The Relationship between Self-Efficacy, Functional Exercise Capacity and Physical Activity in People with COPD: A Systematic Review and Meta-Analyses

Selzler, Anne-Marie; Moore, Veronica; Habash, Razanne; Ellerton, Lauren; Nekolaichuk, Erica; Goldstein, Roger; Brooks, Dina

doi:10.1080/15412555.2020.1782866

Cited by 18 publications

(14 citation statements)

References 46 publications

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“…SE has been regarded as the main factor influencing health behaviour (Holmes et al, 2014). A large number of studies have shown that patient empowerment is an essential resource of SE, and individuals with high SE perform better in adhering to healthy self‐management behaviours among patients with chronic diseases, such as hypertension, DM, and COPD (Devarajooh & Chinna, 2017; Mensorio et al, 2019; Selzler et al, 2020). Meanwhile, SE has been reported to be a mediator between patient empowerment and self‐management behaviours (Xie et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Patient empowerment and self‐management behaviour of chronic disease patients: A moderated mediation model of self‐efficacy and health locus of control

Wang

Zhou

et al. 2021

Journal of Advanced Nursing

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Aims To explore the role of self‐efficacy (SE) in the effect of patient empowerment on self‐management behaviours among patients with chronic illness and to investigate the moderating effect of three types of health locus of control (HLC) in this moderated mediation model. Design Cross‐sectional design. Methods Data were collected in a general tertiary hospital, and a sample of 254 patients was recruited between August and October 2020. The effect of moderation and mediation was tested by the PROCESS macro (Model 4 and Model 8) for SPSS 25.0 by Hayes using 5000 bootstrap samples. Results Self‐efficacy significantly mediated the relationship between patient empowerment and self‐management behaviour with a 95% confidence interval excluding zero. The chance HLC demonstrated a moderating effect, and the interaction effect on SE and self‐management behaviour was significant. Conclusion Patient empowerment may improve confidence and adherence to self‐management among people with chronic illness, and such benefits were conditional on the HLC of patients. Impact This study addresses the relationship between patient empowerment and self‐management behaviour in patients with different personality characteristics. This result indicated that classifying the type of HLC may enable the identification of subgroups of patients who may subsequently benefit from patient empowerment. In a patient‐centred programme, nurses and other healthcare professionals correctly identifying patients’ HLC type and understanding the implications and then providing appropriate health care plans for patients with different health beliefs may be useful to tailor the decision‐making process.

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Section: Introductionmentioning

confidence: 99%

Patient empowerment and self‐management behaviour of chronic disease patients: A moderated mediation model of self‐efficacy and health locus of control

Wang

Zhou

et al. 2021

Journal of Advanced Nursing

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“…Educational and coaching intervention studies have commonly focused on improving self-efficacy as a prerequisite for self-management skills in people with COPD, 29 30 with a small number demonstrating sustained improvements over 6 months 31 or even a year. 32 However, such studies have rarely controlled for the degrees to which participants are self-efficacious at commencement, or attempted a ‘second dose’ to boost self-efficacy at follow-up in patients who have only partially or not responded.…”

Section: Discussionmentioning

confidence: 99%

Maintenance of non-pharmacological strategies 6 months after patients with chronic obstructive pulmonary disease (COPD) attend a breathlessness service: a qualitative study

et al. 2021

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ObjectivesThis study aimed to explore the degree to which non-pharmacological strategies for chronic breathlessness are sustained 6 months after completing a breathlessness service in patients with chronic obstructive pulmonary disease (COPD), and patient perceptions regarding the need for ongoing support.DesignA qualitative approach was taken using semistructured telephone interviews. Thematic analysis used an integrative approach.SettingThe Westmead Breathlessness Service (WBS) trains patients with COPD to self-manage chronic breathlessness over an 8-week programme with multidisciplinary input and home visits.ParticipantsPatients with moderate to very severe COPD who had completed the WBS programme 6 months earlier.ResultsThirty-two participants were interviewed. One or more breathlessness self-management strategies were sustained by most participants, including breathing techniques (n=22; 69%), the hand-held fan (n=17; 53%), planning/pacing and exercise (n=14 for each; 44%) and strategic use of a four-wheeled walker (n=8; 25%). However, almost a third of participants appeared to be struggling psychologically, including some who had refused psychological intervention. A ‘chaos narrative’ appeared to be prevalent, and many participants had poor recall of the programme.ConclusionsSelf-management strategies taught by breathlessness services to patients with moderate to very severe COPD have potential to be sustained 6 months later. However, psychological coping may be more challenging to maintain. Research is needed on ways to improve resilience to set-backs and uptake of psychological interventions, as well as to understand and address the implications of poor recall for self-management.Trial registration numberACTRN12617000499381

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“…Selzer et al . 22 systematically reviewed the relationship of physical activity as a moderator on depression and anxiety in patients with COPD. A self-reported physical activity (e.g.…”

Section: Pulmonary Rehabilitationmentioning

confidence: 99%

Anxiety and post-traumatic stress disorders in patients with chronic respiratory diseases

Yohannes

2023

Current Opinion in Supportive &Amp; Palliative Care

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Purpose of review This brief critical review evaluates recent research on the impact of anxiety disorders and post-traumatic stress disorders (PTSD) on patients with chronic obstructive pulmonary disease (COPD) and asthma. In these patients, untreated anxiety and PTSD exacerbate acute symptoms, increase disability and impair quality of life. Therefore, effective interventions are also reviewed. Recent findings Anxiety disorders and PTSD are prevalent in COPD and asthma, worsen symptoms in acute exacerbations, and increase morbidity and healthcare utilization. Pulmonary rehabilitation (PR), cognitive behavioural therapy and pharmacological therapy are each effective in COPD patients with anxiety or PTSD. However, very little work examined therapy for combined anxiety and PTSD in patients with either COPD or asthma. Summary Despite the high prevalence of anxiety disorder or PTSD in patients with chronic respiratory diseases, a paucity of literature remains demonstrating the efficacy of pharmacological therapies for these conditions. This review highlights the promising benefits of PR on anxiety, but prospective trials are needed to demonstrate the efficacy of interventions with PTSD alone, or with concomitant anxiety.

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The Relationship between Self-Efficacy, Functional Exercise Capacity and Physical Activity in People with COPD: A Systematic Review and Meta-Analyses

Cited by 18 publications

References 46 publications

Patient empowerment and self‐management behaviour of chronic disease patients: A moderated mediation model of self‐efficacy and health locus of control

Patient empowerment and self‐management behaviour of chronic disease patients: A moderated mediation model of self‐efficacy and health locus of control

Maintenance of non-pharmacological strategies 6 months after patients with chronic obstructive pulmonary disease (COPD) attend a breathlessness service: a qualitative study

Anxiety and post-traumatic stress disorders in patients with chronic respiratory diseases

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