Development of Self-Management Pictorial Health Information and Comparison of Korean Patients' With Chronic Obstructive Pulmonary Disease and Health Care Professionals' Perceptions

Abstract

The current study aimed to evaluate pictorial health information (HI) in chronic obstructive pulmonary disease (COPD) patient self-management. Each of 14 literal examples of COPD HI was transformed into three pictorials. The preliminary pictorial COPD HI was validated by 10 experts. In total, 60 patients with COPD and 50 health care professionals (HCPs) were selected to perceive the intended meanings in the pictorial HI. All 42 pictures scored ≥0.8 on the content validity index. Patients chose pictorial HI with descriptions of subjective expressions or those that reflected a patient's actual life, whereas HCPs selected HI that was described in simple, direct, and abstract expressions. Results indicate that HCPs are better suited to provide real life–friendly pictorial HI to patients with COPD. Therefore, it is expected that developing pictograms with patients with COPD could help convey intended meanings. [ Journal of Gerontological Nursing, 48 (10), 41–46.]

Development of pictogram‐based content of self‐management health information for Korean patients with chronic obstructive pulmonary disease

“…Therefore, it may also be useful from an educational perspective to provide health information consisting of pictograms developed in collaboration with patients with COPD (Jagosh et al, 2011). In particular, the pictogram-based content of health information could be valuable educational material for improving the self-management of patients with COPD in practice since it is Descriptive examples related to the transformation process of pictorial health information are presented in our previous study, which provided the process for constructing the final set of 21 items in the current study (Choi et al, 2022a(Choi et al, , 2022b. The item on the effect of the content on self-management got the highest score from the patients with COPD, followed by the item on overall satisfaction with the content.…”

“…The pictogram‐based content that reflected the participants' viewpoints and health literacy was specially developed for this study. Descriptive examples related to the transformation process of pictorial health information are presented in our previous study, which provided the process for constructing the final set of 21 items in the current study (Choi et al., 2022a, 2022b). The item on the effect of the content on self‐management got the highest score from the patients with COPD, followed by the item on overall satisfaction with the content.…”

“…For all items, one of three optional pictorials chosen by patients with COPD as conveying the intended meaning was included as the final pictorials in the booklet and poster. Our researchers have described the transformation process of pictorial health information from the literal health information examples for COPD self-management in a previous study (Choi et al, 2022a(Choi et al, , 2022b.…”

“…The literal items of COPD self-management health information that would be converted into pictograms were decided by researcher consensus based on three processes: in-depth interviews with patients (Choi et al, 2022a(Choi et al, , 2022b), text network analysis (Choi, George, & Yun, 2021;Choi, Lim, & Yun, 2021) and a systematic literature review. The booklet included items that were extracted at least once from all three processes while the poster included items selected by researchers' consensus among the items in the booklet, owing to the spatial limitations, based on the criteria of frequently used and practical information for self-management.…”

Applying behavioral change theories to optimize pulmonary rehabilitation in COPD patients: A review

“…Reports published by the American Thoracic Society and the European Respiratory Society [11][12][13] have underscored the critical importance of pulmonary rehabilitation. In terms of fostering behaviors conducive to pulmonary rehabilitation, current interventions such as health education, [14] home-based rehabilitation, [15] and telemedicine [16,17] have shown remarkable efficacy. Despite substantial progress, there remains a need for integration among pulmonary rehabilitation program schemes, health behavior transformation, and theories of behavioral change.…”