The IARA Model as an Integrative Approach to Promote Autonomy in COPD Patients through Improvement of Self-Efficacy Beliefs and Illness Perception: A Mixed-Method Pilot Study

Abstract

Chronic obstructive pulmonary disease (COPD) is one of the most deadly and costly chronic diseases in the world characterized by many breathing problems. The management of COPD and the prevention of exacerbations are a priority goals to improve the quality of life in patients affected by this illness. In addition, it is also crucial to improve the patients' adherence to care which, in turn, depends on their knowledge and understanding of some factors such as the prescribed medical treatment, changes in dailylife, and the process of breathing. In turn, the adherence to care leads to greater autonomy for the patient who is thus able to better manage his illness. Here we presented the application of the Model IARA in patients affected by COPD in order to achieve their autonomy in illness management which, in turn, leads to a better quality of life. IARA is an intervention program which improve the awareness and knowledge of patients with respect to both the disease and symptoms through health education. Moreover, through IARA the patients are encouraged to become more actively involved in COPD care process, also regarding drug therapy adherence. Using St. George's Respiratory Questionnaire combined with qualitative analysis, we demonstrated that IARA could be considered a useful approach in COPD management.

Effectiveness of yoga combined with back school program on anxiety, kinesiophobia and pain in people with non-specific chronic low back pain: a prospective randomized trial

“…Therefore, Yoga, in addition to intervening on the back disuse, may have an antianxiety effect decreasing pain 41 . Furthermore, it has been proven that people, when educating and informing about their disease, improve their psycho-physical conditions 42,43 also by reducing anxiety and depres- 45 have evaluated and confirmed the effectiveness of neuroscience education for pain, disability, anxiety, and stress in chronic musculoskeletal pain. The Back school treatment is based on education in regard to back.…”

The Psychophysiological Effects of Different Tempo Music on Endurance Versus High-Intensity Performances

“…The psychophysiological effects of music have been widely investigated in both psychology (De Giorgio et al, 2017;Benke et al, 2018;Innes et al, 2018;Padovan et al, 2018) and in exercise and sport related fields (Jarraya et al, 2012;Terry et al, 2012). The effects of exercise on the brain are well known (for a review see De Giorgio, 2017, De Giorgio et al, 2018a, but the effect that music has on exercise and its cerebral counterpart has only recently been investigated (Bigliassi et al, 2017;Tabei et al, 2017).…”

Global Psychological Implications of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) and Coronavirus Disease-2019 (COVID-19). What Can Be Learned From Italy. Reflections, Perspectives, Opportunities

“…Secondly, this umpteenth “black swan” brought about by a virus once again makes us aware of the importance of education in emotional regulation. Knowing how to manage emotions well, for example, through mindfulness practices – which can increase well-being and decrease anxiety and depression in healthy, professionals and patient populations ( De Giorgio et al, 2017a , b ; Grazzi et al, 2017 ; Padovan et al, 2018 ; Ramaci et al, 2020b ) – can allow people to have a balanced reaction and a clearer understanding of the phenomenon, thanks also to the neuro-bio-physiological effects that these practices have on the brain. In fact, it has been widely proven in the literature that these types of practices are able to structurally and functionally modify the areas of the brain that regulate the networks related to emotions (see for review, Young et al, 2019 ) and even reduce the size of the amygdala ( Taren et al, 2013 ).…”