COPD-Specific Self-Management Support Provided by Trained Educators in Everyday Practice is Associated with Improved Quality of Life, Health-Directed Behaviors, and Skill and Technique Acquisition: A Convergent Embedded Mixed-Methods Study

Gagné, Myriam; Lauzier, Sophie; Babineau-Therrien, Justine; Hamel, Christine; Penney, Sara-Edith; Bourbeau, Jean; Moisan, Jocelyne; Boulet, Louis‐Philippe

doi:10.1007/s40271-019-00386-7

Cited by 9 publications

(14 citation statements)

References 72 publications

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“…The measures used in the studies that took a medicocentric perspective reflected this trend, tending to cluster around 1) health-related quality of life, 24,26,29,31,34,36,38,45,47,48,50,51,53,54,70,72 2) use of health care resources, 23,25,27,29,31,36,38,44,47,50,53,54,61,70,71 3) clinical or physiological measures, 4,24,26,28,30,33,36,38,41,47,49,51,52,54,56,60,70,71 and 4) self-efficacy, 31,33,36,38,40,41,43,46,48,50,51,54,57,60,…”

Section: Resultsmentioning

confidence: 98%

Section: Resultsmentioning

confidence: 99%

“…Two texts 53,69 criticised conceptualisations of self-management that adopt a medicocentric view of what people with COPD should do to self-manage, with an absence of focus on shared decision-making between health care professionals and people with COPD. However, these were in the minority of texts that took the medicocentric perspective, and they still argued that people with COPD need to be encouraged to acquire and apply specific skills in self-management.…”

Section: Resultsmentioning

confidence: 99%

“…23,29,31,35,37,41,43,44,46,52,54,57,62,65 Many of the publications that took a medicocentric perspective also emphasised the role of lifestyle and behaviour change. 28,32,34,36,38,39,41,42,44,45,47,50,51,53,54,57,65,67,69 The measures used in the studies that took a medicocentric perspective reflected this trend, tending to cluster around 1) healthrelated quality of life, 24,26,29,31,34,36,38,45,47,48,50,51,53,54,70,72 2) use of health care resources, 23,…”

Section: The Medicocentric Conceptualisation Of Copd Self-managementmentioning

confidence: 99%

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Conceptualisations of COPD self-management: A narrative review of the research literature

Delaney¹,

Cronin

Huntley-Moore

2022

Chronic Illness

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Aim To examine how self-management is conceptualised in the research literature on chronic obstructive pulmonary disease (COPD). Methods A narrative review was undertaken to search the research literature on COPD self-management. Ten databases (2000–2021) were searched for published texts. Sixty-two articles met the inclusion criteria. A thematic analysis was conducted of the literature. Results Three conceptualisations of COPD self-management were identified: 1) a dominant medicocentric conceptualisation which represented self-management as medical in focus; 2) a less dominant experiential conceptualisation that viewed it as arising from the experiences of people living with COPD; and 3) a smaller body of literature that attempted to integrate medicocentric and experiential conceptualisations of self-management. Discussion The dominance of the medicocentric conceptualisation of self-management and the polarisation of medicocentric and experiential perspectives were striking. An integrated conceptualisation of self-management has the potential to unite these competing perspectives and promote collaborative relationships between individuals and professionals, so long as the underlying values informing it are made explicit. However, there is a dearth of literature on this approach and it would benefit from more attention. Methods such as Co-production and the Personal Outcomes Approach offer the potential to support an integrated perspective in clinical practice.

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Section: Resultsmentioning

confidence: 98%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: The Medicocentric Conceptualisation Of Copd Self-managementmentioning

confidence: 99%

See 2 more Smart Citations

Conceptualisations of COPD self-management: A narrative review of the research literature

Delaney¹,

Cronin

Huntley-Moore

2022

Chronic Illness

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“…46 To be effective, CME programs need to use diverse interactive, dynamic, collaborative and interdisciplinary learning methods to improve not only clinicians' knowledge of COPD but also their self-confidence and skills in implementing GOLD report' recommendations, such as using and interpreting spirometry results, prescribing and providing patients with appropriate self-management education and support. 44,45 Gagné et al 47 demonstrated, in a Quebec-based study, that a 7-hour training session, delivered to experienced respiratory educators (trained respiratory therapists or nurses), led to major clinical improvements in patient quality of life, health-directed behaviours, and skills and techniques in everyday practice. However, challenges related to assessing each patient's educational needs, actively engaging them in their learning process and tailoring the intervention to their needs remained.…”

Section: Discussionmentioning

confidence: 99%

Challenges and Strategies for Improving COPD Primary Care Services in Quebec: Results of the Experience of the COMPAS+ Quality Improvement Collaborative

Vachon¹,

Giasson²,

Gaboury³

et al. 2022

COPD

Self Cite

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Management of chronic obstructive pulmonary disease (COPD) remains a challenge in primary care and multiple barriers can limit implementation of COPD guidelines. Since 2016, a quality improvement (QI) collaborative, called COMPAS+, has been implemented across the province of Quebec (Canada) to support improvement of chronic disease management in primary care. The aim of this study was to describe the main COPD quality problems reported by participating teams and the strategies they proposed and implemented to improve COPD primary care services in Quebec. Methods: Sixteen sites in four different regions of Quebec were engaged in the COMPAS+ intervention to improve primary care services delivered to people living with COPD. A total of 14 workshop reports, 31 QI action plans and 4 regional final reports underwent content analysis. Key COPD quality problems were first identified and, for each of them, root causes were classified according to the domains and constructs of the Consolidated Framework for Implementation Research. Proposed strategies were organized according to the intervention function types described in the Behavior Change Wheel. Results: Four key COPD quality problems were identified: 1) lack of organization/coordination of COPD services, 2) lack of screening services coordination, 3) lack of interprofessional communication and collaboration and 4) lack of treatment adherence. Main root causes explaining these quality gaps were 1) lack of awareness of COPD, 2) lack of professional knowledge, 3) lack of definition of professional roles, 4) lack of resources and tools for COPD prevention, diagnosis, and follow-up, 5) lack of communication tools, 6) lack of integration of the patient-as-partner approach, and 7) lack of adaptation of patient education to their specific needs. Multiple strategies were proposed to improve healthcare professionals' education and interprofessional collaboration and communication. Conclusion: QI collaborative activities can support achieving understanding of QI challenges healthcare organizations face to improve COPD services.

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Cost-Effectiveness and Impact on Health Care Utilization of Interventions to Improve Medication Adherence and Outcomes in Asthma and Chronic Obstructive Pulmonary Disease: A Systematic Literature Review

van Boven,

Lavorini,

Agh

et al. 2024

The Journal of Allergy and Clinical Immunology: In Practice

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COPD-Specific Self-Management Support Provided by Trained Educators in Everyday Practice is Associated with Improved Quality of Life, Health-Directed Behaviors, and Skill and Technique Acquisition: A Convergent Embedded Mixed-Methods Study

Cited by 9 publications

References 72 publications

Conceptualisations of COPD self-management: A narrative review of the research literature

Conceptualisations of COPD self-management: A narrative review of the research literature

Challenges and Strategies for Improving COPD Primary Care Services in Quebec: Results of the Experience of the COMPAS+ Quality Improvement Collaborative

Cost-Effectiveness and Impact on Health Care Utilization of Interventions to Improve Medication Adherence and Outcomes in Asthma and Chronic Obstructive Pulmonary Disease: A Systematic Literature Review

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