title: Collaborative self-management and behavioral change.
abstract: Behavioral change is critical for improving health outcomes in patients with chronic obstructive pulmonary disease. An educational approach alone is insufficient; changes in behavior, especially the acquisition of self-care skills, are also required. There is mounting evidence that embedding collaborative self-management (CSM) within existing health care systems provides an effective model to meet these needs. CSM should be integrated with pulmonary rehabilitation programs, one of the main goals of which is to induce long-term changes in behavior. More research is needed to evaluate the effectiveness of assimilating CSM into primary care, patient-centered medical homes, and palliative care teams.
authors.affiliation: Minneapolis VA Health Care System, One Veterans Drive, Minneapolis, MN 55417, USA. Electronic address: kathryn.rice@va.gov.
authors.forename: Kathryn
authors.initials: K
authors.lastname: Rice
authors.affiliation: Montreal Chest Institute, McGill University Health Centre, Montréal, Québec, Canada.
authors.forename: Jean
authors.initials: J
authors.lastname: Bourbeau
authors.affiliation: Minneapolis VA Health Care System, One Veterans Drive, Minneapolis, MN 55417, USA.
authors.forename: Roderick
authors.initials: R
authors.lastname: MacDonald
authors.affiliation: Minneapolis VA Health Care System, One Veterans Drive, Minneapolis, MN 55417, USA.
authors.forename: Timothy J
authors.initials: TJ
authors.lastname: Wilt
mesh_terms: D015438:Health Behavior; D006801:Humans; D010353:Patient Education as Topic; D029424:Pulmonary Disease, Chronic Obstructive / Q000523:psychology / Q000534:rehabilitation*; D012648:Self Care
keywords: Behavioral change; Chronic obstructive pulmonary disease; Collaborative self-management; Pulmonary rehabilitation