THE IMPACT OF SELF-MANAGEMENT EDUCATION ON OUTCOMES FOR

PATIENTS WITH COPD

Joy Gana-Inatimi (Supervisors: Prof MP Dey, Dr CJ Sutton, Mrs HC Stewart)

Content

• Background information on COPD and PR • Self-Management Education • My project • Project Overview • Preliminary findings • Implications for Research • Benefit(s) of Research

COPD and Smoking Data

BODY COPY

TITLE

BODY COPY

Prevalence of Cigarette Smoking

Men

Women

North East 17 23

North West 25 22

Yorkshire and the Humber

24 25

East Midlands 20 19

West Midlands 21 19

East of England 20 18

London 21 18

South East 21 18

South West 21 22

All England 21 20

Distribution of COPD by Postcode

Prognosis

• COPD is currently not curable

• Effective management of COPD includes: 1.Smoking cessation 2.Medication management 3.Pulmonary rehabilitation (PR)

What is PR

Individually tailored MDT programme of care: • Physical training • Disease education • Nutritional • Psychological • Behavioural intervention • Self-management strategies (NICE, 2010)

Aims of PR

• Reduce disability • Improve quality of life • Diminish health care burden • Improve physical conditioning • Increase independence • Increase knowledge of lung condition • Promote self-management (BTS, 2001 and CSP, 2003)

PR Evidence

• PR vs. conventional care • Benefits of PR • COPD Self-management

Project Overview

• Survey Study • Retrospective Database Study • Prospective Study - TBC

Survey Study Findings

• 27 PCTs provide PR in the North West • 100% MDT and provided exercise and education • Mainly community based • 77.8% assessed self-management • 25.9% used a COPD specific tool

Retrospective Study Findings – Baseline Characteristics

• (n=875)

• Mean age of 66 years

• Predominantly female (57.4%)

• 30% most socioeconomically deprived

• Non attenders were: 1. Younger 2. Still smoking 3. More socioeconomically deprived

Retrospective Study Findings – Clinical Outcomes

30.1

37.7 36.9

0

5

10

15

20

25

30

35

40

Pre programme Post Programme 3 months post programme

Mean BCKQ Score

Assessment Stage

COPD Self-Management Knowledge (BCKQ)

Retrospective Study Findings – Clinical Outcomes

170.6

239.2

215.4

0.0

50.0

100.0

150.0

200.0

250.0

300.0

Pre programme Post Programme 3 months post programme

Mean Distance Walked

(Meters)

Assessment Stage

Shuttle Walk Test

Retrospective Study Findings – Clinical Outcomes

• Weak correlation between changes in self-

management knowledge and functional capacity

&

Implications/Plans for Research

• Lit review of self-management strategies

• Design prospective study:

1. Informed by survey and database studies

2. Lit review affirmed education strategy

Benefits of Research

• Standardised data collection • Quality assurance measures • New block SLA

• Formalising Brief Interventions

Thank you for your time and Attention

Any Questions?