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Published on: June 20, 2025
Developing a self-management package for pulmonary fibrosis: an international Delphi study
Joanna Y T Lee1, Gabriella Tikellis1, Yet H Khor1,2,3,4
1Respiratory Research@Alfred, Central Clinical School, Monash University, Melbourne, Victoria, Australia.
Experts and patients identified 12 essential components for pulmonary fibrosis (PF) self-management. Key elements include understanding treatments, managing symptoms like breathlessness and fatigue, and personalized support. This consensus guides future PF self-management interventions.
Area of Science:
- Pulmonary Medicine
- Patient Self-Management
- Health Outcomes Research
Background:
- Self-management is crucial for individuals with pulmonary fibrosis (PF).
- A lack of consensus exists regarding the essential components of PF self-management packages.
- This study addresses the need for expert and patient agreement on PF self-management content.
Purpose of the Study:
- To achieve consensus among pulmonary fibrosis (PF) experts and patients.
- To define the essential components and optimal format for a PF self-management package.
Main Methods:
- A two-round Delphi process involving PF experts.
- Online surveys were used to rate components, formats, and delivery methods.
- Patient focus groups integrated lived experiences to refine the self-management package.
Main Results:
- Twelve essential components for PF self-management were identified.
- Key components include understanding treatments, clinical trials, medication management, oxygen therapy, pulmonary rehabilitation, symptom management (breathlessness, fatigue, mood), comorbidity management, smoking cessation, community support, and communication skills.
- Consensus was reached on the importance of individualization, goal setting, and feedback in PF self-management.
Conclusions:
- This study established a consensus on 12 core components for pulmonary fibrosis self-management.
- Individualization, goal setting, and feedback are critical elements for effective PF self-management.
- The findings provide a foundation for developing targeted and effective PF self-management interventions.
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