. Both groups felt significantly more informed about COPD and reported physical functioning improvements. Group 1 reported improvements in mood and confidence. Overall, group 2 reported fewer benefits than group 1. Both groups valued nurse-coach support; for group 1, it was more important than TPP in building confidence to self-manage. The design of TPP and lack of motivation to use IT were barriers to use, but disease severity and poor IT skills were not.DiscussionOur findings demonstrate the feasibility of combining nurse-coach support aligned to an Internet-based health resource, TPP, in COPD and provide learning about the challenges of such an approach and the importance of the nurse-coach role.

Current Status of the Application of the Empowerment Theory in Patients with Chronic Obstructive Pulmonary Disease

“…Similarly, Zhang and Luo [34] also showed that the 6-month training of empowerment breathing also improved the self-efficacy of COPD patients. This demonstrates the relevant researchers proposed that drugs cannot solve the psychological problems of patients [35].…”

Utilização de Coaching por Enfermeiros na prática profissional: revisão integrativa

“…A revisão foi composta de 33 artigos, destes 32 em inglês; oito publicados em 2015 Hazard, et al, 2018;Early, et al, 2017;Zhang, et al, 2017;Cooper & Zimmerman, 2016;Berry, et al, 2015;Nyamathi, et al, 2015).…”

“…Quanto ao cargo ou função do enfermeiro que utilizou Coaching, identifica-se em 48% dos artigos (n=16) enfermeiros assistenciais (Sullivan, et al, 2019;Rahn, et al, 2018;Petursdottir, et al, 2019;Hazard, et al, 2018;Berger-Höger, Liethmann, Mühlhauser & Steckelberg, 2017;Early, et al, 2017;Sherry, et al, 2017;Gray-Miceli, et al, 2017;Cooper & Zimmerman, 2016;Janice, Karen, Justine, Sonya & Genevieve, 2015;Bakitas, et al, 2015), 27% (n=8) o enfermeiro pesquisador (Rocha, et al, 2019;Tweedie, et al, 2019;Miyamoto, et al, 2019;Petursdottir, et al, 2019;Berry, et al, 2015), 6% (n=2) de enfermeiros gerentes (Hazard, et al, 2018;, 6% (n=2) de enfermeiros externos (Ouden, et al, 2019;Nyamathi, et al, 2015) e 6% (n=2) enfermeiros de prática avançada Dionne-Odom, et al, 2015), e enfermeiro docente (Ubolrat, et al, 2015) e enfermeiro intervencionista em 3% (n=1) dos artigos.…”

<p>Association Between Everyday Technology Use, Activities of Daily Living and Health-Related Quality of Life in Chronic Obstructive Pulmonary Disease</p>

“…51,52 Based on the findings of everyday technology use in the present study, we argue that it is important for health professionals to be aware of how use of everyday technology may enhance HRQOL in people with COPD. It should be emphasized that difficulty in using technology is evidently a barrier, as well as poor accessibility and little perceived relevance of everyday technology in general, as indicated by Early 53 in relation to motivation in use of more specific e-health technologies. It is therefore critical to examine to what extent people with COPD find it relevant and are able to use everyday technology to manage their health conditions in general and their everyday life in particular.…”