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Implementing psychological interventions delivered by respiratory professionals for people with COPD. A stakeholder
V Wileman1,2, V Rowland3, M Kelly4
1Wolfson Institute of Population Health, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, 58 Turner Street, London, E1 2AB, UK. vari.wileman@kcl.ac.uk.
NPJ Primary Care Respiratory Medicine
|October 25, 2023
Summary
Implementing psychological interventions for chronic obstructive pulmonary disorder (COPD) requires addressing resource limitations and improving healthcare communication. Integrated care and professional support are key facilitators for better patient engagement and holistic health outcomes.
Area of Science:
- Health Services Research
- Psychological Interventions
- Chronic Obstructive Pulmonary Disease (COPD) Management
Background:
- Implementing psychological interventions in healthcare necessitates understanding organizational contexts.
- Chronic obstructive pulmonary disorder (COPD) significantly impacts patients' physical and emotional well-being.
- Existing healthcare services may face challenges in integrating psychological support for COPD patients.
Purpose of the Study:
- To explore barriers and facilitators for implementing psychological interventions for people with COPD within the UK National Health Service (NHS).
- To identify key themes influencing the adoption and effectiveness of psychological support in COPD care.
- To inform future development and implementation strategies for integrated psychological and physical care in COPD.
Main Methods:
- A qualitative interview study was conducted with 20 UK National Health Service (NHS) stakeholders involved in COPD care.
- Participants were purposively sampled from primary, secondary, and commissioning organizations.
- Semi-structured interviews were analyzed using thematic analysis to identify key themes.
Main Results:
- Four major themes emerged: patient engagement challenges due to emotional distress, resource limitations affecting service provision, the importance of integrated care, and the dual role of healthcare communication.
- Stakeholders expressed commitment to integrated care and recognized the potential of respiratory professionals in delivering psychological support.
- Significant barriers included concerns about resources, cost-efficiency, training, supervision, and service integration.
Conclusions:
- Holistic healthcare addressing both physical and psychological symptoms is crucial for COPD patients.
- Adequate resources for training, supervision, and service integration are essential for respiratory professionals to deliver psychologically informed care.
- Effective communication among healthcare professionals is vital for successful intervention referral and uptake, despite widespread commitment to integrated care.
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