Understanding the factors affecting self-management of COPD from the perspectives of healthcare practitioners

  1. Lookup NU author(s)
  2. Dr Dapo Ogunbayo
  3. Dr Sian Russell
  4. Dr James Newham
  5. Dr Karen Marshall
  6. Professor Barbara Hanratty
  7. Professor Eileen Kaner
Author(s)Ogunbayo OJ, Russell S, Newham JJ, Heslop-Marshall K, Netts P, Hanratty B, Kaner K
Publication type Working Paper
JournalPrimary Care Respiratory Medicine
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Self-management is well-recognised as a quality criteria for the provision of high quality care for chronic obstructive pulmonary disease (COPD). People with COPD encounter a wide range of healthcare practitioners (HCPs) during their COPD pathway. This study aimed to understand the factors affecting self-management of COPD from the perspectives of the different multidisciplinary healthcare teams involved in COPD care. . Purposive sampling and snowballing were employed in recruitment of participants from primary care teams (PCTs), specialist respiratory teams (SRTs), and pulmonary rehabilitation teams (PRTs) for semi-structured interviews. All interviews were audio-recorded and transcribed verbatim and data were analysed thematically. A total of 20 participants – 8 PCTs, 7 SRTs and 5 PRTs were interviewed. Participants identified a range of complex and interrelated factors affecting COPD self-management from three broad themes – patient-, practitioner- and organisational/system-level factors. Patient-level factors were mostly considered as barriers, with COPD knowledge and understanding, and the individual patients’ life context being the most prominent factors. Practitioner-level factors identified HCPs’ speciality, interest and experience in respiratory conditions as the overarching factor that influenced how self-management was conceptually understood and practiced. Organisational/system-level factors varied among the different HCP teams but more general factors identified were the inconsistency of referral pathways and the wide variations of different self-management planning tools. The factors affecting self-management of COPD across these three levels may need to be tackled proportionately in order to ensure the effectiveness of interventions and to enhance the integration of self-management support approaches into routine practice.
PublisherNature Partner Journals
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