Effects of a COPD self-management support intervention: a randomized controlled trial
| Autor: | Signe Berit Bentsen, Bjørg Frøysland Oftedal, Heidi B Bringsvor, Eva Langeland, Knut Skaug, Jörg Assmus |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Male
Health Knowledge Attitudes Practice Time Factors sense of coherence law.invention Pulmonary Disease Chronic Obstructive 0302 clinical medicine Randomized controlled trial law selvovervåking Surveys and Questionnaires Adaptation Psychological Medicine 030212 general & internal medicine Lung Original Research COPD Self-management Norway General Medicine Middle Aged Self Efficacy self management self-monitoring and insight Treatment Outcome Health education Female self-efficacy Sense of coherence medicine.medical_specialty KOLS International Journal of Chronic Obstructive Pulmonary Disease 03 medical and health sciences Patient Education as Topic Intervention (counseling) Humans skill and technique acquisition Aged Self-efficacy Medical disciplines: 700::Clinical medical disciplines: 750::Lung diseases: 777 [VDP] Health Education Impact Questionnaire (heiQ) business.industry constructive attitudes and approaches Recovery of Function medicine.disease Self Care 030228 respiratory system Physical therapy Quality of Life kronisk obstruktiv lungesykdom business |
| Zdroj: | International Journal of Chronic Obstructive Pulmonary Disease The International Journal of Chronic Obstructive Pulmonary Disease |
| ISSN: | 1178-2005 1176-9106 |
| Popis: | Heidi B Bringsvor,1,2 Eva Langeland,3 Bjørg Frøysland Oftedal,2 Knut Skaug,1 Jörg Assmus,4 Signe Berit Bentsen5 1Department of Research and Innovation, Helse Fonna HF, Haugesund, Norway; 2Department of Quality and Health Technology, Faculty of Health Sciences, University of Stavanger, Stavanger, Norway; 3Department of Health and Caring Sciences, Western Norway University of Applied Sciences, Bergen, Norway; 4Center for Clinical Research, Department of Reserach and Innovation, Haukeland University Hospital, Bergen, Norway; 5SHARE-Centre for Resilience in Health Care, Department of Quality and Health Technology, Faculty of Health Sciences, University of Stavanger, Stavanger, Norway Background: This study examines the effects of the COPD-specific health promoting self-management intervention “Better living with COPD” on different self-management-related domains, self-efficacy, and sense of coherence (SOC). Methods: In a randomized controlled design, 182 people with COPD were allocated to either an intervention group (offered Better living with COPD in addition to usual care) or a control group (usual care). Self-management-related domains were measured by the Health Education Impact Questionnaire (heiQ) before and after intervention. Self-efficacy was measured by the General Self-Efficacy Scale (GSE) and SOC was measured by the 13-item Sense of Coherence Scale (SOC-13). Effects were assessed by ANCOVA, using intention-to-treat (ITT) analysis and per-protocol analysis (PPA). Results: The PPA and the ITT analysis showed significant positive changes on Constructive attitudes and approaches (heiQ) (ITT: P=0.0069; PPA:P=0.0021) and Skill and technique acquisition (heiQ) (ITT:P=0.0405; PPA:P=0.0356). Self-monitoring and insight (heiQ) showed significant positive change in the PPA (P=0.0494). No significant changes were found on the other self-management domains (heiQ), self-efficacy (GSE), or SOC (SOC-13). Conclusion: Better living with COPD had a significant positive short-term effect on some self-management-related domains, and could be an intervention contributing to the support of self-management in people with COPD. However, further work is needed to establish the clinical relevance of the findings and to evaluate the long-term effects. Keywords: constructive attitudes and approaches, Health Education Impact Questionnaire (heiQ), self-efficacy, self-monitoring and insight, sense of coherence, skill and technique acquisition |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|