Five-year Follow-up of a One-year Self-management Program for Patients with COPD

Overview

Journal Int J Chron Obstruct Pulmon Dis

Publisher Dove Medical Press

Specialty Pulmonary Medicine

Date 2012 Feb 29

PMID 22371649

Citations 4

Authors

Borghild K Lomundal

Aslak Steinsbekk

Affiliations

Soon will be listed here.

Abstract

Objective: Investigate long-term effects 4 years after the end of a 1-year self-management program (SMP) with 30 hours of education and 16 hours of physical activity in patients with chronic obstructive pulmonary disease (COPD).

Methods: Prospective observational outcome study. SMP focused on improving disease related self-care skills. Main outcome measures were health-related quality of life, HRQoL, (St Georges Respiratory Questionnaire, SGRQ total) and exercise capacity (6-minute walk test, 6MWT).

Results: Thirty patients participated, 47% women. Baseline mean age was 67 years and mean pre-bronchodilator FEV(1) (forced expiratory volume in 1 second) percentage predicted was 41.3. HRQoL showed a statistical significant improvement during the 1-year intervention. Four years after the end of the program SGRQ total was similar to baseline value, 1.4 points (95% CI: -3.6 to 6.3, P = 0.580). Also 6MWT was similar to baseline value at the same test point, -10 m (95% CI: -27 to 8, P = 0.262), and 63% reported having continued to exercise regularly a minimum of three times per week during the follow-up period.

Conclusion: The participants in a 1-year self-management program with additional training had maintained their pre-intervention level of HRQoL and exercise capacity 4 years after the end of the program. Two out of three participants had continued to exercise regularly.

Citing Articles

Do not do in COPD: consensus statement on overuse.

Villar-Alvarez F, Moreno-Zabaleta R, Mira-Solves J, Calvo-Corbella E, Diaz-Lobato S, Gonzalez-Torralba F Int J Chron Obstruct Pulmon Dis. 2018; 13:451-463.

PMID: 29440883 PMC: 5799849. DOI: 10.2147/COPD.S151939.

Psychometric properties of the Korean version of the Pulmonary Rehabilitation Adapted Index of Self-Efficacy (PRAISE) for individuals with COPD.

Song H, Nam K Int J Chron Obstruct Pulmon Dis. 2017; 12:2611-2620.

PMID: 28919729 PMC: 5587092. DOI: 10.2147/COPD.S142488.

Self-Care of People with Chronic Obstructive Pulmonary Disease: A Meta-Synthesis.

Clari M, Matarese M, Ivziku D, De Marinis M Patient. 2017; 10(4):407-427.

PMID: 28197788 DOI: 10.1007/s40271-017-0218-z.

Reporting participation rates in studies of non-pharmacological interventions for patients with chronic obstructive pulmonary disease: a systematic review.

Sohanpal R, Hooper R, Hames R, Priebe S, Taylor S Syst Rev. 2013; 1:66.

PMID: 23272768 PMC: 3563605. DOI: 10.1186/2046-4053-1-66.

References

Finnerty J, Keeping I, Bullough I, Jones J . The effectiveness of outpatient pulmonary rehabilitation in chronic lung disease: a randomized controlled trial. Chest. 2001; 119(6):1705-10. DOI: 10.1378/chest.119.6.1705. View

Bourbeau J . Making pulmonary rehabilitation a success in COPD. Swiss Med Wkly. 2010; 140:w13067. DOI: 10.4414/smw.2010.13067. View

Bourbeau J, van der Palen J . Promoting effective self-management programmes to improve COPD. Eur Respir J. 2009; 33(3):461-3. DOI: 10.1183/09031936.00001309. View

Langer D, Hendriks E, Burtin C, Probst V, van der Schans C, Paterson W . A clinical practice guideline for physiotherapists treating patients with chronic obstructive pulmonary disease based on a systematic review of available evidence. Clin Rehabil. 2009; 23(5):445-62. DOI: 10.1177/0269215509103507. View

Arnold E, Bruton A, Ellis-Hill C . Adherence to pulmonary rehabilitation: A qualitative study. Respir Med. 2006; 100(10):1716-23. DOI: 10.1016/j.rmed.2006.02.007. View

Lorig K, Holman H . Self-management education: history, definition, outcomes, and mechanisms. Ann Behav Med. 2003; 26(1):1-7. DOI: 10.1207/S15324796ABM2601_01. View

Heppner P, Morgan C, Kaplan R, Ries A . Regular walking and long-term maintenance of outcomes after pulmonary rehabilitation. J Cardiopulm Rehabil. 2006; 26(1):44-53. DOI: 10.1097/00008483-200601000-00010. View

Kapella M, Larson J, Covey M, Alex C . Functional performance in chronic obstructive pulmonary disease declines with time. Med Sci Sports Exerc. 2010; 43(2):218-24. PMC: 2989985. DOI: 10.1249/MSS.0b013e3181eb6024. View

Woodard C, Berry M . Enhancing adherence to prescribed exercise: structured behavioral interventions in clinical exercise programs. J Cardiopulm Rehabil. 2001; 21(4):201-9. DOI: 10.1097/00008483-200107000-00002. View

10.

Effing T, Monninkhof E, van der Valk P, van der Palen J, van Herwaarden C, Partidge M . Self-management education for patients with chronic obstructive pulmonary disease. Cochrane Database Syst Rev. 2007; (4):CD002990. DOI: 10.1002/14651858.CD002990.pub2. View

11.

. Pulmonary rehabilitation. Thorax. 2001; 56(11):827-34. PMC: 1745955. DOI: 10.1136/thorax.56.11.827. View

12.

Nici L, Donner C, Wouters E, ZuWallack R, Ambrosino N, Bourbeau J . American Thoracic Society/European Respiratory Society statement on pulmonary rehabilitation. Am J Respir Crit Care Med. 2006; 173(12):1390-413. DOI: 10.1164/rccm.200508-1211ST. View

13.

Wigal J, Creer T, Kotses H . The COPD Self-Efficacy Scale. Chest. 1991; 99(5):1193-6. DOI: 10.1378/chest.99.5.1193. View

14.

Firlei N, Lamprecht B, Schirnhofer L, Kaiser B, Studnicka M . [The prevalence of COPD in Austria--the expected change over the next decade]. Wien Klin Wochenschr. 2007; 119(17-18):513-8. DOI: 10.1007/s00508-007-0867-3. View

15.

Redelmeier D, Bayoumi A, Goldstein R, Guyatt G . Interpreting small differences in functional status: the Six Minute Walk test in chronic lung disease patients. Am J Respir Crit Care Med. 1997; 155(4):1278-82. DOI: 10.1164/ajrccm.155.4.9105067. View

16.

Cote C, Celli B . Pulmonary rehabilitation and the BODE index in COPD. Eur Respir J. 2005; 26(4):630-6. DOI: 10.1183/09031936.05.00045505. View

17.

Rabe K, Hurd S, Anzueto A, Barnes P, Buist S, Calverley P . Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summary. Am J Respir Crit Care Med. 2007; 176(6):532-55. DOI: 10.1164/rccm.200703-456SO. View

18.

. ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med. 2002; 166(1):111-7. DOI: 10.1164/ajrccm.166.1.at1102. View

19.

Jones P . Interpreting thresholds for a clinically significant change in health status in asthma and COPD. Eur Respir J. 2002; 19(3):398-404. DOI: 10.1183/09031936.02.00063702. View

20.

Haave E, Hyland M, Engvik H . Physical and emotional aspects of self-reported health status: a two-factor model of the short-form Breathing Problems Questionnaire. Chron Respir Dis. 2005; 2(1):21-6. DOI: 10.1191/1479972305cd057oa. View