Effects of the “Living well with COPD” intervention in primary care: a comparative study

Steurer-Stey, Claudia; Lana, Kaba Dalla; Braun, Julia; Riet, Gerben ter; Puhan, Milo A.

doi:10.1183/13993003.01375-2017

Cited by 32 publications

(28 citation statements)

References 31 publications

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“…Notwithstanding, the findings of STEURER-STEY et al [8], and the cost-saving impact in particular, warrant future studies to confirm. In the COPD population at large, the prevention of healthcare utilisation through a self-management approach to symptoms and care would heavily impact on the global disease burden.…”

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confidence: 73%

“…The study by STEURER-STEY et al [8] expanded the knowledge from other published experiences of strategies to improve self-management interventions and change behaviours in a primary care setting [4,7]. In particular, by comparing two different cohorts of COPD, a Swiss one to which the Living Well with COPD programme [9] was applied, with the International Collaborative Effort on Chronic Obstructive Lung Disease Exacerbation Risk Index Cohorts study [10] population as the control, the authors draw the conclusion that a coaching intervention based on self-management leading to empowerment and self-efficacy is feasible among COPD patients in a general practice setting, and provides a 64% rate reduction of acute exacerbation risk over time.…”

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confidence: 97%

“…From the methodological point of view, a strength of the present study [8] is the comprehensive approach used, including information given to patients about the disease, coping skills and abilities, and self-confidence and proactive motivation for self-achievements. Indeed, each patient received group and individual one-on-one coaching sessions to assess and discuss all the physical and psychological aspects that might impact their resilience to the disease.…”

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confidence: 99%

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Looking for a chronic care model in COPD patients

2018

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]. Chronic conditions demand "chronic" interventions intended for their holistic and thorough management, which is definitely embraced in the so-called chronic care model (CCM) [1]. In chronic obstructive pulmonary disease (COPD), an increasing body of evidence stresses the need for this patient-focused approach to care [2]. Since its first application, the chronic care method has needed to identify the ideal subset of patients that would largely benefit from its practice in real life and the most impactful areas of intervention. Recovery from hospitalisation following admission due to acute exacerbations is often recognised as the ideal time during which to educate the patient on how to react to health deterioration. Indeed, the transition from hospital back to the community represents a critical process, failure of which is associated with higher rates of rehospitalisation [3].

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confidence: 73%

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confidence: 97%

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confidence: 99%

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Looking for a chronic care model in COPD patients

2018

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“…In addition to the systematic scoping review, we identified two studies that described the adaptation, implementation and evaluation of the Canadian-developed 6-week self-management programme Living Well with COPD in several cantons. The adapted programme showed a consistent positive effect on quality of life and to some extent also on the prevention of new exacerbations [24,25].…”

Section: Resultsmentioning

confidence: 99%

Advanced nursing practice in COPD exacerbations: the solution for a gap in Switzerland?

et al. 2020

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AimThis study aimed to address the need for adaptation of the current model of chronic obstructive pulmonary disease (COPD) care in Switzerland, particularly in regard to acute exacerbations, and how far an integrated approach involving advanced nursing practice can meet those needs.MethodsA state analysis guided by the PEPPA framework was initiated by the Pulmonology Clinic of University Hospital Zürich. Literature describing the current provision of COPD care regarding exacerbations in Switzerland and international qualitative studies describing the patient perspective were systematically searched and summarised. The health providers' perspective was investigated in three focus-group interviews.ResultsA lack of systematic and state-of-the-art support for patient self-management in Switzerland was described in literature and confirmed by the health providers interviewed. While care was assessed as being comprehensive and of good quality in each individual sector, such as inpatient, outpatient, rehabilitation and home settings, it was identified as being highly fragmented across sectors. The interview participants described day-to-day examples in which a lack of support in COPD self-management and fragmentation of care negatively affected the patients' disease management.ConclusionThe necessity of coordinating the transition between healthcare sectors and self-management support and that these organisational boundaries should be addressed by a multi-professional team were identified. Initial evaluation indicates that advanced practice nurses potentially have the skill set to coordinate the team and address patients' self-management needs in complex patient situations. However, the legal foundation and a reimbursement system to ensure long-term implementation is not yet available.

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“…COPD-related quality of life and in patient assessment of their knowledge about COPD (32,59). The seventh study found that health coaching over eight weekly sessions by a registered nurse or respiratory therapist after hospitalization for a COPD exacerbation resulted in significantly fewer hospital admissions for COPD, better COPD-related quality of life, and fewer COPD exacerbations (33).…”

Section: Original Researchmentioning

confidence: 99%