Effects of the Health Belief Model-Based Intervention on Anxiety, Depression, and Quality of Life in Chronic Obstructive Pulmonary Disease

Abstract

<b><i>Background:</i></b> Chronic obstructive pulmonary disease (COPD) is a chronic respiratory condition. COPD causes a heavy burden on the patients through negative impacts on the quality of life and psychological health. The health belief model (HBM) is proposed and modified by several social psychologists and is confirmed to have benefits in the recovery of various diseases. This research aimed to explore the effects of the HBM-based intervention on anxiety, depression, and quality of life in COPD patients entering pulmonary rehabilitation (PR). <b><i>Methods:</i></b> This research was conducted at the Tianjin Rehabilitation Recuperate Center of Chinese PLA in 2019. A total of 136 COPD patients were randomized into the intervention group and the control group. In the control group, patients received the PR program. In the intervention group, patients received both PR program and the HBM-based intervention. Quality of life was measured by the COPD assessment test. The outcomes of anxiety and depression were measured by the Hospital Anxiety and Depression Scale. <b><i>Results:</i></b> The HBM-based intervention decreased both anxiety and depression scores among COPD patients. The COPD assessment test score was declined by the HBM-based intervention, which also decreased the serum levels of interleukin-6 and C-reactive protein in COPD patients entering PR. <b><i>Conclusion:</i></b> The HBM-based intervention alleviates anxiety and depression, enhances quality of life, and inhibits inflammation in COPD patients entering PR.

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“… 46 , 69 Psychological and educational support could improve both HR-QoL and medication adherence. 63 , 73 , 74 …”

Applying behavioral change theories to optimize pulmonary rehabilitation in COPD patients: A review

“…Patients were compliant with treatments and rarely questioned them, although they sometimes failed to follow treatment recommendations. Zhang and Zhao [39] included 136 COPD patients, dividing them randomly into an experimental group and a control group. The control group received a pulmonary rehabilitation program, while the experimental group participated in a pulmonary rehabilitation program coupled with an HBM-based intervention.…”

Chronic Obstructive Pulmonary Disease (COPD) and Evidence-Based Psychosocial Interventions

“…It assists healthcare professionals in adopting more effective and patient-centered treatment approaches. The utilization of EBP by healthcare practitioners also facilitates informed decision-making based on the most current and relevant research data for patient care (Zhang andZhao 2021, Wood et al 2023). Recent studies concerning psychosocial interventions for COPD patients encompass home medical support, exercise, selfmanagement, and mental well-being (Rzadkiewicz andNasiłowski 2019, Farver-Vestergaard et al 2022).…”

“…When examining the literature concerning individuals diagnosed with COPD, researchers have primarily focused on comorbid anxiety and depression levels. Interventions aimed at addressing these issues and enhancing quality of life include exercise therapies (Bricca et al 2020), alternative and complementary treatments (ACT) (Lin et al 2019), promotion of self-management and PR applications (Yadav et al 2020, Schrijver et al 2022, digital health applications, cognitive-behavioral therapy, psychoeducation, art therapy (Heslop-Marshall et al 2019, Wood et al 2023, nurse-led psychological and emotional support interventions (Aranburu-Imatz et al 2022), motivational interviews (Wang et al 2022), hypnosis (Anlló et al 2020), and model-based interventions (Zhang and Zhao 2021). Alongside these studies, recent research indicates that mindfulness and progressive relaxation-based interventions could modestly contribute to reducing the effects of COPD; however, more RCTs are needed (Kilic et al 2021, Kayser et al 2022.…”