Effects of Treatment on Two Types of Self-Efficacy in People with Chronic Obstructive Pulmonary Disease

Abstract

Self-management is crucial in people with chronic diseases, and self-efficacy has been shown to impact patients' self-management. The purposes of this study were to 1) determine the effect of intervention on self-efficacy and 2) determine the relationship between domain-specific self-efficacy, walking performance, and symptom severity in patients with chronic obstructive pulmonary disease (COPD). Subjects (n=102, forced expiratory volume in 1 second % predicted 44.8+/-14) received one of three self-management interventions. Self-efficacy for walking and managing shortness of breath, walking performance, and shortness of breath severity were measured at baseline and after intervention. Self-efficacy increased after intervention (P<0.01). Self-efficacy for walking was positively related to walking performance (P<0.05). Self-efficacy for managing shortness of breath was positively related to symptom severity (P<0.05). This study examined two types of disease-specific self-efficacy in patients with COPD and demonstrated that improving self-efficacy is an important outcome of self-management interventions. Studies in other domains of self-efficacy are needed.

Programas educativos en pacientes con Enfermedad Pulmonar Obstructiva Crónica. Revisión integradora

“…Protocolos de investigación sin resultados (n=7) (15)(16)(17)(18)(19)(20)(21) incluían a pacientes con EPOC y pacientes sanos (n=3) (22)(23)(24) los pacientes asignados al grupo control no tenían una atención convencional (n=7) (25)(26)(27)(28)(29)(30)(31) estudio repetido (n=5) (32)(33)(34)(35)(36) la intervención era un programa de canto (n=1) (37) , no tenía una intervención educativa (n=2) (38,39) se centraba principalmente en un programa de rehabilitación pulmonar basado en ejercicios físicos (n=3) (40)(41)(42) , se basaba en un abstract de un congreso (n=1) (43) u otros cuyo objetivo era validar un cuestionario para la tos (n=1) (44) . Se realizó una búsqueda manual de las referencias de los 28 artículos que cumplían los criterios de selección (5,45-71) con la obtención de 4 artículos (72)(73)(74)(75) …”

An Open-Access Review to Determine Best Evidence-Based Practice for COPD

“…Effective intervention programs for exercise in an outpatient program, home setting, and community setting proved to be beneficial in improving QoL, self-efficacy, and managing dyspnea (Cambach et al, 1997;Davis et al, 2006;Man et al, 2004;Vieira, Maltais, & Bourbeau, 2010;Wijkstra et al, 1994).…”

“…Clients educated about proper medication management and the use of bronchodilators were able to better prevent acute exacerbations and adopt the skills needed to master the disease as well as decrease visits to primary care physicians (Elliott et al, 2004;Gallefoss & Bakke, 2000;Monninkhoff, van der Valk, van der Palen, van Herwaarden, and Zielhuis, 2003;Sedeno et al, 2009). Educating clients on the specific signs, symptoms, and anatomy can increase their overall QoL by managing dyspnea and improving levels of disease control (Davis et al, 2006;Lacasse et al, 1997;Lemmens et al, 2009;Román et al, 2013;Zhou et al, 2010). Through an education program in a home or outpatient setting, results can be produced to prevent exacerbations (Maltais et al, 2008;Strijbos, Postma, van Altena, Gimeno, & Koëter, 1996a).…”

Reliability and validity of the Exercise Self-Regulatory Efficacy Scale for individuals with chronic obstructive pulmonary disease

“…It is not difficult to envision that individuals with COPD may face additional challenges as they attempt to adhere to a regular exercise program. Although prior studies have examined other types of efficacy beliefs in individuals with COPD, such as efficacy to perform physical tasks 11,12 or manage shortness of breath, 13 self-regulatory efficacy in individuals with COPD is not well understood. Unlike efficacy beliefs such as in weight lifting, in which an increase in the amount of weight will predictably increase the difficulty of the task, the amount of difficulty each impediment poses on a person's self-regulatory efficacy for exercise is more likely to be individually determined.…”