Features of self-management interventions for people with COPD associated with improved health-related quality of life and reduced emergency department visits: a systematic review and meta-analysis
Open accessAbstract
Background: Self-management interventions (SMIs) are recommended for individuals with COPD to help monitor symptoms and optimize health-related quality of life (HRQOL). However, SMIs vary widely in content, delivery, and intensity, making it unclear which methods and techniques are associated with improved outcomes. This systematic review aimed to summarize the current evidence base surrounding the effectiveness of SMIs for improving HRQOL in people with COPD. Methods: Systematic reviews that focused upon SMIs were eligible for inclusion. Intervention descriptions were coded for behavior change techniques (BCTs) that targeted self-management behaviors to address 1) symptoms, 2) physical activity, and 3) mental health. Meta-analyses and meta-regression were used to explore the association between health behaviors targeted by SMIs, the BCTs used, patient illness severity, and modes of delivery, with the impact on HRQOL and emergency department (ED) visits. Results: Data related to SMI content were extracted from 26 randomized controlled trials identified from 11 systematic reviews. Patients receiving SMIs reported improved HRQOL (standardized mean difference =−0.16; 95% confidence interval [CI] =−0.25, −0.07; P =0.001) and made fewer ED visits (standardized mean difference =−0.13; 95% CI =−0.23, −0.03; P =0.02) compared to patients who received usual care. Patients receiving SMIs targeting mental health alongside symptom management had greater improvement of HRQOL (Q=4.37; P =0.04) and fewer ED visits (Q=5.95; P =0.02) than patients receiving SMIs focused on symptom management alone. Within-group analyses showed that HRQOL was significantly improved in 1) studies with COPD patients with severe symptoms, 2) single-practitioner based SMIs but not SMIs delivered by a multidisciplinary team, 3) SMIs with multiple sessions but not single session SMIs, and 4) both individual- and group-based SMIs. Conclusion: SMIs can be effective at improving HRQOL and reducing ED visits, with those targeting mental health being significantly more effective than those targeting symptom management alone. Keywords: self-management, emergency department visits, behavior change techniques, COPD, mental health, meta-analysis
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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 [13]
The Results (Intervention delivery features; page unavailable) report significant quality-of-life benefit in studies of patients classified as having severe symptoms, but not in studies of patients classified as having moderate symptoms. The same section reports no significant difference in benefit between those groups, so the paper does not establish that the evidence of benefit comes only from people with more severe disease and symptom burden. (LLM, conf=0.84)
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Cites
Statistical Power Analysis for the Behavioral Sciences
Muller, K. E., & Cohen, J. (1989) · Technometrics · doi:10.2307/1270020 · Cited by 99,588 · see citing works
Estimating the mean and variance from the median, range, and the size of a sample
Hozo, S. P., Djulbegovic, B., & Hozo, I. (2005) · BMC Medical Research Methodology · doi:10.1186/1471-2288-5-13 · Cited by 9,062 · see citing works
Michie, S., Richardson, M., Johnston, M., Abraham, C., Francis, J., Hardeman, W., Eccles, M. P., Cane, J., & Wood, C. E. (2013) · Annals of Behavioral Medicine · doi:10.1007/s12160-013-9486-6 · Cited by 7,629 · see citing works
Cochrane Handbook for Systematic Reviews of Interventions Version 5.0.1. The Cochrane Collaboration
Higgins, J., Green, S. R., & Higgins, J. (2008) · Cited by 5,544 · see citing works
The Sickness Impact Profile: Development and Final Revision of a Health Status Measure
Bergner, M., Bobbitt, R. A., Carter, W. B., & Gilson, B. S. (1981) · Medical Care · doi:10.1097/00005650-198108000-00001 · Cited by 4,619 · see citing works
Spruit, M. A., Singh, S. J., Garvey, C., ZuWallack, R., Nici, L., Rochester, C., Hill, K., Holland, A. E., Lareau, S. C., Man, W. D.-C., et al. (2013) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.201309-1634st · Cited by 3,938 · 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
The St George's Respiratory Questionnaire
Jones, P., Quirk, F. H., & Baveystock, C. M. (1991) · Respiratory Medicine · doi:10.1016/s0954-6111(06)80166-6 · Cited by 2,729 · see citing works
Bourbeau, J. (2003) · Archives of Internal Medicine · doi:10.1001/archinte.163.5.585 · Cited by 933 · see citing works
Economic Evaluation in Clinical Trials
Glick, H. A., Doshi, J. A., Sonnad, S. S., & Polsky, D. E. (2014) · Oxford University Press eBooks · doi:10.1093/med/9780199685028.001.0001 · Cited by 910 · see citing works
Anxiety and Depression in COPD
Maurer, J., Rebbapragada, V., Borson, S., Goldstein, R., Kunik, M. E., Yohannes, A. M., & Hanania, N. A. (2008) · Chest · doi:10.1378/chest.08-0342 · Cited by 720 · see citing works
Development, validity and responsiveness of the Clinical COPD Questionnaire.
van der Molen, T., Willemse, B. W. M., Schokker, S., ten Hacken, N. H. T., Postma, D. S., & Juniper, E. F. (2003) · Health and Quality of Life Outcomes · doi:10.1186/1477-7525-1-13 · Cited by 717 · 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 9× · see citing works
“Zwerink et al 7 and Jonkman et al 10 were the only reviews to conduct subgroup analyses to quantify what content of SMIs are most effective.”
InfluentialEvidence-based behavioral medicine: What is it and how do we achieve it?
Davidson, K. W., Goldstein, M. G., Kaplan, R. M., Kaufmann, P. G., Knatterud, G. L., Orleans, C. T., Spring, B. J., Trudeau, K. J., & Whitlock, E. P. (2003) · Annals of Behavioral Medicine · doi:10.1207/s15324796abm2603_01 · Cited by 407 · see citing works
(2012) · Cited by 389 · see citing works
Adams, S. G., Smith, P. K., Allan, P. F., Anzueto, A., Pugh, J. A., & Cornell, J. E. (2007) · Archives of Internal Medicine · doi:10.1001/archinte.167.6.551 · Cited by 367 · see citing works
Emery, C. F., Schein, R. L., Hauck, E. R., & MacIntyre, N. R. (1998) · Health Psychology · doi:10.1037//0278-6133.17.3.232 · Cited by 353 · see citing works
Emery, C. F., Schein, R. L., Hauck, E. R., & MacIntyre, N. R. (1998) · Health Psychology · doi:10.1037/0278-6133.17.3.232 · Cited by 353 · see citing works
Disease 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
Prevalence of depression in patients with chronic obstructive pulmonary disease: a systematic review
van Ede, L., Yzermans, C. J., & Brouwer, H. J. (1999) · Thorax · doi:10.1136/thx.54.8.688 · Cited by 287 · see citing works
Exacerbations of Chronic Obstructive Pulmonary Disease
Desai, H., & Sethi, S. (2016) · CRC Press eBooks · doi:10.3109/9781420080353-7 · Cited by 270 · see citing works
HAJIRO, T., NISHIMURA, K., TSUKINO, M., IKEDA, A., KOYAMA, H., & IZUMI, T. (1998) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.157.3.9703055 · Cited by 265 · see citing works
Jones, M. (2010) · UCL Discovery (University College London) · Cited by 260 · see citing works
Gallefoss, 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
Bucknall, 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
Proactive integrated care improves quality of life in patients with COPD
Koff, P. B., Jones, R. H., Cashman, J., Voelkel, N. F., & Vandivier, R. W. (2009) · European Respiratory Journal · doi:10.1183/09031936.00063108 · Cited by 220 · see citing works
Rhodes, R. E., & Yao, C. A. (2015) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-015-0168-6 · Cited by 200 · see citing works
Coventry, P. A., & Hind, D. (2007) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2007.08.002 · Cited by 197 · see citing works
Mölken, M. R., Roos, B., & van Noord, J. A. (1999) · Thorax · doi:10.1136/thx.54.11.995 · Cited by 193 · see citing works
Hermiz, O. S. (2002) · BMJ · doi:10.1136/bmj.325.7370.938 · Cited by 191 · see citing works
Blakemore, A., Dickens, C. M., Guthrie, E., Bower, P., Kontopantelis, E., Afzal, C., & Coventry, P. A. (2014) · International Journal of COPD · doi:10.2147/copd.s58136 · Cited by 172 · see citing works
Tsiligianni, I., van der Molen, T., Moraitaki, D., López, I. A., Kocks, J. W. H., Karagiannis, K., Siafakas, N. M., & Tzanakis, Ν. (2012) · BMC Pulmonary Medicine · doi:10.1186/1471-2466-12-20 · Cited by 168 · see citing works
Effects of an integrated care intervention on risk factors of COPD readmission
García‐Aymerich, J., Hernández, C., Alonso, A., Casas, A., Rodriguez‐Roisin, R., Antó, J. M., & Roca, J. (2007) · Respiratory Medicine · doi:10.1016/j.rmed.2007.01.012 · Cited by 160 · see citing works
Bourbeau, 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
Monninkhof, E. M. (2003) · Thorax · doi:10.1136/thorax.58.5.394 · Cited by 146 · see citing works
Clinical 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
Bischoff, 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
Evaluation 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
Psychopathology and illness beliefs influence COPD self-management
Dowson, C., Town, G. I., FRAMPTON, C. M. A., & Mulder, R. (2004) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(03)00040-0 · Cited by 120 · see citing works
A 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
Exacerbations of chronic obstructive pulmonary disease
Kidney, J. (2002) · Thorax · doi:10.1136/thorax.57.9.753 · Cited by 102 · see citing works
Jonkman, N. H., Schuurmans, M. J., Groenwold, R. H. H., Hoes, A. W., & Trappenburg, J. C. A. (2016) · Patient Education and Counseling · doi:10.1016/j.pec.2016.01.022 · Cited by 101 · 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
Evaluation of Quality of Life instruments for use in COPD care and research: A systematic review
Weldam, S. W. M., Schuurmans, M. J., Liu, R., & Lammers, J. J. (2012) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2012.07.017 · Cited by 96 · see citing works
Littlejohns, P., Baveystock, C. M., Parnell, H., & Jones, P. (1991) · Thorax · doi:10.1136/thx.46.8.559 · Cited by 91 · see citing works
Baraniak, A., & Sheffield, D. (2011) · Patient Education and Counseling · doi:10.1016/j.pec.2010.04.010 · Cited by 90 · see citing works
Validation of the Clinical COPD Questionnaire (CCQ) in primary care
Ställberg, B., Nokela, M., Ehrs, P., Hjemdahl, P., & Jonsson, E. W. (2009) · Health and Quality of Life Outcomes · doi:10.1186/1477-7525-7-26 · Cited by 89 · see citing works
Jordan, R. E., Majothi, S., Heneghan, N. R., Blissett, D. B., Riley, R. D., Sitch, A. J., Price, M. J., Bates, E. J., Turner, A. M., Bayliss, S. E., et al. (2015) · Health Technology Assessment · doi:10.3310/hta19360 · Cited by 84 · see citing works
Impact of hospitalisations for exacerbations of COPD on health-related quality of life
Esteban, C., Quintana, J. M., Moraza, J., Aburto, M., Egurrola, M., España, P. P., Pérez‐Izquierdo, J., Aguirre, U., Aizpiri, S., & Capelastegui, A. (2009) · Respiratory Medicine · doi:10.1016/j.rmed.2009.02.002 · Cited by 78 · see citing works
Disease-specific health education for COPD: a systematic review of changes in health outcomes
Blackstock, F. C., & Webster, K. E. (2006) · Health Education Research · doi:10.1093/her/cyl150 · Cited by 75 · see citing works
Jonkman, N. H., Westland, H., Trappenburg, J. C. A., Groenwold, R. H. H., Bischoff, E. W. M. A., Bourbeau, J., Bucknall, C. E., Coultas, D., Effing, T., Epton, M., et al. (2016) · European Respiratory Journal · doi:10.1183/13993003.01860-2015 · Cited by 75 · 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
Self-management following an acute exacerbation of COPD: a systematic review.
Harrison, S., Janaudis-Ferreira, T., Brooks, D., Desveaux, L., & Goldstein, R. (2015) · Chest · doi:10.1378/chest.14-1658 · Cited by 64 · see citing works
Self-management of health care behaviors for COPD: a systematic review and meta-analysis
Jolly, K. B., Majothi, S., Sitch, A. J., Heneghan, N. R., Moore, D., Riley, R. D., Bates, E. J., Turner, A. M., Bayliss, S. E., Price, M. J., et al. (2016) · International Journal of COPD · doi:10.2147/copd.s90812 · 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
Anxiety and depression in COPD: current understanding, unanswered questions, and research needs
Maurer, J., Rebbapragada, V., Soo Borson, B., Goldstein, R., Kunik, M. E., Yohannes, A. M., & Hanania, N. A. (2008) · UKnowledge (University of Kentucky) · Cited by 61 · see citing works
Yohannes, A. M., Baldwin, R. C., & Connolly, M. J. (2000) · International Journal of Geriatric Psychiatry · doi:10.1002/1099-1166(200012)15:12 · Cited by 58 · 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
Taylor, 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
WOOD‐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
An exploration of self-efficacy and self-management in COPD patients
Simpson, E., & Jones, M. C. (2013) · British Journal of Nursing · doi:10.12968/bjon.2013.22.19.1105 · Cited by 51 · 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
Monninkhofe, E., van der Valk, P., Schermer, T. R., van der Palen, J. A. M., van Herwaarden, C., & Zielhuis, G. G. (2004) · Chronic Respiratory Disease · doi:10.1191/1479972304cd005oa · Cited by 45 · see citing works
Rootmensen, G. N., van Keimpema, A. R. J., Looysen, E. E., van der Schaaf, L., de Haan, R. J., & Jansen, H. M. (2007) · Patient Education and Counseling · doi:10.1016/j.pec.2007.09.021 · Cited by 44 · 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
Moullec, G., & Ninot, G. (2009) · Clinical Rehabilitation · doi:10.1177/0269215509346088 · Cited by 36 · see citing works
Evaluation of self-management interventions for chronic obstructive pulmonary disease
Bentsen, S. B., Langeland, E., & Holm, A. L. (2012) · Journal of Nursing Management · doi:10.1111/j.1365-2834.2012.01469.x · Cited by 35 · see citing works
Hoogendoorn, M., Mölken, M. R., Hoogenveen, R. T., Al, M., & Feenstra, T. (2011) · Value in Health · doi:10.1016/j.jval.2011.06.008 · Cited by 34 · see citing works
Bourbeau, J. (2003) · Disease Management & Health Outcomes · doi:10.2165/00115677-200311050-00004 · Cited by 32 · see citing works
Walters, J., Turnock, A. C., Walters, E. H., & Wood-Baker, R. R. (2010) · eCite Digital Repository (University of Tasmania) · doi:10.1002/14651858.cd005074.pub3 · Cited by 30 · see citing works
Faulkner, J., Walshaw, E., Campbell, J., Jones, R. C. M., Taylor, R. S., Price, D. B., & Taylor, A. H. (2010) · Primary Care Respiratory Journal · doi:10.4104/pcrj.2010.00008 · Cited by 30 · see citing works
Fan, V. S., Niewoehner, D. E., & Lew, R. (2012) · Annals of Internal Medicine · doi:10.7326/0003-4819-157-7-201210020-00019 · Cited by 21 · see citing works
Hajiro, T., Nishimura, K., Tsukino, M., Ikeda, A., Koyama, H., & Izumi, T. (1999) · Journal of Cardiopulmonary Rehabilitation · doi:10.1097/00008483-199907000-00016 · Cited by 14 · see citing works
(2012) · Annals of Internal Medicine · doi:10.7326/0003-4819-156-10-201205150-00001 · Cited by 13 · see citing works
MAURER, J. R. (2012) · Yearbook of Pulmonary Disease · doi:10.1016/j.ypdi.2012.01.013 · Cited by 11 · see citing works
Vandivier, R. W., Linderman, D. J., & Koff, P. B. (2012) · Annals of Internal Medicine · doi:10.7326/0003-4819-157-7-201210020-00018 · Cited by 9 · see citing works
EFFECT OF ADD-ON “SELF MANAGEMENT AND BEHAVIOR MODIFICATION” EDUCATION ON SEVERITY OF COPD
Kheirabadi, G. R., Keypour, M., Attaran, N., Bagherian, R., & Maracy, M. R. (2008) · Cited by 9 · see citing works
Are We Missing Anxiety in People with Chronic Obstructive Pulmonary Disease (COPD)
Heslop-Marshall, K., Soyza, A. D., Consultant, N., & Physician, C. (2014) · Cited by 7 · see citing works
Self-citationCost-saving effect of supervised exercise associated to COPD self-management education program
Shephard, R. J. (2011) · Yearbook of Sports Medicine · doi:10.1016/j.yspm.2011.03.016 · Cited by 4 · see citing works
Flagged first, then by citations
Research works printed but not linked: 6
- [8]Jordan RE Majothi S Heneghan NR Supported self-management for patients with moderate to severe chronic obstructive pulmonary disease (COPD): an evidence synthesis and economic analysis Health Technol Assess 2015 19 36 1 516 PMC4781645 25980984
- [11]Jonkman NH Westland H Trappenburg JC Characteristics of effective self-management interventions in patients with COPD: individual patient data meta-analysis Eur Respir J 2016 48 1 55 68 27126694
- [31]Blackstock F Webster KE Disease-specific health education for COPD: a systematic review of changes in health outcomes Health Ed Res 2007 22 5 703 717 17138617
- [33]Harrison SL Janaudis-Ferreira T Brooks D Desveaux L Goldstein RS Self-management following an acute exacerbation of COPD: a systematic review Chest 2015 147 3 646 661 25340578
- [34]Majothi S Jolly K Heneghan NR Supported self-management for patients with COPD who have recently been discharged from hospital: a systematic review and meta-analysis Int J Chron Obstruct Pulmon Dis 2015 10 853 867 25995625 PMC4425235
- [35]Monninkhof E van der Valk PD Van der Palen J Van Herwaarden C Partridge MR Zielhuis G Self-management education for patients with chronic obstructive pulmonary disease: a systematic review Thorax 2003 58 5 394 398 12728158 PMC1746688
Cited by
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Russell, S., Ogunbayo, O. J., Newham, J. J., Heslop-Marshall, K., Netts, P., Hanratty, B., Beyer, F. R., & Kaner, E. (2018) · npj Primary Care Respiratory Medicine · doi:10.1038/s41533-017-0069-z · Cited by 165 · see citing works
Self-citationSelf-management interventions for people with chronic obstructive pulmonary disease
Schrijver, J., Lenferink, A., Brusse-Keizer, M., Zwerink, M., van der Valk, P. D., van der Palen, J. A. M., & Effing, T. (2022) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd002990.pub4 · Cited by 170 · see citing works
Service-users’ perspectives of link worker social prescribing: a qualitative follow-up study
Wildman, J. M., Moffatt, S. M., Steer, M., Laing, K., Penn, L., & O’Brien, N. (2019) · BMC Public Health · doi:10.1186/s12889-018-6349-x · Cited by 123 · see citing works
Aboumatar, H., Naqibuddin, M., Chung, S., Chaudhry, H., Kim, S. W., Saunders, J., Lee, B.-N. R., Gurses, A., Knowlton, A., Pronovost, P., et al. (2019) · Journal of the American Medical Association (JAMA) · doi:10.1001/jama.2019.11982 · Cited by 110 · see citing works
Park, S. K., Bang, C. H., & Lee, S. H. (2020) · Applied Nursing Research · doi:10.1016/j.apnr.2020.151231 · Cited by 84 · see citing works
The Importance of Self-Management in the Context of Personalized Care in COPD
Cravo, A., Attar, D., Freeman, D., Holmes, S., Ip, L., & Singh, S. J. (2022) · International Journal of COPD · doi:10.2147/copd.s343108 · Cited by 72 · see citing works
Yadav, U. N., Lloyd, J., Hosseinzadeh, H., Baral, K., & Harris, M. (2020) · Journal of Clinical Medicine · doi:10.3390/jcm9030646 · Cited by 53 · see citing works
Towards a taxonomy of behavior change techniques for promoting shared decision making
Agbadjé, T. T., Elidor, H., Perin, M. S., Adekpedjou, R., & Légaré, F. (2020) · Implementation Science · doi:10.1186/s13012-020-01015-w · Cited by 51 · see citing works
Nonpharmacological management of psychological distress in people with COPD
Volpato, E., Farver-Vestergaard, I., Brighton, L. J., Peters, J. B., Verkleij, M., Hutchinson, A., Heijmans, M., & von Leupoldt, A. (2023) · European Respiratory Review · doi:10.1183/16000617.0170-2022 · Cited by 53 · see citing works
Ogunbayo, O. J., Russell, S., Newham, J. J., Heslop-Marshall, K., Netts, P., Hanratty, B., & Kaner, E. (2017) · npj Primary Care Respiratory Medicine · doi:10.1038/s41533-017-0054-6 · Cited by 50 · see citing works
Self-citationEffects 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
Aboumatar, H., Naqibuddin, M., Chung, S., Chaudhry, H., Kim, S. W., Saunders, J., Lee, B.-N. R., Gurses, A., Knowlton, A., Pronovost, P., et al. (2018) · Journal of the American Medical Association (JAMA) · doi:10.1001/jama.2018.17933 · Cited by 51 · see citing works
RetractedSiu, D. C. H., & Gafni-Lachter, L. (2024) · International Journal of COPD · doi:10.2147/copd.s426050 · Cited by 32 · see citing works
Guerreiro, M. P., Strawbridge, J., Cavaco, A. M. D. N., Félix, I. B., Marques, M. M., & Cadogan, C. A. (2021) · BMC Medical Education · doi:10.1186/s12909-021-02720-w · Cited by 31 · 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
Psychosocial Interventions for Patients with Severe COPD—An Up-to-Date Literature Review
Rzadkiewicz, M., & Nasiłowski, J. (2019) · Medicina · doi:10.3390/medicina55090597 · Cited by 28 · see citing works
Revisiting pulmonary rehabilitation during COVID-19 pandemic: a narrative review
Dixit, S., Borghi‐Silva, A., & Bairapareddy, K. C. (2021) · Reviews in Cardiovascular Medicine · doi:10.31083/j.rcm2202039 · Cited by 27 · see citing works
Lim, K. E., Kim, S. R., Kim, H. Y., Kim, S. R., & Lee, Y. C. (2022) · Journal of Advanced Nursing · doi:10.1111/jan.15371 · 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…”
BackgroundCan self-management programmes change healthcare utilisation in COPD?
Smalley, K. R., Aufegger, L., Flott, K., Mayer, E. K., & Darzi, A. W. (2020) · Patient Education and Counseling · doi:10.1016/j.pec.2020.08.015 · Cited by 21 · see citing works
García, E. C., González‐González, A. I., Heijmans, M., de Guzmán, E. N., Valli, C., Beltran, J., Hernandez, H. P., Ninov, L., Strammiello, V., Immonen, K., et al. (2021) · PLoS ONE · doi:10.1371/journal.pone.0247522 · Cited by 21 · see citing works
Vanfleteren, L. E. G. W., Hul, A. J. V. ‘., Kulbacka-Ortiz, K., Andersson, A., Ullman, A., & Ingvar, M. (2020) · Journal of Clinical Medicine · doi:10.3390/jcm9051311 · Cited by 19 · see citing works
A call for health systems to monitor the health‐related quality of life of people living with HIV
Lazarus, J. V., Hout, M. C. V., Fuster‐RuizdeApodaca, M. J., Brown, G., & Guaraldi, G. (2022) · HIV Medicine · doi:10.1111/hiv.13427 · Cited by 17 · see citing works
Associations Between Self-Management Behaviors and Psychological Resilience in Patients With COPD
Chang, E.-M., Chen, L., Li, Y.-T., & Chen, C.-T. (2023) · Respiratory Care · doi:10.4187/respcare.10416 · Cited by 20 · see citing works
Mateo, A. C., López‐López, L., Ciuró, A. H., Núñez, J. M., Rodríguez‐Torres, J., Ortíz‐Rubio, A., & Valenza, M. C. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182312692 · Cited by 16 · see citing works
Kephart, G. C., Packer, T. L., Audulv, Å., & Warner, G. (2018) · Quality of Life Research · doi:10.1007/s11136-018-2036-8 · Cited by 16 · see citing works
Feiring, E., & Friis, T. (2019) · Patient Education and Counseling · doi:10.1016/j.pec.2019.11.002 · Cited by 13 · see citing works
Mansour, M. H. H., Pokhrel, S., & Anokye, N. (2022) · Integrated Healthcare Journal · doi:10.1136/ihj-2021-000083 · Cited by 11 · see citing works
Sneath, E., Bunting, D., Hazell, W., Tippett, V. C., & Yang, I. A. (2019) · Journal of Thoracic Disease · doi:10.21037/jtd.2019.10.37 · Cited by 13 · see citing works
Glynn, L., Moloney, E., Lane, S., McNally, E., Buckley, C., McCann, M., & McCabe, C. (2024) · JMIR mHealth and uHealth · doi:10.2196/56318 · Cited by 17 · see citing works
Krag, T., Jørgensen, E. H., Phanareth, K., & Kayser, L. (2023) · JMIR Rehabilitation and Assistive Technologies · doi:10.2196/43237 · Cited by 11 · see citing works
Jamil, N., Zainal, Z. A., Alias, S. H., Chong, L.-Y., & Hashim, R. (2023) · Research in Social and Administrative Pharmacy · doi:10.1016/j.sapharm.2023.05.006 · Cited by 10 · see citing works
Self-management in chronic lung disease: what is missing?
Kelly, C. A., Heslop-Marshall, K., Jones, S., & Roberts, N. (2022) · Breathe · doi:10.1183/20734735.0179-2021 · Cited by 10 · see citing works
Self-citationAlghamdi, S. (2023) · Healthcare · doi:10.3390/healthcare11243164 · Cited by 11 · see citing works
Sharma, K., Subba, H. K., Poudyal, S., & Adhikari, S. (2024) · PLoS ONE · doi:10.1371/journal.pone.0296091 · Cited by 10 · see citing works
Chang, H., Zhou, J., Chen, Y., Wang, X., & Wang, Z. (2024) · Journal of Clinical Nursing · doi:10.1111/jocn.17225 · Cited by 10 · see citing works
Köberich, S., Kato, N., Kugler, C., Strömberg, A., & Jaarsma, T. (2021) · European Journal of Cardiovascular Nursing · doi:10.1093/eurjcn/zvab018 · Cited by 10 · see citing works
Rafii, F., Alinejad-Naeini, M., Babadi, A. S., Shahriari, E., & Heidari‐Beni, F. (2024) · BMJ Open Respiratory Research · doi:10.1136/bmjresp-2023-002245 · Cited by 9 · 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
Hu, C., Liao, X., Fang, Y., Zhu, S., Lan, X., & Cheng, G. (2025) · Journal of Medical Internet Research · doi:10.2196/73010 · 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
Druckrey-Fiskaaen, K. T., Furulund, E., Madebo, T., Carlsen, S.-E. L., Fadnes, L. T., Lid, T. G., & for ATLAS4LAR Study Group (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1185338 · Cited by 9 · see citing works
Dawson, S., Kunonga, P., Beyer, F. R., Spiers, G., Booker, M. J., McDonald, R., Cameron, A., Craig, D., Hanratty, B., Salisbury, C., et al. (2020) · F1000Research · doi:10.12688/f1000research.25277.1 · Cited by 9 · see citing works
Self-citationGlynn, L., McCann, M., & McCabe, C. (2024) · PLOS Digital Health · doi:10.1371/journal.pdig.0000532 · Cited by 10 · 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
The Calgary COPD & Asthma Program: The role of the respiratory therapy profession in primary care
Slack, C. L., Hayward, K., & Markham, A. (2018) · Canadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie respiratoire : RCTR · doi:10.29390/cjrt-2018-018 · Cited by 10 · see citing works
Chan, H. Y., Leenen, L. A. M., Wijnen, B. F. M., van der Putten, I. M., Evers, S., Majoie, M., & Heugten, C. M. V. (2020) · Clinical Rehabilitation · doi:10.1177/0269215520975327 · Cited by 6 · see citing works
Conceptualisations of COPD self-management: A narrative review of the research literature
Delaney, S., Cronin, P., & Huntley-Moore, S. (2022) · Chronic Illness · doi:10.1177/17423953221115441 · Cited by 7 · see citing works
Levy, A., Matata, B., Pilsworth, S., Mcgonigle, A., Wigelsworth, L., Jones, L., Pott, N., Bettany, M., & Midgley, A. (2018) · Pilot and Feasibility Studies · doi:10.1186/s40814-018-0238-z · Cited by 7 · see citing works
Elkjær, M., Primdahl, J., Mogensen, C. B., Brabrand, M., & Gram, B. (2022) · Nursing Open · doi:10.1002/nop2.1223 · Cited by 5 · see citing works
Karaçar, Y., & Demirkıran, F. (2023) · Current Psychology · doi:10.1007/s12144-023-05104-z · Cited by 6 · see citing works
Tsaousi, F., Bouloukaki, I., Christodoulakis, A., Ierodiakonou, D., Tzanakis, N., & Tsiligianni, I. (2024) · Medicina · doi:10.3390/medicina60030377 · Cited by 7 · see citing works
Effect of Yoga in the Modulation of Heart Rate Variability in Patients with Breast Cancer
Одинець, Т. Є., Brіskіn, Y., Todorova, V., Tyshchenko, V., & Bondarenko, O. (2019) · Advances in Rehabilitation · doi:10.5114/areh.2019.89821 · Cited by 5 · see citing works
Тимрук-Скоропад, К. А., Павлова, Ю., & Stupnitska, S. (2019) · Advances in Rehabilitation · doi:10.5114/areh.2019.89827 · Cited by 5 · see citing works
Kolltveit, B. H., Graue, M., Borge, C. R., & Frisk, B. (2023) · Pilot and Feasibility Studies · doi:10.1186/s40814-023-01398-9 · 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
Effects of Self-Management Interventions in People With Interstitial Lung Disease
dos Santos, S. F., Marques, A., Rebelo, P., Brooks, D., Benoit, A., & Oliveira, A. (2023) · Respiratory care · doi:10.4187/respcare.11298 · Cited by 3 · see citing works
Moaleș, E.-A., Dima-Cozma, L. C., Cojocaru, D.-C., Zota, I. M., Ghiciuc, C. M., Adam, C. A., Ciorpac, M., Tudorancea, I. M., Petrariu, F. D., Leon, M., et al. (2024) · Diagnostics · doi:10.3390/diagnostics14212437 · Cited by 3 · see citing works
Park, N. Y., & Lee, I. (2025) · BMC Public Health · doi:10.1186/s12889-025-25909-w · Cited by 3 · see citing works
Trzeciak, D. J., & Małek, Ł. A. (2019) · Advances in Rehabilitation · doi:10.5114/areh.2019.89828 · Cited by 3 · see citing works
Channa, S., Gale, N., Lai, E., Hall, L., Quinn, M. T., & Turner, A. (2021) · npj Primary Care Respiratory Medicine · doi:10.1038/s41533-021-00225-z · Cited by 3 · see citing works
Zhang, P., Samartkit, N., & Masingboon, K. (2023) · Belitung Nursing Journal · doi:10.33546/bnj.2654 · Cited by 3 · see citing works
Chronic obstructive pulmonary disease, exacerbation and self-management: a literature review
Boyer, P. (2021) · British Journal of Community Nursing · doi:10.12968/bjcn.2021.26.9.452 · Cited by 3 · see citing works
Racial Disparities in Health Risk Indicators Reported by Alabamians Diagnosed with COPD
Stellefson, M., Wang, M., & Kinder, C. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18189662 · Cited by 3 · see citing works
Ansari, S., Hosseinzadeh, H., Dennis, S. M., Sheng, T., Kunasekaran, M. P., Taher, S. G., & Zwar, N. A. (2025) · BMC Family Practice · doi:10.1186/s12875-025-03077-5 · Cited by 2 · see citing works
Choi, J. Y., Ryu, E. J., & Jin, X. (2023) · Geriatric Nursing · doi:10.1016/j.gerinurse.2023.10.030 · Cited by 4 · see citing works
Brenner, T., Link, A.-C., Khan, S. A., Reudenbach, C., Bendix, J., Kutzinski, M., Weckler, B. C., Pott, H., Rupp, J., Witzenrath, M., et al. (2024) · Frontiers in Climate · doi:10.3389/fclim.2024.1475075 · Cited by 2 · see citing works
Using cognitive behavioural therapy techniques in COPD
Heslop-Marshall, K. (2018) · Practice Nursing · doi:10.12968/pnur.2018.29.12.594 · Cited by 2 · see citing works
Self-citationStewart, J. M., Shah, F., Thomas, J., & White, M. (2024) · Journal of the American Association of Nurse Practitioners · doi:10.1097/jxx.0000000000001024 · Cited by 1 · see citing works
Türkiye’de Öz Bakım Gücü ve Yaşam Kalitesi Arasındaki İlişki: Bir Meta Analiz Çalışması
Fidan, C. (2024) · Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi · doi:10.38108/ouhcd.1339082 · Cited by 1 · see citing works
Benign hypermobility joint syndrome impact on the injuries in jazz dancers
Szuba, S. F., & Truszczyńska-Baszak, A. (2019) · Advances in Rehabilitation · doi:10.5114/areh.2019.89825 · Cited by 1 · see citing works
Smalley, K. R., Aufegger, L., Flott, K., Holt, G., Mayer, E. K., & Darzi, A. W. (2019) · BMJ Open Respiratory Research · doi:10.1136/bmjresp-2018-000369 · Cited by 1 · see citing works
Szeliga, E., Bac, A., & Kaczor, S. (2019) · Advances in Rehabilitation · doi:10.5114/areh.2019.89822 · Cited by 1 · see citing works
Using cognitive behavioural therapy techniques in COPD
Heslop-Marshall, K. (2019) · Independent Nurse · doi:10.12968/indn.2019.3.16
Self-citationSzmul, G., Kowal, J., Sozański, B., Wiśniowska-Szurlej, A., & Ćwirlej-Sozańska, A. B. (2019) · Advances in Rehabilitation · doi:10.5114/areh.2019.89826
The weakened memory function in young overweight people
Dwojaczny, B., Złomańczuk, P., & Cieślicka, M. (2019) · Advances in Rehabilitation · doi:10.5114/areh.2019.89824
Ćwirlej-Sozańska, A., Wiśniowska-Szurlej, A., Wilmowska-Pietruszyńska, A., Szurlej, Ł., & Sozański, B. (2019) · Advances in Rehabilitation · doi:10.5114/areh.2019.89823
Kukol, L. В., & Торкатюк, Е. А. (2020) · Tuberculosis and lung diseases · doi:10.21292/2075-1230-2020-98-2-57-63
COPD, exacerbation and self-management: a literature review
Boyer, P. (2022) · Practice Nursing · doi:10.12968/pnur.2022.33.2.58
Enhancing efficiency in epilepsy care
Chan, H. Y. (2024) · doi:10.26481/dis.20240515hc
Machado, B., Félix, A., & Ribeiro, C. (2024) · Revista Portuguesa de Enfermagem de Reabilitação · doi:10.33194/rper.2024.364
Verma, A., Behera, A., Ravishankar, N., Islam, M., Vaishali, K., Sinha, M. K., Jayaraj, A., Singh, A. K., & Verma, P. K. (2024) · National Journal of Community Medicine · doi:10.55489/njcm.150820244272
Salahi, Z., Tavasoli, E., Shahraki, H. R., & Aliakbari, F. (2026) · HLRP Health Literacy Research and Practice · doi:10.3928/24748307-20260310-02
Guerreiro, M. P., Strawbridge, J., Cavaco, A. M. D. N., Félix, I. B., Marques, M. M., & Cadogan, C. A. (2021) · Figshare · doi:10.6084/m9.figshare.14634038
Guerreiro, M. P., Strawbridge, J., Cavaco, A. M. D. N., Félix, I. B., Marques, M. M., & Cadogan, C. A. (2021) · Figshare · doi:10.6084/m9.figshare.14634035
Guerreiro, M. P., Strawbridge, J., Cavaco, A. M. D. N., Félix, I. B., Marques, M. M., & Cadogan, C. A. (2021) · Figshare · doi:10.6084/m9.figshare.14634047
Guerreiro, M. P., Strawbridge, J., Cavaco, A. M. D. N., Félix, I. B., Marques, M. M., & Cadogan, C. A. (2021) · Figshare · doi:10.6084/m9.figshare.14634044
Guerreiro, M. P., Strawbridge, J., Cavaco, A. M. D. N., Félix, I. B., Marques, M. M., & Cadogan, C. A. (2021) · Figshare · doi:10.6084/m9.figshare.14634041
Huang, X., Feng, J., Gan, X.-T., Wu, R., Su, C., Zheng, L., & Deng, R. (2026) · International Journal of COPD · doi:10.2147/copd.s563718
Choi, J. Y., Lim, S. Y., & Yun, S. Y. (2026) · Korean Journal of Adult Nursing · doi:10.7475/kjan.2025.1118
Liu, J., Ma, H., Lu, H., Gu, R., Qi, L., Deng, Y., & Liu, J. (2026) · Healthcare · doi:10.3390/healthcare14142062
- Authors
- Newham, J., Presseau, J., Heslop-Marshall, K., Russell, S., Ogunbayo, O., Netts, P., Hanratty, B., & Kaner, E.
- Affiliations
- Newcastle University (GB)
- Ottawa Hospital Research Institute (CA)
- NHS Newcastle Gateshead Clinical Commissioning Group (GB)
- Corresponding author
- Newham, James
- ORCID
- Venue
- International Journal of Chronic Obstructive Pulmonary Disease
- Publisher
- Informa UK Limited
- Published
- 2017-06
- Volume
- Volume 12
- Pages
- 1705-1720
- ISSN
- 1176-9106 (ISSN-L)
- 1178-2005
- PMC
- PMC5473493
- OpenAlex
- W2621576660
- Cited by
- 93
- References
- 80
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 13 · 2023: 12 · 2022: 10 · 2021: 13 · 2020: 9 · 2019: 17 · 2018: 9 · 2017: 1
- FWCI
- 1.80
- 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)
- Northumbria Research Link (Northumbria University) (acceptedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Dove Medical Press (Taylor and Francis Group) (submittedVersion, cc-by-nc)
- Lancaster EPrints (Lancaster University) (submittedVersion)
- Research Portal (King's College London) (submittedVersion, cc-by-nc)
- Funders
- Newcastle Gateshead Clinical Commissioning Group
- National Institute for Health and Care Research
- Medical Research Council (MR/K02325X/1)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Keywords
- chronic obstructive pulmonary disease, self-management interventions, health-related quality of life, emergency department visits, behaviour change techniques, mental health, symptom management, physical activity, intervention delivery mode, multidisciplinary team, group intervention
- MeSH terms
- Aged, Aged, 80 and over, Emergency Service, Hospital, Female, Health Resources, Humans, Health Knowledge, Attitudes, Practice, Lung, Male, Mental Health, Middle Aged, Quality of Life, Self Care, Health Behavior, Treatment Outcome, Disease Progression, Pulmonary Disease, Chronic Obstructive
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