Activating primary care COPD patients with multi-morbidity through tailored self-management support

Sameera Ansari*, Hassan Hosseinzadeh, Sarah Dennis, Nicholas Zwar

*Corresponding author for this work

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Abstract

Given the dearth of COPD self-management interventions that specifically acknowledge multi-morbidity in primary care, we aimed to activate COPD patients through personalised self-management support that recognised the implications of co-morbidities. This single-group experimental study included patients aged 40-84 with a spirometry diagnosis of COPD and at least one co-morbidity. A self-management education programme for COPD in the context of multi-morbidity, based on the Health Belief Model, was tailored and delivered to participants by general practice nurses in face-to-face sessions. At 6 months' follow-up, there was significant improvement in patient activation (p <0.001), COPD-related quality of life (p = 0.012), COPD knowledge (p <0.001) and inhaler device technique (p = 0.001), with no significant change in perception of multi-morbidity (p = 0.822) or COPD-related multi-morbidity (0.084). The programme improved patients' self-efficacy for their COPD as well as overall health behaviour. The findings form an empirical basis for further testing the programme in a large-scale randomised controlled trial.

Original languageEnglish
Article number12
Number of pages6
Journalnpj Primary Care Respiratory Medicine
Volume30
Issue number1
DOIs
Publication statusPublished - 3 Apr 2020

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