Primary care patients with mild or stable chronic obstructive pulmonary disease need more support in disease management: a secondary analysis of a cluster randomized controlled trial

Patient education based on the patient's individual needs and circumstances is known to be associated with positive changes in clinical outcomes in chronic obstructive pulmonary disease (COPD). We aimed to assess the levels of patients' subjective needs for information about COPD before an...

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Bibliographic Details
Published in:Scandinavian journal of primary health care 2023-12, Vol.41 (4), p.495-504
Main Authors: Sandelowsky, Hanna, Krakau, Ingvar, Modin, Sonja, Ställberg, Björn, Nager, Anna
Format: Article
Language:English
Subjects:
Chronic obstructive pulmonary disease
Clinical outcomes
Clinical trials
COPD
Diet
disease information needs
Disease management
Family physicians
General Practitioners
Health education
Humans
Information needs
Medical personnel
Medicin och hälsovetenskap
Patient education
Patients
Physical therapists
Primary care
Primary Health Care
Pulmonary Disease, Chronic Obstructive - therapy
Quality of Life
self-management
Selfmanagement
Spirometry
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Summary:Patient education based on the patient's individual needs and circumstances is known to be associated with positive changes in clinical outcomes in chronic obstructive pulmonary disease (COPD). We aimed to assess the levels of patients' subjective needs for information about COPD before and after their general practitioners had taken part in a COPD education. A secondary analysis of a cluster randomized controlled trial. 22 PHCCs in Stockholm, Sweden. Randomly selected primary care patients with COPD in GOLD stages 2 and 3 (  = 293). Scores in the Lung Information Needs Questionnaire (LINQ) at baseline and 18 months, spirometry results, and self-reported, descriptive patient data. GPs' improved skills in COPD did not affect patients' self-management skills over time. In general, patients' information needs remained great in issues concerning diet, exercise and self-management. However, 43% of the patients reported reduced and 57% increased or unchanged information needs, over time. Reduced information needs were mainly associated with a high level of information needs at baseline (OR = 3.17 [95% CI 1.93-5.23],  
ISSN:0281-3432
1502-7724
1502-7724
DOI:10.1080/02813432.2023.2280039