Impact of Self-Management Education on Outcomes for Patients with COPD
Research type
Research Study
Full title
The Impact of Pulmonary Rehabilitation Self-Management Education on Outcomes for Patients with Chronic Obstructive Pulmonary Disease
IRAS ID
163384
Contact name
Joy Gana-Inatimi
Contact email
Sponsor organisation
Liverpool Heart and Chest Hospital
Duration of Study in the UK
1 years, 6 months, 30 days
Research summary
Chronic Obstructive Pulmonary Disease is a term for chronic lung disorders characterised by airflow obstruction due to airway and parenchymal damage. The National Institute for Clinical Excellence recommends the use of Pulmonary Rehabilitation to manage Chronic Obstructive Pulmonary Disease and defines Pulmonary Rehabilitation as a programme incorporating physical training, disease education, nutritional, psychological and behavioural intervention (NICE, 2010).
There is abundant evidence for the physical training aspects of Pulmonary Rehabilitation, however, several aspects of Pulmonary Rehabilitation require further research (CSP, 2003), including the role of self-management in the management of Chronic Obstructive Pulmonary Disease (Harris et al, 2008). Self-management is defined as patient education aimed at teaching skills to carry out medical regimens, guide health behaviour change and provide emotional support for patients to control their disease and live functional lives (Bourbeau, 2003).
Self-management has a well-established evidence base for asthma, diabetes and cardiovascular disease, but the effects of self-management for Chronic Obstructive Pulmonary Disease are still unclear (Harris et al., 2008). My previous research suggests that our Pulmonary Rehabilitation approach is typical within the North West of England and that the self-management strategy utilised as part of the programme is adequate to effect change but the tool used to measure self-management ability is not adequately valid to measure self-management ability.
In this study we will aim to recruit 301 patients referred for Pulmonary Rehabilitation. These patients will be asked to fill out two short questionnaires in addition to the routine Pulmonary Rehabilitation questionnaires. The study questionnaires include a generic and a Chronic Obstructive Pulmonary Disease specific self-management questionnaire. The results from these questionnaires will be analysed in conjunction with routinely collected patient demographic and clinical data on functional capacity, emotional functioning and respiratory disability to explore the impact of the self-management education component of the programme on health outcomes.REC name
West Midlands - Coventry & Warwickshire Research Ethics Committee
REC reference
15/WM/0203
Date of REC Opinion
1 Jun 2015
REC opinion
Favourable Opinion