Effect of a Motivational Interviewing-Based Health Coaching on Quality of Life in Subjects With COPD.
BACKGROUND: Improving quality of life (QOL) is a key goal in the care of patients with COPD. Pulmonary rehabilitation (PR) has clearly been shown to improve QOL, but is not accessible to many eligible patients. There is a need for alternative programs designed to improve patient well-being that are...
| Publicado en: | Respiratory Care Vol. 62; no. 8; pp. 1043 - 1049 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Mary Ann Liebert, Inc.
Aug2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=124459812&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 124459812 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00201324 4GG jtl: Respiratory Care issn: 00201324 maglogo: N pubinfo: dt: Aug2017 vid: 62 iid: 8 pid: 1365 pub: Mary Ann Liebert, Inc. place: New Rochelle, New York artinfo: ui: 124459812 124459812 124459812 10.4187/respcare.04984 124459812 ppf: 1043 ppct: 6 formats: fmt: @attributes: type: P tig: atl: Effect of a Motivational Interviewing-Based Health Coaching on Quality of Life in Subjects With COPD. aug: au: Rehman, Hamid Karpman, Craig Douglas, Kristin Vickers Benzo, Roberto P. affil: Pulmonary Medicine, Mayo Clinic Health System, Austin, Minnesota sug: subj: Motivational Interviewing Quality of Life Pulmonary Disease, Chronic Obstructive Patient Care Human Counseling Rehabilitation, Pulmonary Health Services Accessibility Evaluation Psychological Well-Being Telephone Pulmonary Disease, Chronic Obstructive Classification Patient Selection Dyspnea Diagnosis Pulmonary Disease, Chronic Obstructive Symptoms Fatigue Health Evaluation Questionnaires Consent (Research) Data Collection Data Analysis Software Descriptive Statistics After Care ab: BACKGROUND: Improving quality of life (QOL) is a key goal in the care of patients with COPD. Pulmonary rehabilitation (PR) has clearly been shown to improve QOL, but is not accessible to many eligible patients. There is a need for alternative programs designed to improve patient well-being that are accessible to all patients with COPD. Our goal was to pilot test a simple, telephone-based health-coaching intervention that was recently shown to decrease readmission among hospitalized COPD patients and stable COPD patients eligible for PR. METHODS: Subjects received a 3-month intervention consisting of 10 health-coaching telephone calls based on motivational interviewing principles. Outcome measures included dyspnea level, measured by the modified Medical Research Council scale, and QOL, measured by the Chronic Respiratory Questionnaire and a single-item general self-rated health status. RESULTS: Fifty subjects with moderate to severe COPD were enrolled in the study. Forty-four subjects (86%) completed the study intervention. Dyspnea measured by the modified Medical Research Council score improved significantly after the intervention (P = .002). The domains of fatigue, emotional function, and mastery on the Chronic Respiratory Disease Questionnaire and the single-item QOL question also improved significantly after the 3 months of health coaching (P = .001, P = .001, P = .007, and P = .03, respectively). Thirty-six (71%) subjects had a clinically meaningful improvement in at least 1 study end point (either in the severity of dyspnea or a domain of QOL). Thirty subjects (58%) had an improvement of ≥0.5 points, the minimum clinically important difference in at least 1 component of the Chronic Respiratory Disease Questionnaire. CONCLUSIONS: A telephone-delivered motivational interviewing-based coaching program for COPD patients is a feasible, well-accepted (by both participants and providers), simple, and novel intervention to improve the well-being of patients with COPD. This pilot study provides insight into a possible alternative to a conventional PR program for patients with limited access to that program. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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