title: Evaluation of a self-management programme for patients with chronic obstructive pulmonary disease.
abstract: Self-management is becoming an important part of treatment for patients with chronic obstructive pulmonary disease (COPD). We conducted a longitudinal survey of patients with COPD who attended a 7-week group-based lay and clinician co-delivered COPD self-management programme (SMP)to see whether they became more activated, enjoyed better health status, and quality of life, were less psychologically distressed and improved their self-management abilities. The main analysis was a per-protocol analysis (N = 131), which included only patients who attended ≥5 SMP sessions and who returned a 6-month follow-up questionnaires. Changes in the mean values of the patient outcomes were compared over time using paired t tests and general linear model for repeated measures. Patient activation significantly improved 6 months after the SMP (p < 0.001). There were also significant improvements in COPD mastery (p = 0.001) and significant improvements in a range of self-management abilities (self-monitoring and insight p = 0.03), constructive attitude shift (p = 0.04), skills and technique acquisition, (p < 0.001)). This study showed that a lay and clinician-led SMP for patients with COPD has the potential to produce improvements in important outcomes such as activation, mastery and self-management abilities.
authors: Applied Research Centre in Health and Lifestyle Interventions, Coventry University, Coventry, UK a.turner@coventry.ac.uk.
authors: Ap
authors: A
authors: Turner
authors: Applied Research Centre in Health and Lifestyle Interventions, Coventry University, Coventry, UK.
authors: Jk
authors: J
authors: Anderson
authors: Applied Research Centre in Health and Lifestyle Interventions, Coventry University, Coventry, UK.
authors: Lm
authors: L
authors: Wallace
authors: Applied Research Centre in Health and Lifestyle Interventions, Coventry University, Coventry, UK.
authors: P
authors: P
authors: Kennedy-Williams
keywords: Chronic obstructive pulmonary disease; mastery; patient activation; self-management programme