COPD Self-Management for Adults Living in Rural Areas: Systematic Review of Telehealth and Non-Telehealth Interventions. Issue 5 (3rd September 2022)

• Record Type: Journal Article
• Authors: Stellefson, Michael; Kinder, Caitlin; Boyd, Isabelle; Elijah, Odunayo; Naher, Shabnam; McFadden, Ny'Nika
• Is Part Of: American journal of health education. Volume 53:Issue 5(2022)
• Page Start: 269
• Page End: 281
• Publication Date: 2022-09-03
• Subjects: Health education -- United States -- Periodicals; School hygiene -- Study and teaching -- United States -- Periodicals; Health Education -- Periodicals; School Health Services -- Periodicals; 371
• DOI: 10.1080/19325037.2022.2100525
• Languages: English
• ISSNs: 1932-5037

Abstract

ABSTRACT: Background: Chronic Obstructive Pulmonary Disease (COPD) is more prevalent in rural areas than in non-rural areas due to factors such as limited access to healthcare; however, no known studies have systematically reviewed evidence related to the impact of self-management interventions on rural adults with COPD. Purpose: Systematically review telehealth and non-telehealth self-management interventions delivered to adults with COPD in rural areas. Methods: Six electronic databases were searched to identify eleven eligible articles. Results: Six studies delivered telehealth interventions, while five delivered non-telehealth interventions. Six interventions (54.5%) reported the use of a behavioral theory, and four (36.4%) employed a randomized control trial (RCT) design. Three studies (n = 2 telehealth; n = 1 non-telehealth) reported significant improvements in self-management efficacy, five (n = 3 telehealth; n = 2 non-telehealth) reported improvements in quality of life, four (n = 1 telehealth; n = 3 non-telehealth) demonstrated improved exercise capacity, and four (n = 2 telehealth; n = 2 non-telehealth) reported improved COPD knowledge. Discussion: There is promising evidence that telehealth interventions could be as beneficial as non-telehealth interventions for improving COPD self-management in rural areas. Translation to Health Education Practice : Community-based needs assessments in rural areas may help determine the optimal method of delivery (i.e., telehealth and/or non-telehealth strategies) for local COPD self-management interventions. A AJHE Self-Study quiz is online for this article via the SHAPE America Online Institute (SAOI) http://portal.shapeamerica.org/trn-Webinars