Do self-management interventions in COPD patients work and which patients benefit most? An individual patient data meta-analysis
Open accessAbstract
BACKGROUND: Self-management interventions are considered effective in patients with COPD, but trials have shown inconsistent results and it is unknown which patients benefit most. This study aimed to summarize the evidence on effectiveness of self-management interventions and identify subgroups of COPD patients who benefit most. METHODS: Randomized trials of self-management interventions between 1985 and 2013 were identified through a systematic literature search. Individual patient data of selected studies were requested from principal investigators and analyzed in an individual patient data meta-analysis using generalized mixed effects models. RESULTS: Fourteen trials representing 3,282 patients were included. Self-management interventions improved health-related quality of life at 12 months (standardized mean difference 0.08, 95% confidence interval [CI] 0.00-0.16) and time to first respiratory-related hospitalization (hazard ratio 0.79, 95% CI 0.66-0.94) and all-cause hospitalization (hazard ratio 0.80, 95% CI 0.69-0.90), but had no effect on mortality. Prespecified subgroup analyses showed that interventions were more effective in males (6-month COPD-related hospitalization: interaction P=0.006), patients with severe lung function (6-month all-cause hospitalization: interaction P=0.016), moderate self-efficacy (12-month COPD-related hospitalization: interaction P=0.036), and high body mass index (6-month COPD-related hospitalization: interaction P=0.028 and 6-month mortality: interaction P=0.026). In none of these subgroups, a consistent effect was shown on all relevant outcomes. CONCLUSION: Self-management interventions exert positive effects in patients with COPD on respiratory-related and all-cause hospitalizations and modest effects on 12-month health-related quality of life, supporting the implementation of self-management strategies in clinical practice. Benefits seem similar across the subgroups studied and limiting self-management interventions to specific patient subgroups cannot be recommended.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The evidence for self-management intervention benefit for people with COPD comes from those who have more severe disease and symptom burden.
“The evidence for self-management intervention benefit for people with COPD is from those who have more severe disease and symptom burden.13,14”
From An observational cohort study of exercise and education for people with chronic obstructive pulmonary disease not meeting criteria for formal pulmonary rehabilitation programmes (2019) · cites this paper as [14]
The Results (page not available) describe participants with a mean FEV1 of 47.7% predicted and report that 55.3% had high breathlessness scores, so the evidence includes people with substantial disease and symptoms. But the Conclusion (page not available) says benefits were similar across the subgroups studied; the paper does not establish that the evidence for benefit comes only from people with more severe disease and symptom burden. (LLM, conf=0.82)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
(1992) · PubMed · Cited by 33,716 · see citing works
Multiple Imputation for Nonresponse in Surveys
Rubin, D. B. (1987) · Wiley Series in Probability and Statistics · doi:10.1002/9780470316696 · Cited by 20,701 · see citing works
<b>mice</b>: Multivariate Imputation by Chained Equations in<i>R</i>
Buuren, S. V., & Groothuis-Oudshoorn, K. (2011) · Journal of Statistical Software · doi:10.18637/jss.v045.i03 · Cited by 13,870 · see citing works
(2010) · University of Twente Research Information · Cited by 6,037 · see citing works
Global Initiative for Chronic Obstructive Lung Disease (GOLD)
Rahman, M. M., & Siddiqui, M. M. R. (2017) · Anwer Khan Modern Medical College Journal · doi:10.3329/akmmcj.v7i1.31596 · Cited by 3,105 · see citing works
Jones, P. W., Quirk, F. H., Baveystock, C. M., & Littlejohns, P. (1992) · American Review of Respiratory Disease · doi:10.1164/ajrccm/145.6.1321 · Cited by 3,035 · see citing works
Susceptibility to Exacerbation in Chronic Obstructive Pulmonary Disease
Hurst, J. R., Vestbo, J., Anzueto, A. R., Locantore, N., Müllerová, H., Tal‐Singer, R., Miller, B. E., Lomas, D. A., Agustí, A. G. N., MacNee, W., et al. (2010) · New England Journal of Medicine · doi:10.1056/nejmoa0909883 · Cited by 2,983 · see citing works
Bestall, J. C., Paul, E. A., Garrod, R., Garnham, R., Jones, P. W., & Wedzicha, J. A. (1999) · Thorax · doi:10.1136/thx.54.7.581 · Cited by 2,927 · see citing works
CUMULATIVE ILLNESS RATING SCALE
Linn, B. S., Linn, M. W., & Gurel, L. (1968) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1968.tb02103.x · Cited by 2,319 · see citing works
Boutron, I., Moher, D., Altman, D. G., Schulz, K. F., Ravaud, P., & for the CONSORT Group* (2008) · Annals of Internal Medicine · doi:10.7326/0003-4819-148-4-200802190-00008 · Cited by 2,292 · see citing works
A measure of quality of life for clinical trials in chronic lung disease
Guyatt, G. H., Berman, L. B., Townsend, M., Pugsley, S. O., & Chambers, L. W. (1987) · Thorax · doi:10.1136/thx.42.10.773 · Cited by 1,721 · see citing works
Meta-analysis of individual participant data: rationale, conduct, and reporting
Riley, R. D., Lambert, P. C., & Abo-Zaid, G. (2010) · BMJ · doi:10.1136/bmj.c221 · Cited by 1,701 · see citing works
Bourbeau, J. (2003) · Archives of Internal Medicine · doi:10.1001/archinte.163.5.585 · Cited by 933 · see citing works
Self-citationVanfleteren, L. E. G. W., Spruit, M. A., Groenen, M. T. J., Gaffron, S., van Empel, V. P. M., Bruijnzeel, P. L. B., Rutten, E. P. A., Roodt, J. O. ’., Wouters, E. F. �., & Franssen, F. M. E. (2013) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.201209-1665oc · Cited by 829 · see citing works
Self management for patients with chronic obstructive pulmonary disease
Zwerink, M., Brusse-Keizer, M., van der Valk, P. D., Zielhuis, G. A., Monninkhof, E. M., van der Palen, J., Frith, P. A., & Effing, T. (2014) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd002990.pub3 · Cited by 572 · cited 4× · see citing works
“There is general agreement on the multifaceted nature of selfmanagement interventions.(3,4,14) Therefore, self-management interventions were defined as interventions providing information to patients and including minimally two of the following components: 1) stimulation of sign/symptom monitoring, 2) education in pro…”
InfluentialSelf-citationSimmonds, M. C., Higgins, J. P. T., Stewart, L. A., Tierney, J. F., Clarke, M. J., & Thompson, S. G. (2005) · Clinical Trials · doi:10.1191/1740774505cn087oa · Cited by 557 · see citing works
How to Use a Subgroup Analysis: Users’ Guide to the Medical Literature
Sun, X., Ioannidis, J. P. A., Agoritsas, T., Alba, A. C., & Guyatt, G. (2014) · JAMA · doi:10.1001/jama.2013.285063 · Cited by 550 · see citing works
Integrated care prevents hospitalisations for exacerbations in COPD patients
Casas, A., Troosters, T., Garcia-Aymerich, J., Roca, J., Hernández, C., Alonso, A., del Pozo, F., de Toledo, P., Anto, J. M., Rodríguez-Roisín, R., et al. (2006) · European Respiratory Journal · doi:10.1183/09031936.06.00063205 · Cited by 469 · see citing works
Self-citationTierney, J. F., Vale, C. L., Riley, R. D., Smith, C. T., Stewart, L. A., Clarke, M. J., & Rovers, M. M. (2015) · PLoS Medicine · doi:10.1371/journal.pmed.1001855 · Cited by 361 · see citing works
Fan, V. S., Gaziano, J. M., Lew, R., Bourbeau, J., Adams, S. G., Leatherman, S., Thwin, S. S., Huang, G. D., Robbins, R., Sriram, P. S., et al. (2012) · Annals of Internal Medicine · doi:10.7326/0003-4819-156-10-201205150-00003 · Cited by 338 · see citing works
Self-citationDisease Management Program for Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial
Rice, K. L., Dewan, N. A., Bloomfield, H. E., Grill, J. P., Schult, T. M., Nelson, D. B., Kumari, S., Thomas, M., Geist, L. J., Beaner, C., et al. (2010) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.200910-1579oc · Cited by 292 · see citing works
Self-citationGallefoss, F., Bakke, P. S., & RSGAARD, P. K. (1999) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.159.3.9804047 · Cited by 235 · see citing works
Self-citationBucknall, C. E., Miller, G., Lloyd, S. M., Cleland, J., McCluskey, S., Cotton, M., Stevenson, R. D., Cotton, P., & McConnachie, A. (2012) · BMJ · doi:10.1136/bmj.e1060 · Cited by 226 · see citing works
Self-citationRea, H. H., McAuley, S., Stewart, A. J., Lamont, C., Roseman, P., & Didsbury, P. (2004) · Internal Medicine Journal · doi:10.1111/j.1445-5994.2004.00672.x · Cited by 198 · see citing works
Monninkhof, E. M., van der Valk, P., van der Palen, J. A. M., van Herwaarden, C., & Zielhuis, G. G. (2003) · European Respiratory Journal · doi:10.1183/09031936.03.00047003 · Cited by 176 · see citing works
Self-citationPromoting effective self-management programmes to improve COPD
Bourbeau, J., & van der Palen, J. A. M. (2009) · European Respiratory Journal · doi:10.1183/09031936.00001309 · Cited by 167 · see citing works
Self-citationEffects of written action plan adherence on COPD exacerbation recovery
Bischoff, E. W. M. A., Hamd, D. H., Sedeno, M. F., Benedetti, A., Schermer, T. R., Bernard, S., Maltais, F., & Bourbeau, J. (2010) · Thorax · doi:10.1136/thx.2009.127621 · Cited by 158 · see citing works
Self-citationBourbeau, J., Julien, M., Maltais, F., Rouleau, M., Beaupré, A., Begin, R. O., RENZI, P. M., Nault, D., Borycki, E. M., Schwartzman, K., et al. (2004) · Journal of Cardiopulmonary Rehabilitation · doi:10.1097/00008483-200407000-00016 · Cited by 149 · see citing works
Self-citationClinical pharmacy‐led disease and medicine management programme for patients with COPD
Khdour, M. R., Kidney, J. C., Smyth, B. M., & McElnay, J. C. (2009) · British Journal of Clinical Pharmacology · doi:10.1111/j.1365-2125.2009.03493.x · Cited by 144 · see citing works
Trappenburg, J. C. A., Monninkhof, E. M., Bourbeau, J., Troosters, T., Schrijvers, G., Verheij, T. J., & Lammers, J. J. (2011) · Thorax · doi:10.1136/thoraxjnl-2011-200071 · Cited by 138 · see citing works
Self-citationBischoff, E. W. M. A., Akkermans, R., Bourbeau, J., van Weel, C., Vercoulen, J. H., & Schermer, T. R. J. (2012) · BMJ · doi:10.1136/bmj.e7642 · Cited by 137 · see citing works
Self-citationEvaluation of a self-management plan for chronic obstructive pulmonary disease
Watson, P., Town, G., Holbrook, N., Dwan, C., Toop, L., & Drennan, C. (1997) · European Respiratory Journal · doi:10.1183/09031936.97.10061267 · Cited by 132 · see citing works
Effing, T., Kerstjens, H. A. M., van der Valk, P., Zielhuis, G. A., & van der Palen, J. A. M. (2009) · Thorax · doi:10.1136/thx.2008.112243 · Cited by 116 · see citing works
Self-citationNguyen, H. Q., Donesky, D., Reinke, L. F., Wolpin, S. E., Chyall, L., Benditt, J. O., Paul, S. M., & Carrieri‐Kohlman, V. (2012) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2012.06.015 · Cited by 111 · see citing works
Self-citationA Randomized Trial of Two Types of Nurse-Assisted Home Care for Patients With COPD
Coultas, D., Frederick, J., Barnett, B., Singh, G., & Wludyka, P. S. (2005) · CHEST Journal · doi:10.1378/chest.128.4.2017 · Cited by 105 · see citing works
Self-citationSelf-Management Education and Support in Chronic Disease Management
McGowan, P. (2012) · Primary Care Clinics in Office Practice · doi:10.1016/j.pop.2012.03.005 · Cited by 102 · see citing works
Self‐management plans in the primary care of patients with chronic obstructive pulmonary disease
McGEOCH, G. R. B., WILLSMAN, K. J., DOWSON, C. A., TOWN, G. I., FRAMPTON, C. M., McCARTIN, F. J., COOK, J. M., & EPTON, M. J. (2006) · Respirology · doi:10.1111/j.1440-1843.2006.00892.x · Cited by 99 · see citing works
Self-citationThe influence of obesity on pulmonary rehabilitation outcomes in patients with COPD
Ramachandran, K., McCusker, C., Connors, M., ZuWallack, R., & Lahiri, B. (2008) · Chronic Respiratory Disease · doi:10.1177/1479972308096711 · Cited by 91 · see citing works
Clinical predictors of the efficacy of a pulmonary rehabilitation programme in patients with COPD
Vagaggini, B., Costa, F., Antonelli, S., Simone, C. D., Cusatis, G. D., Martino, F., Santerini, S., & Paggiaro, P. (2009) · Respiratory Medicine · doi:10.1016/j.rmed.2009.01.023 · Cited by 80 · see citing works
Cost-saving effect of supervised exercise associated to COPD self-management education program
Ninot, G., Moullec, G., Picot, M., Jaussent, A., Hayot, M., Desplan, M., Brun, J. ‐., Mercier, J. G., & Prefaut, C. (2010) · Respiratory Medicine · doi:10.1016/j.rmed.2010.10.002 · Cited by 64 · see citing works
Majothi, S., Jolly, K., Heneghan, N., Price, M., Riley, R., Turner, A., Bayliss, S., Moore, D., Singh, S. J., Adab, P., et al. (2015) · International Journal of COPD · doi:10.2147/copd.s74162 · Cited by 63 · see citing works
Zwar, N. A., Hermiz, O. S., Comino, E. J., Middleton, S., Vagholkar, S., Xuan, W., Wilson, S. F., & Marks, G. B. (2012) · The Medical Journal of Australia · doi:10.5694/mja12.10813 · Cited by 58 · see citing works
Self-citationTaylor, S. J., Sohanpal, R., Bremner, S. A., Devine, A., McDaid, D., Fernández, J.-L., Griffiths, C. J., & Eldridge, S. (2012) · British Journal of General Practice · doi:10.3399/bjgp12x656829 · Cited by 57 · see citing works
Self-citationWOOD‐BAKER, R., McGLONE, S., VENN, A., & WALTERS, E. H. (2006) · Respirology · doi:10.1111/j.1440-1843.2006.00902.x · Cited by 53 · see citing works
Wakabayashi, R., Motegi, T., Yamada, K., Ishii, T., Jones, R. C. M., Hyland, M. E., Gemma, A., & Kida, K. (2011) · Geriatrics and gerontology international/Geriatrics & gerontology international · doi:10.1111/j.1447-0594.2011.00696.x · Cited by 48 · see citing works
Disease Management Program for Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial
MAURER, J. R. (2011) · Yearbook of Medicine · doi:10.1016/s0084-3873(11)00231-8 · Cited by 48 · see citing works
Self-Management in Chronic Obstructive Pulmonary Disease. Time for a Paradigm Shift?
Nici, L. L., Bontly, T. D., ZuWallack, R., & Gross, N. J. (2014) · Annals of the American Thoracic Society · doi:10.1513/annalsats.201306-150fr · Cited by 47 · see citing works
Disease Management Program for Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial
MAURER, J. R. (2011) · Yearbook of Pulmonary Disease · doi:10.1016/j.ypdi.2010.12.017 · Cited by 44 · see citing works
The impact of using different symptom-based exacerbation algorithms in patients with COPD
Trappenburg, J. C. A., van Deventer, A. C., Troosters, T., Verheij, T. J., Schrijvers, G., Lammers, J. J., & Monninkhof, E. M. (2010) · European Respiratory Journal · doi:10.1183/09031936.00130910 · Cited by 40 · see citing works
Self-citationJonkman, N., Westland, H., Trappenburg, J., Groenwold, R., Effing-Tijdhof, T. W., Troosters, T., van der Palen, J. J., Bourbeau, J., Jaarsma, T., Hoes, A., et al. (2014) · BMJ Open · doi:10.1136/bmjopen-2014-005220 · Cited by 32 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
de Jong, M. J., Jong, A. E. V. D. M., Romberg-Camps, M. J. L., Becx, M. C., Maljaars, J., Cilissen, M., Bodegraven, A. A. V., Mahmmod, N., Markus, T., Hameeteman, W. M., et al. (2017) · The Lancet · doi:10.1016/s0140-6736(17)31327-2 · Cited by 351 · see citing works
Lenferink, A., Brusse-Keizer, M., van der Valk, P. D., Frith, P. A., Zwerink, M., Monninkhof, E. M., van der Palen, J., & Effing, T. W. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011682.pub2 · Cited by 328 · see citing works
Self-citationCharacteristics of self-care interventions for patients with a chronic condition: A scoping review
Riegel, B. J., Westland, H., Iovino, P., Barelds, I., Slot, J. B., Stawnychy, M. A., Osokpo, O. H., Tarbi, E. C., Trappenburg, J. C. A., Vellone, E., et al. (2020) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2020.103713 · Cited by 197 · see citing works
Self-citationBlackstock, F. C., Lareau, S. C., Nici, L. L., ZuWallack, R., Bourbeau, J., Buckley, M. L., Durning, S. J., Effing, T., Egbert, E., Goldstein, R. S., et al. (2018) · Annals of the American Thoracic Society · doi:10.1513/annalsats.201804-253ws · Cited by 86 · see citing works
Self-citationLee, C. S., Westland, H., Faulkner, K. M., Iovino, P., Thompson, J. H., Sexton, J., Farry, E., Jaarsma, T., & Riegel, B. J. (2022) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2022.104322 · Cited by 70 · see citing works
Self-citationA review of methods for addressing components of interventions in meta-analysis
Πετροπούλου, Μ., Efthimiou, O., Rücker, G., Schwarzer, G., Furukawa, T. A., Pompoli, A., Koek, H. L., Giovane, C. D., Rodondi, N., & Mavridis, D. (2021) · PLoS ONE · doi:10.1371/journal.pone.0246631 · Cited by 60 · see citing works
Kooij, L., Vos, P. J. E., Dijkstra, A., & van Harten, W. H. (2021) · JMIR mhealth and uhealth · doi:10.2196/21977 · Cited by 53 · see citing works
Rehabilitation in lung diseases: ‘Education’ component of pulmonary rehabilitation
Blackstock, F. C., & Evans, R. A. (2019) · Respirology · doi:10.1111/resp.13582 · Cited by 53 · see citing works
Effects of a COPD self-management support intervention: a randomized controlled trial
Bringsvor, H., Langeland, E., Oftedal, B., Skaug, K., Assmus, J., & Bentsen, S. (2018) · International Journal of COPD · doi:10.2147/copd.s181005 · Cited by 36 · see citing works
Bos-Touwen, I. D., Trappenburg, J. C. A., van der Wulp, I., Schuurmans, M. J., & de Wit, N. J. (2017) · PLoS ONE · doi:10.1371/journal.pone.0171251 · Cited by 43 · see citing works
Self-citationShnaigat, M., Downie, S., & Hosseinzadeh, H. (2021) · COPD · doi:10.1080/15412555.2021.1872061 · Cited by 36 · see citing works
Dabscheck, E. J., George, J., Herrmann, K., McDonald, C. F., McDonald, V. M., McNamara, R. J., O’Brien, M., Smith, B. J., Zwar, N. A., & Yang, I. A. (2022) · The Medical Journal of Australia · doi:10.5694/mja2.51708 · Cited by 39 · see citing works
Self-citationSelf‐management support in routine primary care by nurses
Westland, H., Schröder, C., de Wit, J., Frings, J., Trappenburg, J., & Schuurmans, M. (2018) · British Journal of Health Psychology · doi:10.1111/bjhp.12276 · Cited by 28 · see citing works
Self-citationShnaigat, M., Downie, S., & Hosseinzadeh, H. (2022) · The Australian journal of rural health · doi:10.1111/ajr.12828 · Cited by 27 · see citing works
Hosseinzadeh, H., & Shnaigat, M. (2019) · Australian Journal of Primary Health · doi:10.1071/py18181 · Cited by 32 · see citing works
Self-management strategies in chronic obstructive pulmonary disease
Barrecheguren, M., & Bourbeau, J. (2017) · Current Opinion in Pulmonary Medicine · doi:10.1097/mcp.0000000000000460 · Cited by 32 · see citing works
Self-citationLópez-Campos, J. L., Almagro, P., Gómez, J.-T., Chiner, E., Palacios, L., Hernández, C., Navarro, M. D., Molina, J., Comas, D. R., Soler‐Cataluña, J. J., et al. (2021) · Archivos de Bronconeumología · doi:10.1016/j.arbres.2021.08.002 · Cited by 29 · see citing works
Jolly, K. B., Sidhu, M. S., Bates, E. J., Majothi, S., Sitch, A. J., Bayliss, S. E., Kim, H. J. S., & Jordan, R. E. (2018) · npj Primary Care Respiratory Medicine · doi:10.1038/s41533-018-0111-9 · Cited by 29 · see citing works
Chang, Y., & Dai, Y. (2019) · International Journal of COPD · doi:10.2147/copd.s196592 · Cited by 26 · see citing works
Activating primary care COPD patients with multi-morbidity through tailored self-management support
Ansari, S., Hosseinzadeh, H., Dennis, S. M., & Zwar, N. A. (2020) · npj Primary Care Respiratory Medicine · doi:10.1038/s41533-020-0171-5 · Cited by 28 · see citing works
Self-citationJonkman, N. H., Groenwold, R. H. H., Trappenburg, J. C. A., Hoes, A. W., & Schuurmans, M. J. (2017) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2017.01.004 · Cited by 27 · see citing works
Self-citationPerspectives of People with a Chronic Disease on Participating in Work: A Focus Group Study
Vooijs, M., Leensen, M. C. J., Hoving, J. L., Wind, H., & Frings‐Dresen, M. H. W. (2017) · Journal of Occupational Rehabilitation · doi:10.1007/s10926-016-9694-6 · Cited by 25 · see citing works
COPD transitions in health and self-management: service users’ experiences from everyday life
Halding, A., Aarsheim, E. I., Dolmen, N. M., Jensen, A. J., Stavøstrand, S., & Grov, E. K. (2018) · International Journal of COPD · doi:10.2147/copd.s158058 · Cited by 24 · see citing works
Lewis, A., Dullaghan, D., Townes, H., Green, A., Potts, J., & Quint, J. K. (2019) · Chronic Respiratory Disease · doi:10.1177/1479973119838283 · Cited by 21 · see citing works
“The evidence for self-management intervention benefit for people with COPD is from those who have more severe disease and symptom burden.(13,14) Therefore, there is currently a gap in self-management evidence and service provision for individuals with COPD with low levels of reported breathlessness and has been identi…”
BackgroundTalboom-Kamp, E. P. W. A., Verdijk, N. A., Kasteleyn, M. J., Harmans, L. M., Talboom, I. J. S. H., den Akker, I. L., van Geloven, N., Numans, M. E., & Chavannes, N. H. (2017) · Journal of Medical Internet Research · doi:10.2196/jmir.8262 · Cited by 20 · see citing works
Boer, L. M., Bischoff, E. W. M. A., Borgijink, X., Vercoulen, J. H. M. M., Akkermans, R. P., Kerstjens, H. A. M., Assendelft, W. J., & Schermer, T. R. (2018) · npj Primary Care Respiratory Medicine · doi:10.1038/s41533-018-0079-5 · Cited by 21 · see citing works
Self-citationAndersen, I., Thomsen, T., Bruun, P., Bødtger, U., & Hounsgaard, L. (2017) · International Journal of Qualitative Studies on Health & Well-Being · doi:10.1080/17482631.2017.1371994 · Cited by 19 · see citing works
van Zelst, C. M., Kasteleyn, M., van Noort, E. V., Molken, M. R.-V., Braunstahl, G., Chavannes, N., In, & Veen, J. I. (2021) · Respiratory Research · doi:10.1186/s12931-021-01685-0 · Cited by 16 · see citing works
Early Identification of Exacerbations in Patients with Chronic Obstructive Pulmonary Disease (COPD)
Voulgareli, I., Antonogiannaki, E.-M., Bartziokas, Κ., Zaneli, S., Bakakos, P., Loukides, S., & Papaioannou, A. Ι. (2025) · Journal of Clinical Medicine · doi:10.3390/jcm14020397 · Cited by 18 · see citing works
Best care for older people with epilepsy: A scoping review
Wojewodka, G., McKinlay, A. R., & Ridsdale, L. (2021) · Seizure · doi:10.1016/j.seizure.2020.12.007 · Cited by 18 · see citing works
Andersen, I., Thomsen, T., Bruun, P., Bødtger, U., & Hounsgaard, L. (2018) · Scandinavian Journal of Caring Sciences · doi:10.1111/scs.12565 · Cited by 11 · see citing works
Self-Management Programs and the Pursuit of Behavior Change
Benzo, R. P. (2024) · Respiratory Care · doi:10.4187/respcare.11987 · Cited by 14 · see citing works
Ahmed, R. E., Bdair, I. A., Al‐Mugheed, K., Alshahrani, S. H., Alalyani, M. M., Ramaiah, R., Abd-Elrahman, S. I., Mahmoud, S. A., & Arrab, M. M. (2023) · Healthcare · doi:10.3390/healthcare11030430 · Cited by 15 · see citing works
Liou, H., Huang, Y., Lai, Z., Tsou, Y., Tsai, Y., Yu, H., & Chen, M. (2020) · Nursing and Health Sciences · doi:10.1111/nhs.12703 · Cited by 13 · see citing works
Telemonitoring via Questionnaires Reduces Outpatient Healthcare Consumption in Parkinson's Disease
Wijers, A. A., Hochstenbach, L. M. J., & Tissingh, G. (2021) · Movement Disorders Clinical Practice · doi:10.1002/mdc3.13280 · Cited by 12 · see citing works
Westland, H., Page, S. D., van Rijn, M. M., Aryal, S., Freedland, K. E., Lee, C. S., Strömberg, A., Vellone, E., Wiebe, D. J., Jaarsma, T., et al. (2022) · Heart & Lung · doi:10.1016/j.hrtlng.2022.06.001 · Cited by 11 · see citing works
Self-citationSharma, K., Subba, H. K., Poudyal, S., & Adhikari, S. (2024) · PLoS ONE · doi:10.1371/journal.pone.0296091 · Cited by 10 · see citing works
López-Campos, J. L., Almagro, P., Gómez, J.-T., Chiner, E., Palacios, L., Hernández, C., Navarro, M. D., Molina, J., Comas, D. R., Soler‐Cataluña, J. J., et al. (2022) · Archivos de Bronconeumología · doi:10.1016/j.arbres.2021.08.023 · Cited by 10 · see citing works
Expanding The INSPIRED COPD Outreach Program™ to the emergency department: a feasibility assessment
Gillis, D., Demmons, J., & Rocker, G. (2017) · International Journal of COPD · doi:10.2147/copd.s136183 · Cited by 9 · see citing works
Interest and perceived capability of self‐care in haemodialysis units
Kurtz, C., Geron, R., & Shadmi, E. (2020) · Journal of Clinical Nursing · doi:10.1111/jocn.15584 · Cited by 10 · see citing works
Leptin and Insulin in COPD: Unveiling the Metabolic-Inflammatory Axis—A Narrative Review
Catană, O. M., Nemeş, A. F., Cioboată, R., Toma, C., Mitroi, D. M., Călăraşu, C., & Streba, C. T. (2025) · Journal of Clinical Medicine · doi:10.3390/jcm14082611 · Cited by 9 · see citing works
Nohra, R. G., Serhal, R. B., Sacre, H., Salameh, P., & Rothan‐Tondeur, M. (2020) · Advances in respiratory medicine · doi:10.5603/arm.2020.0117 · Cited by 9 · see citing works
Heijmans, M., Poortvliet, R., van der Gaag, M., González-González, A., Puerta, J. B., Canelo-Aybar, C., Valli, C., Ballester, M., Rocha, C., Garcia, M. L., et al. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph191912685 · Cited by 6 · see citing works
Personalizing Self-Management Interventions in COPD – Looking Beyond One-Size-Fits-All
Lenferink, A., Brusse-Keizer, M. G. J., van der Palen, J. A. M., & Effing, T. (2025) · International Journal of COPD · doi:10.2147/copd.s511278 · Cited by 8 · see citing works
Self-citationChambers, D., Cantrell, A. J., & Booth, A. (2020) · Health Services and Delivery Research · doi:10.3310/hsdr08020 · Cited by 8 · see citing works
Smith, R., Osadnik, C. R., & Lee, A. L. (2020) · Patient Education and Counseling · doi:10.1016/j.pec.2020.04.009 · Cited by 6 · see citing works
Buja, A., Bardin, A., Grotto, G., Elvini, S., Gallina, P., Zumerle, G., Benini, P., Scibetta, D., & Baldo, V. (2021) · npj Primary Care Respiratory Medicine · doi:10.1038/s41533-021-00242-y · Cited by 8 · see citing works
Lee, K., Ghadge, A., Raut, B., Veighey, K. V., Amin, J., Capasso, G., Cockwell, P., Kalra, P. A., Pépin, M., Phillips, T., et al. (2025) · Clinical Kidney Journal · doi:10.1093/ckj/sfaf150 · Cited by 5 · see citing works
Evaluation of telehealth support in an integrated respiratory clinic
Fox, L., Heiden, E., Chauhan, M., Longstaff, J., Balls, L., Vos, R. D., Neville, D., Jones, T., Leung, A., Morrison, L., et al. (2022) · npj Primary Care Respiratory Medicine · doi:10.1038/s41533-022-00304-9 · Cited by 6 · see citing works
Self-care styles of patients with chronic obstructive pulmonary disease: A mixed methods case study
Clari, M., Riva-Rovedda, F., Dimonte, V., & Matarese, M. (2024) · Heart & Lung · doi:10.1016/j.hrtlng.2024.07.011 · Cited by 7 · see citing works
Year in review 2016: Chronic obstructive pulmonary disease and asthma
Lim, T. K., Ko, F. W. S., Benton, M. J., van den Berge, M., & Mak, J. (2017) · Respirology · doi:10.1111/resp.13037 · Cited by 4 · see citing works
Developments in respiratory self-management interventions over the last two decades
Effing, T. (2023) · Chronic Respiratory Disease · doi:10.1177/14799731231221819 · Cited by 4 · see citing works
Self-citationHuiying, F., Gao, X., Yao, X., Li, Z., Zou, H., Campbell‐Grossman, C., Liu, S., Zhang, F., & Zhang, C. (2021) · Archives of Psychiatric Nursing · doi:10.1016/j.apnu.2021.12.006 · Cited by 4 · see citing works
Boyer, P. (2023) · British Journal of Community Nursing · doi:10.12968/bjcn.2023.28.1.22 · Cited by 4 · see citing works
Interprofessional Education and Collaborative Practice: Are We There Yet?
Clark, K. M. (2018) · Journal of Lung Health and Diseases · doi:10.29245/2689-999x/2017/4.1139 · Cited by 4 · see citing works
Self-Management: Personalized Action Plans for COPD Exacerbations
Effing, T., & Lenferink, A. (2020) · Respiratory medicine · doi:10.1007/978-3-030-44889-9_11 · Cited by 4 · see citing works
Self-citationEducation and self-management in pulmonary rehabilitation
Lenferink, A., & Lee, A. L. (2021) · European Respiratory Society eBooks · doi:10.1183/2312508x.10017920 · Cited by 4 · see citing works
Zhou, L., Song, C., Xu, W., Wang, R., & Zhang, W. (2025) · PLoS ONE · doi:10.1371/journal.pone.0330673 · Cited by 3 · see citing works
Westland, H., van Rijn, M. M., Meine, M., & Jaarsma, T. (2024) · European Journal of Cardiovascular Nursing · doi:10.1093/eurjcn/zvae094 · Cited by 2 · see citing works
Self-citationYasmin, F., Ain, Q., Liaqat, A., Danish, A. H., & Saddique, H. (2024) · Journal of Health and Rehabilitation Research · doi:10.61919/jhrr.v4i2.892 · Cited by 1 · see citing works
Gkini, E., Mehta, R. L., Tearne, S., Doos, L., Jowett, S. M., Gale, N. K., & Turner, A. M. (2025) · COPD Journal of Chronic Obstructive Pulmonary Disease · doi:10.1080/15412555.2025.2544719 · Cited by 1 · see citing works
Pescaru, C. C., Crișan, A. F., Marițescu, A., Tudorache, E., & Oancea, C. I. (2025) · International Journal of COPD · doi:10.2147/copd.s561817 · Cited by 1 · see citing works
Gkini, E., Mehta, R. L., Tearne, S., Doos, L., Jowett, S. M., Gale, N. K., & Turner, A. M. (2024) · Research Square · doi:10.21203/rs.3.rs-4616866/v1 · Cited by 1 · see citing works
Meijer, E., van Eeden, A. E., Kruis, A. L., Boland, M. R. S., Assendelft, W. J., Tsiachristas, A., Mölken, M. R., Kasteleyn, M. J., & Chavannes, N. H. (2020) · BMC Pulmonary Medicine · doi:10.1186/s12890-020-01213-8 · Cited by 1 · see citing works
Self-management support using mHealth in patients with COPD
Korpershoek, Y. (2021) · doi:10.33540/518
Raju, S., Dyson, J., Harvey, H., Chatterjee, A., Kolas, J., Cowdell, F., Sykes, D. L., & Crooks, M. G. (2026) · COPD Journal of Chronic Obstructive Pulmonary Disease · doi:10.1080/15412555.2026.2656201
Khushhal, A. A. (2026) · Balneo and PRM Research Journal · doi:10.12680/balneo.2026.1047
Krishna Priya, C., V, Ramamoorthy, L., Upadhya, P., & Lalthanthuami, H. T. (2026) · Monaldi Archives for Chest Disease · doi:10.4081/monaldi.2026.3695
- Authors
- Jonkman, N., Westland, H., Trappenburg, J. C., Groenwold, R. H., Bischoff, E. W., Bourbeau, J., Bucknall, C. E., Coultas, D., Effing, T. W., Epton, M., Gallefoss, F., Garcia-Aymerich, J., Lloyd, S. M., Monninkhof, E. M., Nguyen, H. Q., van der Palen, J., Rice, K. L., Sedeno, M., Taylor, S. J., Troosters, T., Zwar, N. A., Hoes, A. W., & Schuurmans, M. J.
- Affiliations
- University Medical Center Utrecht (NL)
- Radboud University Medical Center (NL)
- McGill University Health Centre (CA)
- Glasgow Royal Infirmary (GB)
- Oregon Health & Science University (US)
- Repatriation General Hospital (AU)
- Christchurch Hospital (NZ)
- Sørlandet Sykehus (NO)
- Center for Research in Environmental Epidemiology (ES)
- Kaiser Permanente (US)
- University of Minnesota (US)
- UCLouvain (BE)
- UNSW Sydney (AU)
- Corresponding author
- Jonkman, Nini
- ORCID
- Jonkman, Nini
- Westland, Heleen
- Trappenburg, Jaap CA
- Groenwold, Rolf HH
- Bischoff, Erik WMA
- Bourbeau, Jean
- Coultas, David
- Effing, Tanja W
- Epton, Michael
- Gallefoss, Frode
- Lloyd, Suzanne M
- Monninkhof, Evelyn M
- Nguyen, Huong Q
- Sedeno, Maria
- Taylor, Stephanie JC
- Troosters, Thierry
- Zwar, Nicholas A
- Hoes, Arno W
- Schuurmans, Marieke J.
- Venue
- International Journal of Chronic Obstructive Pulmonary Disease
- Publisher
- Informa UK Limited
- Published
- 2016-08
- Volume
- Volume 11
- Pages
- 2063-2074
- ISSN
- 1176-9106 (ISSN-L)
- 1178-2005
- PMC
- PMC5012618
- OpenAlex
- W2516146456
- Cited by
- 71
- References
- 50
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 6 · 2023: 3 · 2022: 7 · 2021: 12 · 2020: 9 · 2019: 5 · 2018: 7 · 2017: 12
- FWCI
- 1.39
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of COPD (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Repositori digital de la UPF (Universitat Pompeu Fabra) (publishedVersion, cc-by-nc)
- VU Research Portal (publishedVersion, other-oa)
- ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam) (acceptedVersion)
- Lirias (submittedVersion, other-oa)
- University of Twente Research Information (submittedVersion, other-oa)
- Radboud Repository (Radboud University) (submittedVersion, other-oa)
- Research Online (University of Wollongong) (submittedVersion)
- Dove Medical Press (Taylor and Francis Group) (submittedVersion, cc-by-nc)
- Utrecht University Repository (Utrecht University) (submittedVersion, other-oa)
- Figshare (submittedVersion)
- Queen Mary Research Online (Queen Mary University of London) (submittedVersion, cc-by-nc)
- Radboud Repository (Radboud University) (submittedVersion)
- UNSWorks (University of New South Wales, Sydney, Australia) (submittedVersion, cc-by-nc)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Funders
- National Institute for Health and Care Research (PB-PG-0906-11172)
- ZonMw (520001002)
- 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 › Pharmacy › Nursing care and research
- Keywords
- chronic obstructive pulmonary disease, self-management interventions, health-related quality of life, hospitalization, mortality, subgroup analysis, self-efficacy, body mass index, lung function, sex differences
- MeSH terms
- Aged, Female, Forced Expiratory Volume, Hospitalization, Humans, Lung, Male, Middle Aged, Quality of Life, Risk Factors, Self Care, Time Factors, Odds Ratio, Randomized Controlled Trials as Topic, Treatment Outcome, Disease Progression, Patient Selection, Evidence-Based Medicine, Recovery of Function, Pulmonary Disease, Chronic Obstructive
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
