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Effects of a COPD self-management support intervention: a randomized controlled trial

BACKGROUND: This study examines the effects of the COPD-specific health promoting self-management intervention “Better living with COPD” on different self-management-related domains, self-efficacy, and sense of coherence (SOC). METHODS: In a randomized controlled design, 182 people with COPD were al...

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Autores principales: Bringsvor, Heidi B, Langeland, Eva, Oftedal, Bjørg Frøysland, Skaug, Knut, Assmus, Jörg, Bentsen, Signe Berit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6231510/
https://www.ncbi.nlm.nih.gov/pubmed/30510410
http://dx.doi.org/10.2147/COPD.S181005
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author Bringsvor, Heidi B
Langeland, Eva
Oftedal, Bjørg Frøysland
Skaug, Knut
Assmus, Jörg
Bentsen, Signe Berit
author_facet Bringsvor, Heidi B
Langeland, Eva
Oftedal, Bjørg Frøysland
Skaug, Knut
Assmus, Jörg
Bentsen, Signe Berit
author_sort Bringsvor, Heidi B
collection PubMed
description BACKGROUND: This study examines the effects of the COPD-specific health promoting self-management intervention “Better living with COPD” on different self-management-related domains, self-efficacy, and sense of coherence (SOC). METHODS: In a randomized controlled design, 182 people with COPD were allocated to either an intervention group (offered Better living with COPD in addition to usual care) or a control group (usual care). Self-management-related domains were measured by the Health Education Impact Questionnaire (heiQ) before and after intervention. Self-efficacy was measured by the General Self-Efficacy Scale (GSE) and SOC was measured by the 13-item Sense of Coherence Scale (SOC-13). Effects were assessed by ANCOVA, using intention-to-treat (ITT) analysis and per-protocol analysis (PPA). RESULTS: The PPA and the ITT analysis showed significant positive changes on Constructive attitudes and approaches (heiQ) (ITT: P=0.0069; PPA: P=0.0021) and Skill and technique acquisition (heiQ) (ITT: P=0.0405; PPA: P=0.0356). Self-monitoring and insight (heiQ) showed significant positive change in the PPA (P=0.0494). No significant changes were found on the other self-management domains (heiQ), self-efficacy (GSE), or SOC (SOC-13). CONCLUSION: Better living with COPD had a significant positive short-term effect on some self-management-related domains, and could be an intervention contributing to the support of self-management in people with COPD. However, further work is needed to establish the clinical relevance of the findings and to evaluate the long-term effects.
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spelling pubmed-62315102018-12-03 Effects of a COPD self-management support intervention: a randomized controlled trial Bringsvor, Heidi B Langeland, Eva Oftedal, Bjørg Frøysland Skaug, Knut Assmus, Jörg Bentsen, Signe Berit Int J Chron Obstruct Pulmon Dis Original Research BACKGROUND: This study examines the effects of the COPD-specific health promoting self-management intervention “Better living with COPD” on different self-management-related domains, self-efficacy, and sense of coherence (SOC). METHODS: In a randomized controlled design, 182 people with COPD were allocated to either an intervention group (offered Better living with COPD in addition to usual care) or a control group (usual care). Self-management-related domains were measured by the Health Education Impact Questionnaire (heiQ) before and after intervention. Self-efficacy was measured by the General Self-Efficacy Scale (GSE) and SOC was measured by the 13-item Sense of Coherence Scale (SOC-13). Effects were assessed by ANCOVA, using intention-to-treat (ITT) analysis and per-protocol analysis (PPA). RESULTS: The PPA and the ITT analysis showed significant positive changes on Constructive attitudes and approaches (heiQ) (ITT: P=0.0069; PPA: P=0.0021) and Skill and technique acquisition (heiQ) (ITT: P=0.0405; PPA: P=0.0356). Self-monitoring and insight (heiQ) showed significant positive change in the PPA (P=0.0494). No significant changes were found on the other self-management domains (heiQ), self-efficacy (GSE), or SOC (SOC-13). CONCLUSION: Better living with COPD had a significant positive short-term effect on some self-management-related domains, and could be an intervention contributing to the support of self-management in people with COPD. However, further work is needed to establish the clinical relevance of the findings and to evaluate the long-term effects. Dove Medical Press 2018-11-08 /pmc/articles/PMC6231510/ /pubmed/30510410 http://dx.doi.org/10.2147/COPD.S181005 Text en © 2018 Bringsvor et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Bringsvor, Heidi B
Langeland, Eva
Oftedal, Bjørg Frøysland
Skaug, Knut
Assmus, Jörg
Bentsen, Signe Berit
Effects of a COPD self-management support intervention: a randomized controlled trial
title Effects of a COPD self-management support intervention: a randomized controlled trial
title_full Effects of a COPD self-management support intervention: a randomized controlled trial
title_fullStr Effects of a COPD self-management support intervention: a randomized controlled trial
title_full_unstemmed Effects of a COPD self-management support intervention: a randomized controlled trial
title_short Effects of a COPD self-management support intervention: a randomized controlled trial
title_sort effects of a copd self-management support intervention: a randomized controlled trial
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6231510/
https://www.ncbi.nlm.nih.gov/pubmed/30510410
http://dx.doi.org/10.2147/COPD.S181005
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