Self-management interventions for people with chronic obstructive pulmonary disease

Abstract

Self-management interventions for people with chronic obstructive pulmonary disease (Review)

Systematic review of effectiveness and quality assessment of patient education materials and decision aids for breathlessness

“…This study suggests that not all PEMs are equally useful and that training, even just an hour at initiation, is of importance to ensure tools are used properly and result in positive outcomes. The addition of other adjuncts such as routine face-to-face visits and remote coaching by telephone may enhance this benefit even further as shown in a recent Cochrane Systematic Review [ 28 , 29 ]. However, from a scalability perspective, our review showed that in multiple settings, the provision of high-quality PEMs is able to provide clinical benefits, especially to COPD patients.…”

The Long-Term Maintenance Effect of Remote Pulmonary Rehabilitation via Social Media in COPD: A Randomized Controlled Trial

“… 6 The session of health education and self-management help COPD patients to acquire the skills they need to carry out disease-specific medical regimens, guide changes in health behavior and provide emotional support to enable them to control their disease. 20 …”

Supporting Behavior Change After AECOPD – Development of a Hospital-Initiated Intervention Using the Behavior Change Wheel

“…Self-management-Intervention (characteristic: iterative process with ≥ 2 components*) [5,7,29,31] Exacerbation action plan embedded in self-management intervention [4,29,31] Interventions for integrated care (characteristics: multi-disciplinary; ≥ 2 healthcare providers; and multi-treatment; ≥ 2 components;** duration at least three months) [6,8] Health-related Quality of life Exacerbation action plan embedded in self-management intervention [4,32] Pulmonary Rehabilitation (characteristics: endurance and/ or strength exercise, 11 exercise therapy 36 ) [11,36] Self-management-Intervention (characteristic: iterative process with ≥ 2 components*) [5,7] Digital-based self-management-interventions (characteristic: behavior change intervention) [33] Tele-healthcare intervention: patients measure and/or report signs or symptoms [34] Home-care by COPD outreach nurse (characteristics: components of education, support, monitoring health, liaising with physician) [37] Interventions for integrated care (characteristics: multi-disciplinary; ≥ 2 healthcare providers; and multi-treatment; ≥ 2 components;** duration at least three months) [6,8] In malnourished patients: Nutritional supplementation [35] Stabilization of lung function Smoking Cessation [29] Notes: *components: smoking cessation, self-recognition of exacerbation, use of an exacerbation action plan, home-based physical activity, diet, medication, and dyspnea management; ** components: 1) self-management education eg, exacerbation management, 2) exercise training, 3) psychosocial intervention(s), 4) smoking cessation, 5) medication adherence, 6) dietary intervention, 7) structured follow-up, 8) multidisciplinary team and 9) reimbursement for provision of integrated care.…”

“…The most beneficial behaviors are early recognition and management of exacerbation, smoking cessation, physical activity, a healthy diet, medication adherence, and management of dyspnea and related burdensome emotions. [4][5][6][7][8] Whilst the evidence base for stable patients is quite broad, the evidence for those suffering exacerbations is limited regarding effective interventions for lowering rehospitalization rates and improving quality of life. The main reasons are the limited number of available studies and the heterogeneity of interventions studied.…”