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Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
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01:27Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
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01:20COPD: Pathogenesis and Clinical Features
Chronic obstructive pulmonary disease (COPD) is a group of lung conditions that progressively worsen over time, including chronic bronchitis and emphysema. This cluster of diseases collectively leads to a gradual and irreversible decline in lung function over time.
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Published on: November 8, 2013
Educational programmes in COPD management interventions: a systematic review.
Ana Stoilkova1, Daisy J A Janssen, Emiel F M Wouters
1Department of Respiratory Medicine, Maastricht University Medical Centre+ (MUMC+), PO Box 616, 6200 MD Maastricht, The Netherlands.
Respiratory Medicine
|September 10, 2013
Summary
Educational programs for chronic obstructive pulmonary disease (COPD) management vary widely in content and delivery. Key topics like smoking cessation and medication adherence are common, but alignment with guidelines and diverse professional involvement need improvement for better COPD patient education.
Area of Science:
- Pulmonary Medicine
- Health Education
- Chronic Disease Management
Background:
- Practice guidelines recommend specific educational topics for patients with chronic obstructive pulmonary disease (COPD).
- The extent to which current COPD management interventions incorporate these recommended educational topics is not well-defined.
Purpose of the Study:
- To identify and delineate the educational topics integrated into existing COPD management interventions.
- To evaluate the strengths, weaknesses, and delivery methods of these educational programmes using the RE-AIM framework.
Main Methods:
- A systematic literature search was conducted across major databases (MEDLINE/PubMed, Cochrane, Web of Science).
- Included studies describing educational programmes within COPD management interventions were analyzed.
- Data extraction utilized a pre-designed form, and the RE-AIM framework assessed programme effectiveness and implementation.
Main Results:
- 67 interventions from 81 articles were analyzed, with most (53.8%) covering 10 or more educational topics.
- Frequently addressed topics included smoking cessation (80.0%), medication (76.9%), exercise (72.3%), breathing strategies (70.8%), exacerbations (69.2%), and stress management (67.7%).
- Predominant delivery tools were printed materials (90.5%), and methods included demonstrations/practice (73.8%), primarily involving nurses (75.8%).
Conclusions:
- Significant heterogeneity exists in the content and delivery methods of educational interventions for COPD.
- Greater alignment between current educational topics and guideline recommendations is needed.
- Enhanced involvement of diverse healthcare professionals and combined delivery methods should be prioritized for comprehensive COPD patient education.