Patient and provider perspectives of a self-management program for COPD in the context of multimorbidity: a qualitative study.
Background: Chronic obstructive pulmonary disease (COPD) is often associated with comorbidities, which further complicates the impact of the disease. However, most self-management support for COPD do not account for patients' comorbidities. This study is the qualitative evaluation of a novel self-ma...
| Publicado en: | BMC Primary Care Vol. 26; no. 1; pp. 1 - 15 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
BioMed Central
11/11/2025
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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=189234540&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 189234540 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 27314553 MZZU jtl: BMC Primary Care issn: 27314553 maglogo: N pubinfo: dt: 11/11/2025 vid: 26 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 189234540 189234540 189234540 10.1186/s12875-025-03077-5 189234540 ppf: 1 ppct: 14 formats: tig: atl: Patient and provider perspectives of a self-management program for COPD in the context of multimorbidity: a qualitative study. aug: au: Ansari, Sameera Hosseinzadeh, Hassan Dennis, Sarah Sheng, Teresa Kunasekaran, Mohana Taher, Sadan Zwar, Nicholas affil: https://ror.org/03r8z3t63 School of Population Health, Faculty of Medicine and Health, UNSW Sydney, Randwick, Sydney, NSW, Australia sug: subj: Pulmonary Disease, Chronic Obstructive Comorbidity Self-Management Education Patient Attitudes Evaluation Attitude of Health Personnel Evaluation Program Evaluation Family Nurses Australia Physicians, Family Australia Collaboration Human Qualitative Studies Nurse-Physician Relations Australia Patient Education Health Care Delivery Semi-Structured Interview Thematic Analysis Patient Centered Care Counseling Nurse-Patient Relations Health Behavior Nursing Skills Confidence Workload Support, Psychosocial Nursing Role Primary Health Care Implementation Science Male Female Adult Middle Age Aged Aged, 80 and Over Funding Source Descriptive Statistics Data Analysis Software Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: Background: Chronic obstructive pulmonary disease (COPD) is often associated with comorbidities, which further complicates the impact of the disease. However, most self-management support for COPD do not account for patients' comorbidities. This study is the qualitative evaluation of a novel self-management program for people with COPD in the context of multimorbidity, delivered by practice nurses (PNs) in collaboration with general practitioners (GPs) in Sydney, Australia. Methods: Semi-structured interviews were conducted with 12 patients, 10 PNs, and seven GPs. The interviews were thematically analysed using a constructivist approach, and further interpreted through the Normalisation Process Theory. Results: Most patients accepted the program and perceived it as beneficial. Facilitators towards better activation were personalised care and the PNs' counselling approach during the program. Barriers to better health behaviour included personal challenges and comorbidities. Overall, the PNs and GPs found the program to be feasible and beneficial for participating patients. The PNs felt upskilled about COPD, and confident for delivering self-management support, following participation in the study. The main challenge faced by them were managing their existing workload alongside the education sessions. Conclusions: The findings emphasise the need for tailored, self-management support for people with COPD and comorbidities, and upskilling of the PN's role in general practice. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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