Specifications and feasibility of technology-based self-management of COPD: An exploratory qualitative study with patients and providers

Abidi, Samina Raza; Rickards, Tracey

doi:10.1177/08404704221129593

Cited by 2 publications

(2 citation statements)

References 7 publications

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“…To understand the COPD self-care needs of patients and care providers we performed a qualitative study with two separate patient and provider focus group (FG) [8] sessions at the Fredericton Downtown Community Health Center (FDCHC). Three theoretical frameworks were used to develop two moderators' guides, for patients and providers respectively, to collect and analyze the data: (i) chronic care model [9] to include aspects related to chronic disease management; (ii) Bandura's Social Cognitive Theory [10] to include personal, behavioural, and environmental factors related to health behaviour; and (iii) Nielson Usability Heuristics [11] to help understand end-users' usability needs for COPD digital therapeutics.…”

Section: Qualitative Study For Self-care Needs Analysismentioning

confidence: 99%

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Digital Therapeutics for COPD Patient Self-Management: Needs Analysis and Design Study

Abidi,

Rickards,

Van Woensel

et al. 2024

Studies in Health Technology and Informatics

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Timely management of Chronic Obstructive Pulmonary Disease (COPD) exacerbations can improve recovery and reduce the risk of hospitalization. Digital therapeutics are digital interventions, based on best evidence, designed to provide home-based, patient-centered and pervasive self-management support to patients. Digital therapeutics can be effectively used to offer personalized and explainable self-management and behaviour modification resources to patients to reduce the burden of COPD, especially the prevention of acute COPD exacerbations. The functionalities of COPD specific digital therapeutics for self-management need to be grounded in clinical evidence and behavioral theories, in keeping with the self-management needs of COPD patients and their care providers. In this paper, we report the functionalities of a COPD digital therapeutic mobile application based on a needs analysis qualitative study involving both COPD patients and physicians, and, based on the study’s finding, we present a knowledge-driven digital therapeutic for COPD self-management.

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Section: Qualitative Study For Self-care Needs Analysismentioning

confidence: 99%

“…The data was analyzed by two researchers, and discrepancies in the results were resolved through discussion and consensus was eventually reached. Descriptive analysis was performed on the quantitative demographic data and are presented in [8].…”

Section: Qualitative Study For Self-care Needs Analysismentioning

confidence: 99%

Digital Therapeutics for COPD Patient Self-Management: Needs Analysis and Design Study

Abidi,

Rickards,

Van Woensel

et al. 2024

Studies in Health Technology and Informatics

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Exploring patients with COPD self‐care behaviours and self‐efficacy and their interconnections: A network analysis

Wang,

Liu,

Liu

et al. 2024

Journal of Clinical Nursing

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AimThe aim of this study was to investigate self‐care behaviours of patients with chronic obstructive pulmonary disease (COPD), understand their complex interconnections and identify key behaviours influencing self‐care and self‐efficacy.DesignAn observational, cross‐sectional study design.Setting(s)The outpatient department of two tertiary hospital.MethodsA convenience sample of patients with a diagnosis of COPD were included (n = 222). Self‐care behaviours were assessed using the Chinese version of self‐care of chronic obstructive pulmonary disease inventory based on the Middle‐Range Theory of Self‐Care of Chronic Illness. Patient self‐care efficacy was evaluated using Chinese version of Self‐Care Self‐Efficacy Scale in Chronic Obstructive Pulmonary Disease. Employing network analysis, associations between behaviours (nodes) and their interrelationships (edges) were deciphered. The study was reported following the STROBE checklist.ResultsAmong the spectrum of self‐care behaviours, patients exhibited the most pronounced deficiencies in behaviours directed to enhancing breathing, monitoring extra‐respiratory symptoms and problem‐solving. Within the network, the most central emerging behaviour was the modification of prescribed therapy at the worsening of symptoms, as suggested by healthcare providers, which drives all self‐care behaviours. The confidence in being able to do something to relieve symptoms, despite difficulties, was a bridging activator of self‐care. The network structure underscored the prominence of self‐care self‐efficacy in driving self‐care maintenance, monitoring, and management behaviours.ConclusionsEducation programs for COPD should prioritise enhancing breathing, symptom monitoring and problem‐solving skills. The crucial self‐care behaviour in COPD involves adjusting treatments in response to symptom changes. Patient confidence in symptom alleviation acts as a catalyst for self‐care engagement. Targeted assessments addressing these aspects could enhance educational interventions, ultimately improving COPD patient outcomes.RegistrationThis study has been registered in the Chinese Clinical Trials Registry (registration number: ChiCTR2200059764; registration date: 11 May 2022).

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Specifications and feasibility of technology-based self-management of COPD: An exploratory qualitative study with patients and providers

Cited by 2 publications

References 7 publications

Digital Therapeutics for COPD Patient Self-Management: Needs Analysis and Design Study

Digital Therapeutics for COPD Patient Self-Management: Needs Analysis and Design Study

Exploring patients with COPD self‐care behaviours and self‐efficacy and their interconnections: A network analysis

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