title: Efficient integrated education for older patients with chronic obstructive pulmonary disease using the Lung Information Needs Questionnaire.
abstract: OBJECTIVE
  Education is a key issue for the long-term management of chronic obstructive pulmonary disease in older patients. We tested the hypothesis that integrated care focusing on patient information needs for self-management can improve patient information needs and health outcomes.
  
  
  METHODS
  Patients with chronic obstructive pulmonary disease (n=102) were randomized into integrated care (group I) and usual care (group U) groups. Group I underwent a program of educational sessions for 6months (integrated education period), and then repeatedly received an individually tailored education according to the Lung Information Needs Questionnaire score. Both groups were followed up monthly for 6months.
  
  
  RESULTS
  A total of 85 patients (mean age: 71.7years) were followed up for 12months. The total Lung Information Needs Questionnaire score was significantly better in group I than in group U at 12months (P<0.03). Activities of daily living scores were significantly improved in group I at 6months (P<0.03). The dyspnea score and the BODE index (body mass index, dyspnea, airflow obstruction and exercise capacity) were significantly improved in group I at 12months (P<0.01 and P<0.02, respectively). During the integrated education period, the frequency of hospitalization was significantly lower in group I than in group U (P=0.033).
  
  
  CONCLUSIONS
  Integrated education for older patients with chronic obstructive pulmonary disease effectively improved patients' information needs, activities of daily living, dyspnea score, BODE index and reduced hospitalizations during the observed period. Geriatr Gerontol Int 2011; 11: 422-430.
authors: Department of Internal Medicine, Division of Pulmonary Medicine, Infectious Diseases and Oncology, Nippon Medical School, Respiratory Care Clinic, Nippon Medical School, Tokyo, Japan.
authors: Ritsuko
authors: R
authors: Wakabayashi
authors: Takashi
authors: T
authors: Motegi
authors: Kouichi
authors: K
authors: Yamada
authors: Takeo
authors: T
authors: Ishii
authors: Rupert Cm
authors: RC
authors: Jones
authors: Michael E
authors: ME
authors: Hyland
authors: Akihiko
authors: A
authors: Gemma
authors: Kozui
authors: K
authors: Kida
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D015992:Body Mass Index; D015897:Comorbidity; D004417:Dyspnea; D017079:Exercise Tolerance; D005260:Female; D005500:Follow-Up Studies; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D010353:Patient Education as Topic; D018579:Patient Selection; D029424:Pulmonary Disease, Chronic Obstructive / Q000517:prevention & control*; D012129:Respiratory Function Tests; D012648:Self Care; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires; D016896:Treatment Outcome