Integrating psychological screening into reviews of patients with COPD

Hardy, Sheila; Smart, David; Scanlan, Mike; Rogers, Stephen

doi:10.12968/bjon.2014.23.15.832

Cited by 11 publications

(7 citation statements)

References 23 publications

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“…The results of the present study expand the availability of instruments for the assessment of disease-specific anxiety in COPD, which is relevant for psychological screening in routine care, e.g., rehabilitation clinics, general practice, and outpatient hospital visits. In a study by Hardy et al (2014) , primary care nurses were trained in following a systematic psychological screening and intervention pathway during the annual review of 35 patients with COPD. The results of their evaluation showed that 75% of the patients felt pleased about being asked questions regarding depression and anxiety, while the remaining patients reported that they had no particular feelings.…”

Section: Discussionmentioning

confidence: 99%

Disease-Specific Anxiety in Chronic Obstructive Pulmonary Disease: Translation and Initial Validation of a Questionnaire

Farver-Vestergaard

Rubio-Rask²,

Timm³

et al. 2022

Front. Psychol.

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BackgroundCommonly applied measures of symptoms of anxiety are not sensitive to disease-specific anxiety in patients with chronic obstructive pulmonary disease (COPD). There is a need for validated instruments measuring COPD-specific anxiety. Therefore, we translated the COPD-Anxiety Questionnaire (CAF) into Danish (CAF-R-DK) and performed an initial validation of the psychometric properties in a sample of patients with COPD.Materials and MethodsTranslation procedures followed the World Health Organization guidelines. Participants with COPD completed questionnaires measuring COPD-specific anxiety (CAF-R-DK), general psychological distress (Hospital Anxiety and Depression Scale) as well as variables related to COPD (COPD Assessment Test; modified Medical Research Council dyspnea scale), quality of life (the 12-item Short Form survey, SF12), and socio-demography.ResultsA total of 260 patients with COPD (mean age: 65.0, 69% female) completed questionnaires. The Danish version of CAF-R-DK demonstrated acceptable Cronbach’s α values that were comparable with those of the original CAF. As expected, the CAF-R-DK showed positive correlations with convergent constructs (CAT; HADS) and negative correlations with discriminant constructs (SF-12). However, the results for specific subdomains of the CAF-R-DK indicated inconsistency in the underlying concept of disease-specific anxiety, which was also suggested based on the subsequent confirmatory and exploratory factor analyzes.ConclusionThe CAF could serve as an important supplement to generic psychological distress screening of patients with COPD in somatic health care settings, and the questionnaire is now available in Danish. Translation into other languages is needed with the purpose of obtaining data for further testing the psychometric properties of the questionnaire.

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Section: Discussionmentioning

confidence: 99%

Disease-Specific Anxiety in Chronic Obstructive Pulmonary Disease: Translation and Initial Validation of a Questionnaire

Farver-Vestergaard

Rubio-Rask²,

Timm³

et al. 2022

Front. Psychol.

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“…Previous pre/post studies [ 53 – 55 ] have evaluated the impact of CE activities targeted at COPD educators on some, but not all educational outcomes, as defined by Moore et al [ 15 ]. None of these previous studies evaluated educators’ organizational support in regard to TPE intervention delivery, even though the organizational support is a major factor to consider when assessing the impact of a CE activity [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

“…In contrast to previous studies [ 53 – 55 ], our study will objectively assess educators’ learning, using pre- and post-tests of knowledge, as suggested by Moore et al [ 15 ]. Our study will also evaluate educators’ performance levels in delivering high-quality TPE interventions, based on observation measures of performance in each of the educator’s professional practice.…”

Section: Discussionmentioning

confidence: 99%

Comparative impact of two continuing education activities targeted at COPD educators on educational outcomes: protocol for a non-randomized controlled study using mixed methods

Gagné

Moisan

Lauzier

et al. 2018

BMC Health Serv Res

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BackgroundTherapeutic patient education (TPE) improves quality of life and reduces health care utilization among patients with chronic obstructive pulmonary disease (COPD). However, benefits from TPE might depend on the performance of the educators and training is needed to ensure the effective delivery of TPE interventions. Based on the framework by Moore et al. (J Contin Educ Health Prof 29:1-15, 2009), we will compare the impact of two continuing education (CE) activities on TPE in regard to the following educational outcomes: (1) learning, (2) self-report of competence, (3) performance of the educators, and (4) outcomes of COPD patients who will meet the newly trained educators for TPE.MethodsWe will conduct a non-randomized controlled study using mixed methods. Educators will first participate in a CE activity on TPE that will include a role-playing simulation (experimental group) or in a lecture on TPE (comparison group) and then will perform TPE in COPD patients. Among educators, we will assess: (1) learning, by measuring knowledge about TPE, and (2) self-report of competence using self-administered questionnaires before and after the activity. Then, after the CE activity, we will assess (3) educators’ performance levels in delivering TPE by rating a videotaped TPE intervention. In COPD patients who will meet the newly trained educators for TPE after either CE activity, we will assess (4) quality of life and resource utilization using interviewer-administered questionnaires, before and after TPE. Statistical analyses will compare the experimental group against the comparison group using multivariate models. Using a semi-structured interview guide, we will conduct interviews with educators and perform content analysis. Results will be integrated in order that qualitative results further explain the quantitative ones.DiscussionTo the best of our knowledge, this is the first controlled mixed methods study to compare the impact of two CE activities on TPE in regard to four educational outcomes. We believe this study will serve as a model for evaluating CE activities on TPE. Results from this study could increase educators’ performance levels in delivering effective TPE interventions, and, in turn, COPD patient outcomes.Trial registrationThe study was registered on https://clinicaltrials.gov/ (NCT02870998) on March 15, 2016.Electronic supplementary materialThe online version of this article (10.1186/s12913-018-3284-6) contains supplementary material, which is available to authorized users.

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“…Thirdly, time constraints are perceived as barriers to discussing mental health, especially in primary care, and, fourthly, navigating (referral to) mental health services and fragmented care are challenging for healthcare professionals as well as patients. Nonetheless, the existing evidence also includes examples of successful implementation of psychological screening [ 189 ] and further systematic clinical implementation studies are needed in the future [ 190 ].…”

Section: Current Challenges and Future Directionsmentioning

confidence: 99%

Nonpharmacological management of psychological distress in people with COPD

et al. 2023

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Psychological distress is prevalent in people with COPD and relates to a worse course of disease. It often remains unrecognised and untreated, intensifying the burden on patients, carers and healthcare systems. Nonpharmacological management strategies have been suggested as important elements to manage psychological distress in COPD. Therefore, this review presents instruments for detecting psychological distress in COPD and provides an overview of available nonpharmacological management strategies together with available scientific evidence for their presumed benefits in COPD. Several instruments are available for detecting psychological distress in COPD, including simple questions, questionnaires and clinical diagnostic interviews, but their implementation in clinical practice is limited and heterogeneous. Moreover, various nonpharmacological management options are available for COPD, ranging from specific cognitive behavioural therapy (CBT) to multi-component pulmonary rehabilitation (PR) programmes. These interventions vary substantially in their specific content, intensity and duration across studies. Similarly, available evidence regarding their efficacy varies significantly, with the strongest evidence currently for CBT or PR. Further randomised controlled trials are needed with larger, culturally diverse samples and long-term follow-ups. Moreover, effective nonpharmacological interventions should be implemented more in the clinical routine. Respective barriers for patients, caregivers, clinicians, healthcare systems and research need to be overcome.

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Integrating psychological screening into reviews of patients with COPD

Cited by 11 publications

References 23 publications

Disease-Specific Anxiety in Chronic Obstructive Pulmonary Disease: Translation and Initial Validation of a Questionnaire

Disease-Specific Anxiety in Chronic Obstructive Pulmonary Disease: Translation and Initial Validation of a Questionnaire

Comparative impact of two continuing education activities targeted at COPD educators on educational outcomes: protocol for a non-randomized controlled study using mixed methods

Nonpharmacological management of psychological distress in people with COPD

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