Work

Intrinsic factors influence self-management participation in COPD: effects on self-efficacy

Year: 2018

Type: article

Abstract: Chronic Obstructive Pulmonary Disease (COPD) is a leading cause of morbidity worldwide. Lifestyle changes ( e.g. smoking cessation, dietary interventions and physical activity) are recommended to decelerate disease progression and improve quality of life. Adequate self-management can facilitate these changes [1]. Although self-management programmes (SMPs) may be an effective tool to reduce morbidity and burden in chronic diseases [2], their contribution to COPD treatment remains controversial [3, 4]. For example, not all patients are suitable to participate in SMPs and it remains unclear why patients actually participate in SMPs [2]. Although disease severity may be an important reason for patients to participate in an SMP [5], it is unlikely to be the sole explanation. We hypothesised that disease-independent personal traits will influence coping behaviour and subsequent participation in SMPs. Therefore, we compared “wish for self-efficacy”, “mastery” and “readiness to change” between users and nonusers of an SMP in regular COPD care. Personal traits should be addressed before offering self-management programmes to patients with COPD <http://ow.ly/DtNh30k1A15>

Source: ERJ Open Research

DOI: 10.1183/23120541.00011-2018

Authors: Geertje M. de Boer, T.H. Mennema, Esther van Noort, Niels H. Chavannes, Erwin Birnie, Johannes C.C.M. in 't Veen