A Critical Review of Effects of COPD Self-Management Education on Self-Efficacy. (9th April 2012)

• Record Type: Journal Article
• Authors: Stellefson, Michael; Tennant, Bethany; Chaney, J. Don
• Other Names: Bendtsen P. Academic Editor.; Rospenda K. M. Academic Editor.
• Is Part Of: ISRN public health. Volume 2012(2012)
• Publication Date: 2012-04-09
• Subjects: Public health -- Periodicals; Public Health; Public health; Periodical; Periodicals; Electronic journals; 362.1
• DOI: 10.5402/2012/152047
• Languages: English
• ISSNs: 2090-8008

Abstract

Abstract : Chronic obstructive pulmonary disease (COPD) causes progressive airflow limitation which results in prolonged episodes of coughing and shortness of breath. COPD self-management education (COPDSME) programs attempt to enhance patient self-efficacy for managing symptoms. The purpose of this paper was to conduct a critical literature review that identified peer-reviewed articles assessing the effects of COPDSME on self-efficacy outcomes. Seven articles were located after an exhaustive search. Most studies (n = 6 ) reported statistically significant improvements in self-efficacy following intervention. Almost all of the studies tested interventions that drew upon at least 2 recommended sources of efficacy information. Two studies specifically noted increased self-efficacy for controlling physical exertion following COPDSME. Within the reviewed studies, the content within each educational treatment varied widely and showed a lack of standardization, and the types of instruments used to assess self-efficacy varied. This paper highlights the need for more controlled trials that investigate potential between-subjects effects of different types of COPDSME programs on self-efficacy outcomes. Incorporating practice models for patient-centered primary care in COPD requires the use of tailored efficacy building strategies for specific self-management behaviors.