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Does adherence to exacerbation action plans matter? Insights from two COPD self-management studies
Jade Schrijver1,2, Tanja Effing3,4, Joanke van Helden2,5
1Cognition, Data and Education, Faculty of Behavioural, Management and Social Sciences, University of Twente, Enschede, the Netherlands.
Heliyon
|November 4, 2024
Summary
Adhering to COPD action plans improves health outcomes. While optimal adherence is best, suboptimal adherence also shows benefits, highlighting the need for interventions to boost patient compliance with self-management strategies.
Area of Science:
- Pulmonary Medicine
- Health Outcomes Research
Background:
- Patient adherence is crucial for effective COPD self-management.
- Beneficial effects of COPD management strategies are primarily observed in adherent patients.
Purpose of the Study:
- To investigate the association between patient adherence to COPD exacerbation action plans and health outcomes.
- To compare health outcomes across different levels of adherence to COPD self-treatment plans.
Main Methods:
- Pooled data from two randomized controlled trials (RCTs) of COPD self-treatment interventions were analyzed.
- Adherence was categorized as optimal, suboptimal, or significant delay/no treatment based on timing of self-treatment initiation relative to exacerbation onset.
- Regression models were used to assess the impact of adherence on health outcomes, with exacerbation days per patient per year as the primary outcome.
Main Results:
- Patients with significant delay or no treatment experienced more exacerbation days per year (33.3) compared to optimally adherent patients (23.7).
- The duration of each COPD exacerbation was longer in patients with significant delay or no treatment (15.5 days) versus optimally adherent patients (7.8 days).
- No significant differences in health outcomes were found between patients with optimal and suboptimal adherence.
Conclusions:
- Adherence to COPD action plans is linked to better health outcomes compared to delayed or no treatment.
- Suboptimal adherence to COPD action plans yielded health benefits comparable to optimal adherence.
- COPD self-management interventions should focus on strategies to enhance patient adherence to action plans.
Keywords:
Action planningAdherenceChronic obstructive pulmonary diseaseExacerbationsHealth outcomesSelf-treatmentMore Related Videos
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