Self-management behaviors to reduce exacerbation impact in COPD patients: A delphi study

Yvonne J.G. Korpershoek, Joyce C. Bruins Slot, Tanja W. Effing, Marieke J. Schuurmans, Jaap C.A. Trappenburg

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Background: Little is known about which self-management behaviors have the highest potential to influence exacerbation impact in COPD patients. We aimed to reach expert consensus on the most relevant set of self-management behaviors that can be targeted and influenced to maximize reduction of exacerbation impact. Materials and methods: A 2-round Delphi study was performed using online surveys to rate the relevance and feasibility of predetermined self-management behaviors identified by literature and expert opinion. Descriptive statistics and qualitative analyses were used. Results: An international expert panel reached consensus on 17 self-management behaviors focusing on: stable phase (n=5): pharmacotherapy, vaccination, physical activity, avoiding stimuli and smoking cessation; periods of symptom deterioration (n=1): early detection; during an exacerbation (n=5): early detection, health care contact, self-treatment, managing stress/anxiety and physical activity; during recovery (n=4): completing treatment, managing stress/anxiety, physical activity and exercise training; and after recovery (n=2): awareness for recurrent exacerbations and restart of pulmonary rehabilitation. Conclusion: This study has provided insight into expert opinion on the most relevant and feasible self-management behaviors that can be targeted and influenced before, during and after an exacerbation to exert the highest magnitude of influence on the impact of exacerbations. Future research should focus at developing more comprehensive patient-tailored interventions supporting patients in these exacerbation-related self-management behaviors.

Original languageEnglish
Pages (from-to)2735-2746
Number of pages12
JournalInternational Journal of COPD
Volume12
DOIs
Publication statusPublished - 15 Sep 2017

Bibliographical note

This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Keywords

  • COPD
  • Delphi study
  • Delphi technique and behavior
  • Exacerbation
  • Self-care
  • Self-management

Fingerprint Dive into the research topics of 'Self-management behaviors to reduce exacerbation impact in COPD patients: A delphi study'. Together they form a unique fingerprint.

Cite this