Oximetry-supported self-management for chronic obstructive pulmonary disease: mixed method feasibility pilot project
Open accessAbstract
BACKGROUND: Pulse oximetry could potentially contribute to self-monitoring. NHS Lothian's 'Light Touch' service provided COPD patients with a self-management plan based on symptoms and oximetry. The service was overseen (though not actively monitored) by respiratory-trained community teams who were contactable by a telephone helpline. We aimed to assess the feasibility, perceived utility and impact of the 'Light Touch' service. METHODS: A before-and-after assessment of St George's Respiratory Questionnaire (SGRQ), Hospital Anxiety and Depression Scale (HADS) and use of healthcare resources during the 6-month feasibility study compared to the previous corresponding 6-months. Paired semi-structured interviews with patients at baseline and 6-months, interviews with managers and a focus group of professionals explored perceptions of the service and self-management. Transcripts were coded, and analysed thematically. RESULTS: We recruited 51 participants (mean age 69.7 years (SD 8.4); 21 (46%) male). 46 participants completed quantitative follow up (2 died, 2 were unwell, 1 refused). SGRQ: 21 (46%) participants improved by 4 or more (the minimum important difference); 12 (26%) deteriorated by 4 or more. HADS: more participants had normal scores for anxiety (65%) and depression (80%) at 6-months than at baseline (51 and 64%). More emergency therapy was prescribed during the study period compared to the previous year. Only 18 participants (39%) contacted the Light Touch Helpline during the 6-month study. Twenty patients provided a total of 36 interviews, 8 clinicians contributed to a focus group and 6 managers were interviewed. Patients considered that the oximetry readings heightened awareness of their condition and gave them confidence to make self-management decisions. Healthcare professionals valued oximetry as a tool for teaching people self-management skills, but were concerned that patients rarely contacted the teams for help or advice during the study. CONCLUSIONS: 'Light Touch' shows promise as a low-cost strategy for empowering patients' self-management skills and reducing reliance on clinical supervision.
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In contrast, self-monitoring (including oximetry) without daily professional oversight gave patients greater confidence in following their self-management plans.
“In contrast, self-monitoring (including oximetry) without daily professional oversight gave patients greater confidence in following their self-management plans [80].”
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“In contrast, self-monitoring (including oximetry) without daily professional oversight gave patients greater confidence in following their self-management plans [80].”
Self-citation
- Authors
- MacNab, M., Lee, S. H., McCloughan, L., Hanley, J., McKinstry, B., & Pinnock, H.
- Affiliations
- University of Edinburgh (GB)
- University of Limerick (IE)
- Edinburgh Napier University (GB)
- Corresponding author
- Pinnock, Hilary
- Venue
- BMC Health Services Research
- Published
- 2015-06
- Volume
- 15
- Issue
- 1
- Pages
- 485-485
- ISSN
- 1472-6963 (ISSN-L)
- PMC
- PMC4624181
- OpenAlex
- W1953183350
- Cited by
- 21
- References
- 41
- Citations by year
- 2025: 2 · 2024: 2 · 2023: 3 · 2022: 1 · 2021: 2 · 2020: 4 · 2018: 1 · 2017: 4 · 2016: 2
- FWCI
- 1.85
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Health Services Research (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Edinburgh Napier Research Repository (Edinburgh Napier University) (publishedVersion, other-oa)
- Open Access Institutional Repository at Robert Gordon University (Robert Gordon University) (publishedVersion, cc-by)
- Edinburgh Research Explorer (University of Edinburgh) (submittedVersion, cc-by)
- Open Access Institutional Repository at Robert Gordon University (Robert Gordon University) (submittedVersion, cc-by)
- Edinburgh Napier Research Repository (Edinburgh Napier University) (submittedVersion, cc-by)
- Funders
- Edinburgh and Lothians Health Foundation
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
- Keywords
- chronic obstructive pulmonary disease, pulse oximetry, self-management, patient self-monitoring, telephone helpline, patient empowerment, St George's Respiratory Questionnaire, anxiety and depression, health care utilization, feasibility, patient perspectives
- MeSH terms
- Aged, Anxiety, Depression, Feasibility Studies, Female, Humans, Male, Oximetry, Pilot Projects, Surveys and Questionnaires, Self Care, Hotlines, Focus Groups, Pulmonary Disease, Chronic Obstructive
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