Openly accessible

Symptom burden and self-management in persons with chronic obstructive pulmonary disease

Bringsvor, Heidi B., Skaug, Knut, Langeland, Eva, Oftedal, Bjorg F., Assmus, Jörg, Gundersen, Doris, Osborne, Richard and Bentsen, Signe Berit 2018, Symptom burden and self-management in persons with chronic obstructive pulmonary disease, International journal of chronic obstructive pulmonary disease, vol. 13, pp. 365-373, doi: 10.2147/COPD.S151428.

Attached Files
Name Description MIMEType Size Downloads
osborne-symptomburdenand-2018.pdf Published version application/pdf 381.36KB 2

Title Symptom burden and self-management in persons with chronic obstructive pulmonary disease
Author(s) Bringsvor, Heidi B.
Skaug, Knut
Langeland, Eva
Oftedal, Bjorg F.
Assmus, Jörg
Gundersen, Doris
Osborne, RichardORCID iD for Osborne, Richard orcid.org/0000-0002-9081-2699
Bentsen, Signe Berit
Journal name International journal of chronic obstructive pulmonary disease
Volume number 13
Start page 365
End page 373
Total pages 9
Publisher Dove Medical Press
Place of publication Macclesfield, Eng.
Publication date 2018
ISSN 1176-9106
1178-2005
Keyword(s) COPD
COPD Assessment Test
Health Education Impact Questionnaire
chronic disease
self-management
symptoms
Science & Technology
Life Sciences & Biomedicine
Respiratory System
QUALITY-OF-LIFE
IMPACT QUESTIONNAIRE HEIQ
OLDER-ADULTS
RESPIRATORY SYMPTOMS
DEPRESSIVE SYMPTOMS
INHALED THERAPIES
PHYSICAL-ACTIVITY
HEALTH OUTCOMES
ADHERENCE
Summary Purpose: Self-management is crucial for effective COPD management. This study aimed at identifying associations between self-management and sociodemographic characteristics, clinical characteristics, and symptom burden in people with COPD.
Patients and methods: In this cross-sectional study with 225 participants diagnosed with COPD grades II–IV, multiple linear regression analysis was conducted, using sociodemographic and clinical characteristics and symptom burden (COPD Assessment Test) as the independent variables and the eight self-management domains of the Health Education Impact Questionnaire (heiQ) as the outcome variables.

Results: Higher symptom burden was significantly associated with worse scores in all self-management domains (p<0.003), except for self-monitoring and insight (p=0.012). Higher disease severity (p=0.004) and numbers of comorbidities (p<0.001) were associated with more emotional distress, and women scored higher than men on positive and active engagement in life (p=0.001). Higher score in pack-years smoking was associated with lower score in health-directed activities (p=0.006) and self-monitoring and insight (p<0.001), and participation in organized physical training was associated with higher score in health-directed activities (p<0.001). The final models explained 3.7%–31.7% of variance (adjusted R2) across the eight heiQ scales.

Conclusion: A notable finding of this study was that higher symptom burden was associated with worse scores in all self-management domains, except for self-monitoring and insight. In addition, sex, disease severity, comorbidity, pack-years smoking, and participation in organized physical training were associated with one or two self-management domains. The study contributes to improved understanding of self-management in COPD. However, the explained variance levels indicate that more research needs to be done to uncover what else explains self-management domains in COPD.
Language eng
DOI 10.2147/COPD.S151428
Field of Research 111708 Health and Community Services
111712 Health Promotion
1102 Cardiovascular Medicine And Haematology
Socio Economic Objective 920205 Health Education and Promotion
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2018, Bringsvor et al.
Free to Read? Yes
Use Rights Creative Commons Attribution non-commercial licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30106215

Document type: Journal Article
Collections: School of Health and Social Development
Open Access Collection
Connect to link resolver
 
Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved.

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.

Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 0 times in TR Web of Science
Scopus Citation Count Cited 0 times in Scopus
Google Scholar Search Google Scholar
Access Statistics: 27 Abstract Views, 2 File Downloads  -  Detailed Statistics
Created: Fri, 09 Feb 2018, 09:35:03 EST

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.