Cargando…

COPD disease knowledge, self-awareness and reasons for hospital presentations among a predominately Indigenous Australian cohort: a study to explore preventable hospitalisation

BACKGROUND: The prevalence of chronic obstructive pulmonary disease (COPD) is higher among Indigenous Australians than that of non-Indigenous Australians. However, no studies have investigated COPD disease awareness and knowledge among Indigenous Australians. In this study, we assessed the COPD dise...

Descripción completa

Detalles Bibliográficos
Autores principales: Pal, Arijeet, Howarth, Timothy P, Rissel, Chris, Messenger, Raelene, Issac, Siji, Ford, Linda, Connors, Christine, Heraganahally, Subash
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9367193/
https://www.ncbi.nlm.nih.gov/pubmed/35944944
http://dx.doi.org/10.1136/bmjresp-2022-001295
_version_ 1784765733077516288
author Pal, Arijeet
Howarth, Timothy P
Rissel, Chris
Messenger, Raelene
Issac, Siji
Ford, Linda
Connors, Christine
Heraganahally, Subash
author_facet Pal, Arijeet
Howarth, Timothy P
Rissel, Chris
Messenger, Raelene
Issac, Siji
Ford, Linda
Connors, Christine
Heraganahally, Subash
author_sort Pal, Arijeet
collection PubMed
description BACKGROUND: The prevalence of chronic obstructive pulmonary disease (COPD) is higher among Indigenous Australians than that of non-Indigenous Australians. However, no studies have investigated COPD disease awareness and knowledge among Indigenous Australians. In this study, we assessed the COPD disease awareness among Indigenous and non-Indigenous patients in the Top End Health Service region of the Northern Territory of Australia. METHODS: Of a total convenience sample of 100 adults, 86 patients consented to participate in this study over a 15-month period. A structured interview was conducted to identify participant’s level of knowledge about COPD, medications, self-management, healthcare interaction and utilisations. RESULTS: Most (69%) participants were Indigenous and men (52%). Indigenous patients were significantly younger (mean 56 vs 68 years p<0.001), with a higher proportion of remote residence and current smoking. COPD knowledge across the cohort was low, with 68% of Indigenous and 19% of non-Indigenous participants reporting they ‘know nothing/had never heard of COPD’. Most patients self-reported use of puffers/inhalers and were able to identify medication used; however, adherence to therapy was observed in only 18%. Shortness of breath was the most common symptom for hospital presentation (83%) and 69% of Indigenous patients reported seeking medical attention during an exacerbation. Self-management and COPD action plans were poorly implemented. A significant proportion (49%) reported ≥2 hospital admissions in the preceding 12 months. During exacerbation, although the majority of Indigenous patients were transferred to a tertiary centre from remote communities, patient’s preference was to be managed in their respective local communities. CONCLUSIONS: Awareness and understanding of COPD are low in this cohort on several domains. Tailored and culturally appropriate initiatives for both patients and health professionals alike are required to improve COPD disease management among Indigenous population. This will not only improve quality of life but also reduce recurrent hospitalisation, healthcare cost and utilisation.
format Online
Article
Text
id pubmed-9367193
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher BMJ Publishing Group
record_format MEDLINE/PubMed
spelling pubmed-93671932022-08-22 COPD disease knowledge, self-awareness and reasons for hospital presentations among a predominately Indigenous Australian cohort: a study to explore preventable hospitalisation Pal, Arijeet Howarth, Timothy P Rissel, Chris Messenger, Raelene Issac, Siji Ford, Linda Connors, Christine Heraganahally, Subash BMJ Open Respir Res Chronic Obstructive Pulmonary Disease BACKGROUND: The prevalence of chronic obstructive pulmonary disease (COPD) is higher among Indigenous Australians than that of non-Indigenous Australians. However, no studies have investigated COPD disease awareness and knowledge among Indigenous Australians. In this study, we assessed the COPD disease awareness among Indigenous and non-Indigenous patients in the Top End Health Service region of the Northern Territory of Australia. METHODS: Of a total convenience sample of 100 adults, 86 patients consented to participate in this study over a 15-month period. A structured interview was conducted to identify participant’s level of knowledge about COPD, medications, self-management, healthcare interaction and utilisations. RESULTS: Most (69%) participants were Indigenous and men (52%). Indigenous patients were significantly younger (mean 56 vs 68 years p<0.001), with a higher proportion of remote residence and current smoking. COPD knowledge across the cohort was low, with 68% of Indigenous and 19% of non-Indigenous participants reporting they ‘know nothing/had never heard of COPD’. Most patients self-reported use of puffers/inhalers and were able to identify medication used; however, adherence to therapy was observed in only 18%. Shortness of breath was the most common symptom for hospital presentation (83%) and 69% of Indigenous patients reported seeking medical attention during an exacerbation. Self-management and COPD action plans were poorly implemented. A significant proportion (49%) reported ≥2 hospital admissions in the preceding 12 months. During exacerbation, although the majority of Indigenous patients were transferred to a tertiary centre from remote communities, patient’s preference was to be managed in their respective local communities. CONCLUSIONS: Awareness and understanding of COPD are low in this cohort on several domains. Tailored and culturally appropriate initiatives for both patients and health professionals alike are required to improve COPD disease management among Indigenous population. This will not only improve quality of life but also reduce recurrent hospitalisation, healthcare cost and utilisation. BMJ Publishing Group 2022-08-09 /pmc/articles/PMC9367193/ /pubmed/35944944 http://dx.doi.org/10.1136/bmjresp-2022-001295 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Chronic Obstructive Pulmonary Disease
Pal, Arijeet
Howarth, Timothy P
Rissel, Chris
Messenger, Raelene
Issac, Siji
Ford, Linda
Connors, Christine
Heraganahally, Subash
COPD disease knowledge, self-awareness and reasons for hospital presentations among a predominately Indigenous Australian cohort: a study to explore preventable hospitalisation
title COPD disease knowledge, self-awareness and reasons for hospital presentations among a predominately Indigenous Australian cohort: a study to explore preventable hospitalisation
title_full COPD disease knowledge, self-awareness and reasons for hospital presentations among a predominately Indigenous Australian cohort: a study to explore preventable hospitalisation
title_fullStr COPD disease knowledge, self-awareness and reasons for hospital presentations among a predominately Indigenous Australian cohort: a study to explore preventable hospitalisation
title_full_unstemmed COPD disease knowledge, self-awareness and reasons for hospital presentations among a predominately Indigenous Australian cohort: a study to explore preventable hospitalisation
title_short COPD disease knowledge, self-awareness and reasons for hospital presentations among a predominately Indigenous Australian cohort: a study to explore preventable hospitalisation
title_sort copd disease knowledge, self-awareness and reasons for hospital presentations among a predominately indigenous australian cohort: a study to explore preventable hospitalisation
topic Chronic Obstructive Pulmonary Disease
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9367193/
https://www.ncbi.nlm.nih.gov/pubmed/35944944
http://dx.doi.org/10.1136/bmjresp-2022-001295
work_keys_str_mv AT palarijeet copddiseaseknowledgeselfawarenessandreasonsforhospitalpresentationsamongapredominatelyindigenousaustraliancohortastudytoexplorepreventablehospitalisation
AT howarthtimothyp copddiseaseknowledgeselfawarenessandreasonsforhospitalpresentationsamongapredominatelyindigenousaustraliancohortastudytoexplorepreventablehospitalisation
AT risselchris copddiseaseknowledgeselfawarenessandreasonsforhospitalpresentationsamongapredominatelyindigenousaustraliancohortastudytoexplorepreventablehospitalisation
AT messengerraelene copddiseaseknowledgeselfawarenessandreasonsforhospitalpresentationsamongapredominatelyindigenousaustraliancohortastudytoexplorepreventablehospitalisation
AT issacsiji copddiseaseknowledgeselfawarenessandreasonsforhospitalpresentationsamongapredominatelyindigenousaustraliancohortastudytoexplorepreventablehospitalisation
AT fordlinda copddiseaseknowledgeselfawarenessandreasonsforhospitalpresentationsamongapredominatelyindigenousaustraliancohortastudytoexplorepreventablehospitalisation
AT connorschristine copddiseaseknowledgeselfawarenessandreasonsforhospitalpresentationsamongapredominatelyindigenousaustraliancohortastudytoexplorepreventablehospitalisation
AT heraganahallysubash copddiseaseknowledgeselfawarenessandreasonsforhospitalpresentationsamongapredominatelyindigenousaustraliancohortastudytoexplorepreventablehospitalisation