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Identifying priority challenges of older adults with COPD: A multiphase intervention refinement study.
Anand S Iyer1,2,3,4,5, Rachel D Wells3,4, Avery C Bechthold4
1Division of Pulmonary, Allergy, and Critical Care Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Journal of the American Geriatrics Society
|August 31, 2024
Summary
Older adults with chronic obstructive pulmonary disease (COPD) face challenges impacting independence. Interventions must prioritize functional status, mobility, and supplemental oxygen needs, incorporating diverse stakeholder perspectives for effective care.
Area of Science:
- Gerontology
- Pulmonology
- Health Services Research
Background:
- Chronic obstructive pulmonary disease (COPD) significantly impacts older adults' well-being and independence.
- Identifying priority challenges is crucial for developing effective interventions.
Purpose of the Study:
- To prioritize challenges faced by older adults with COPD and their caregivers.
- To guide the refinement of the telephonic nurse coach intervention (Empowering People to Independence in COPD - EPIC).
Main Methods:
- Multiphase study using Nominal Group Technique (NGT), rapid qualitative analysis, and intervention mapping.
- Participants included older adults with COPD, family caregivers, clinic staff, clinicians, and health system leaders.
- Guided by Baltes Theory of Successful Aging and the 5Ms Framework.
Main Results:
- 37 participants across five constituency groups generated 92 statements categorized into five themes.
- Key themes: Barriers to care, family caregiver needs, functional status/mobility, illness understanding, and COPD care complexities.
- Patients and staff prioritized functional status/mobility; caregivers prioritized caregiver needs; clinicians/leaders prioritized care complexities. Supplemental oxygen challenges were critical.
Conclusions:
- Diverse groups identified distinct priority challenges for older adults with COPD.
- Functional status, mobility, and supplemental oxygen needs are key patient-prioritized challenges.
- Patient-centered interventions require integrating diverse perspectives and addressing prioritized needs.
Keywords:
COPDcaregivergeriatricsintervention developmentintervention mappingnominal group techniquepalliative carerapid qualitative analysisMore Related Videos
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