title: The role of a multidisciplinary student team in the community management of chronic obstructive pulmonary disease.
abstract: To determine whether a community-based, multidisciplinary team consisting of home-based caregivers and supervised students could improve the functional status and quality of life of patients living with chronic obstructive pulmonary disease (COPD) in a low-income, peri-urban setting in South Africa.
  
  
  
  This was a quasi-experimental study conducted over three months. Attention was paid to health literacy, inhaler technique, respiratory conditioning and nutrition.
  
  
  
  Health literacy was poor and most patients were not using their inhalers correctly. Five of 12 patients found exercising challenging and withdrew from the study early. In the remaining seven patients, statistically significant improvements in FEV1%, and quality of life scores were seen at three months. Improvements in exercise tolerance and BODE prognostic index did not reach statistical significance.
  
  
  
  A home-based multidisciplinary student team can improve the functional status and the quality of life in patients living with COPD in a low-income setting. This approach offers a suitable model for community-based service learning.
authors.affiliation: 1Katatura Hospital,Namibia.
authors.forename: Herchel
authors.initials: H
authors.lastname: Clarke
authors.affiliation: 2Department of Community Health,Stellenbosch University,Worcester,Republic of South Africa.
authors.forename: Miranda
authors.initials: M
authors.lastname: Voss
mesh_terms: D000328:Adult; D000368:Aged; D003153:Community Health Services / Q000379:methods*; D005081:Exercise Therapy / Q000379:methods; D005260:Female; D057220:Health Literacy; D006699:Home Care Services; D006801:Humans; D008297:Male; D008875:Middle Aged; D011203:Poverty; D011446:Prospective Studies; D029424:Pulmonary Disease, Chronic Obstructive / Q000628:therapy*; D011788:Quality of Life; D013019:South Africa; D013337:Students, Medical; D014505:Urban Population
keywords: chronic obstructive; delivery of health care; integrated; low-income population; pulmonary disease