open access

Vol 88, No 3 (2020)
REVIEWS
Published online: 2020-07-18
Submitted: 2020-03-06
Accepted: 2020-05-07
Get Citation

Effective components of self-management programs for chronic obstructive pulmonary disease patients: scoping review

Rita Georges Nohra, Rola Bou Serhal, Hala Sacre, Pascale Salameh, Monique Rothan-Tondeur
DOI: 10.5603/ARM.2020.0117
·
Pubmed: 32706106
·
Adv Respir Med 2020;88(3):223-232.

open access

Vol 88, No 3 (2020)
REVIEWS
Published online: 2020-07-18
Submitted: 2020-03-06
Accepted: 2020-05-07

Abstract

Introduction: To date, little guidance is available to support the development of effective programs for improving self-management in chronic obstructive pulmonary disease (COPD) patients. Yet, given the global burden of this disease, it seems important to identify the components of a self-management program that are effective in terms of health outcomes for COPD patients. Objectives: This review aims to identify effective elements of a self-management program for COPD patients, the ones that may impact quality of life, emergency visits, and rehospitalization rates.
Material and methods: A systematic literature search of three databases (Medline, Cochrane, and CINHAL) was conducted to identify studies on self-management of COPD, with three limiting parameters: published in twelve years prior to November 2019, in English or French, and including patients over 40 years old. Prisma was used to guide the work process.
Results: The search yielded 361 studies from the three electronic databases by applying limiting criteria, and after removing duplicates. Sixty-five articles were identified as relevant based on their titles and abstracts. However, 16 documents were retained after full reading. The analysis of the included articles identified 4 components in self-management programs for COPD patients: initiation stage of the intervention, educational sessions, support and monitoring methods.
Conclusions: Although the combination of self-management program initiation, educational sessions, support and monitoring methods were effective, further research is needed to identify the components that have better impact on COPD patients’ skills and quality of life.

Abstract

Introduction: To date, little guidance is available to support the development of effective programs for improving self-management in chronic obstructive pulmonary disease (COPD) patients. Yet, given the global burden of this disease, it seems important to identify the components of a self-management program that are effective in terms of health outcomes for COPD patients. Objectives: This review aims to identify effective elements of a self-management program for COPD patients, the ones that may impact quality of life, emergency visits, and rehospitalization rates.
Material and methods: A systematic literature search of three databases (Medline, Cochrane, and CINHAL) was conducted to identify studies on self-management of COPD, with three limiting parameters: published in twelve years prior to November 2019, in English or French, and including patients over 40 years old. Prisma was used to guide the work process.
Results: The search yielded 361 studies from the three electronic databases by applying limiting criteria, and after removing duplicates. Sixty-five articles were identified as relevant based on their titles and abstracts. However, 16 documents were retained after full reading. The analysis of the included articles identified 4 components in self-management programs for COPD patients: initiation stage of the intervention, educational sessions, support and monitoring methods.
Conclusions: Although the combination of self-management program initiation, educational sessions, support and monitoring methods were effective, further research is needed to identify the components that have better impact on COPD patients’ skills and quality of life.

Get Citation

Keywords

COPD; self-care; self-management; program components

About this article
Title

Effective components of self-management programs for chronic obstructive pulmonary disease patients: scoping review

Journal

Advances in Respiratory Medicine

Issue

Vol 88, No 3 (2020)

Pages

223-232

Published online

2020-07-18

DOI

10.5603/ARM.2020.0117

Pubmed

32706106

Bibliographic record

Adv Respir Med 2020;88(3):223-232.

Keywords

COPD
self-care
self-management
program components

Authors

Rita Georges Nohra
Rola Bou Serhal
Hala Sacre
Pascale Salameh
Monique Rothan-Tondeur

References (31)
  1. World Health Organization. The World Health Report 1998: Life in the 21st century. WHO, Geneva 1998: 241.
  2. GOLD 2017 Global Strategy for the Diagnosis, Management and Prevention of COPD [Internet]. Global Initiative for Chronic Obstructive Lung Disease - GOLD. Available at: https://goldcopd.org/gold-2017-global-strategy-diagnosis-management-prevention-copd/. [Last accessed at: 05.06.2020].
  3. Lozano R, Naghavi M, Foreman K, et al. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet Lond Engl. 2012; 380(9859): 2095–2128.
  4. WHO. OMS. Charge de morbidité due à la bronchopneumopathie chronique obstructive (BPCO). 2018 . Available from: www.who.int/respiratory/copd/burden/fr/. [Last accessed at: 05.06.2020].
  5. Mathers CD, Loncar D. Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med. 2006; 3(11): e442.
  6. Alcazar B, de Lucas P, Soriano JB, et al. The evaluation of a remote support program on quality of life and evolution of disease in COPD patients with frequent exacerbations. BMC Pulm Med. 2016; 16(1): 140.
  7. Jonkman NH, Westland H, Trappenburg JCa, et al. Do self-management interventions in COPD patients work and which patients benefit most? An individual patient data meta-analysis. Int J Chron Obstruct Pulmon Dis. 2016; 11: 2063–2074.
  8. Gregersen TL, Green A, Frausing E, et al. Do telemedical interventions improve quality of life in patients with COPD? A systematic review. Int J Chron Obstruct Pulmon Dis. 2016; 11: 809–822.
  9. Taylor SJC, Sohanpal R, Bremner SA, et al. Self-management support for moderate-to-severe chronic obstructive pulmonary disease: a pilot randomised controlled trial. Br J Gen Pract. 2012; 62(603): e687–e695.
  10. Liberati A, Altman DG, Tetzlaff J, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. PLoS Med. 2009; 6(7): e1000100.
  11. Haynes RB. Haynes RB. Clinical Epidemiology: How to Do Clinical Practice Research. Lippincott Williams & Wilkins 2012: 516.
  12. Riva JJ, Malik KMP, Burnie SJ, et al. What is your research question? An introduction to the PICOT format for clinicians. J Can Chiropr Assoc. 2012; 56(3): 167–171.
  13. Khelafi R, Aissanou A, Tarsift S, et al. Épidémiologie de la bronchopneumopathie chronique obstructive dans la wilaya d’Alger. Revue des Maladies Respiratoires. 2011; 28(1): 32–40.
  14. Sánchez-Nieto JM, Andújar-Espinosa R, Bernabeu-Mora R, et al. Efficacy of a self-management plan in exacerbations for patients with advanced COPD. Int J Chron Obstruct Pulmon Dis. 2016; 11: 1939–1947.
  15. Chuang C, Levine SH, Rich J. Enhancing cost-effective care with a patient-centric chronic obstructive pulmonary disease program. Popul Health Manag. 2011; 14(3): 133–136.
  16. Hamar B, Wells A, Gandy W, et al. The impact of a proactive chronic care management program on hospital admission rates in a German health insurance society. Popul Health Manag. 2010; 13(6): 339–345.
  17. Lomundal BK, Steinsbekk A. Observational studies of a one year self-management program and a two year pulmonary rehabilitation program in patients with COPD. Int J Chron Obstruct Pulmon Dis. 2007; 2(4): 617–624.
  18. Khdour MR, Kidney JC, Smyth BM, et al. Clinical pharmacy-led disease and medicine management programme for patients with COPD. Br J Clin Pharmacol. 2009; 68(4): 588–598.
  19. Wood-Baker R, Reid D, Robinson A, et al. Clinical trial of community nurse mentoring to improve self-management in patients with chronic obstructive pulmonary disease. Int J Chron Obstruct Pulmon Dis. 2012; 7: 407–413.
  20. Oancea C, Fira-Mladinescu O, Timar B, et al. Impact of medical education program on COPD patients: a cohort prospective study. Wien Klin Wochenschr. 2015; 127(9-10): 388–393.
  21. Rose L, Istanboulian L, Carriere L, et al. Program of integrated care for patients with chronic obstructive pulmonary disease and multiple comorbidities (PIC COPD): a randomised controlled trial. Eur Respir J. 2018; 51(1).
  22. Yu SH, Guo AM, Zhang XJ. Effects of self-management education on quality of life of patients with chronic obstructive pulmonary disease. International Journal of Nursing Sciences. 2014; 1(1): 53–57.
  23. Efraimsson EO, Hillervik C, Ehrenberg A. Effects of COPD self-care management education at a nurse-led primary health care clinic. Scand J Caring Sci. 2008; 22(2): 178–185.
  24. Turner A, Anderson JK, Wallace LM, et al. An evaluation of a self-management program for patients with long-term conditions. Patient Educ Couns. 2015; 98(2): 213–219.
  25. Apps LD, Mitchell KE, Harrison SL, et al. The development and pilot testing of the self-management programme of activity, coping and education for chronic obstructive pulmonary disease (SPACE for COPD). Int J Chron Obstruct Pulmon Dis. 2013; 8: 317–327.
  26. Paneroni M, Clini E, Crisafulli E, et al. Feasibility and effectiveness of an educational program in Italian COPD patients undergoing rehabilitation. Respir Care. 2013; 58(2): 327–333.
  27. Cosgrove D, Macmahon J, Bourbeau J, et al. Facilitating education in pulmonary rehabilitation using the living well with COPD programme for pulmonary rehabilitation: a process evaluation. BMC Pulm Med. 2013; 13: 50.
  28. Bischoff EW, Akkermans R, Bourbeau J, et al. Comprehensive self management and routine monitoring in chronic obstructive pulmonary disease patients in general practice: randomised controlled trial. BMJ. 2012; 345: e7642.
  29. Newham JJ, Presseau J, Heslop-Marshall K, et al. Features of self-management interventions for people with COPD associated with improved health-related quality of life and reduced emergency department visits: a systematic review and meta-analysis. Int J Chron Obstruct Pulmon Dis. 2017; 12: 1705–1720.
  30. Jonkman NH, Schuurmans MJ, Groenwold RHH, et al. Identifying components of self-management interventions that improve health-related quality of life in chronically ill patients: Systematic review and meta-regression analysis. Patient Educ Couns. 2016; 99(7): 1087–1098.
  31. Jonkman NH, Westland H, Trappenburg JCA, et al. Characteristics of effective self-management interventions in patients with COPD: individual patient data meta-analysis. Eur Respir J. 2016; 48(1): 55–68.

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

Czasopismo Pneumonologia i Alergologia Polska dostęne jest również w Ikamed - księgarnia medyczna

Wydawcą serwisu jest "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail: viamedica@viamedica.pl