Self-management education for patients with chronic obstructive pulmonary disease: a systematic review

Monninkhof, E.; van der Valk, P.; van der Palen, J.; van Herwaarden, C.; Partidge, M.R.; Zielhuis, G.
May 2003
Thorax;May2003, Vol. 58 Issue 5, p394
Academic Journal
Background: The idea of self-management is to teach patients how to carry out the activities of daily living optimally in the face of their physiological impairment, and to prevent or decrease the severity of exacerbations by means of life style adaptation. In chronic obstructive pulmonary disease (COPD) the value of self-management education is not clear. This review was undertaken to clarify the effectiveness of self-management programmes in COPD. Methods: A search was made of the Cochrane Airways Group trial registers, Medline, reference lists, and abstracts of medical conferences for controlled trials of self-management education in patients with COPD. Two reviewers independently assessed each paper for methodological quality and extracted the data. Results: The reviewers included 12 articles describing eight randomised controlled trials and one controlled clinical trial in which self-management education was compared with usual care. The studies assessed a broad spectrum of outcome measures with different follow up times so meta-analysis could not be undertaken. Self-management education had no effect on hospital admissions, emergency room visits, days lost from work, and lung function. Inconclusive results were observed on health related quality of life, COPD symptoms, and use of healthcare facilities such as doctor and nurse visits. Selfmanagement education reduced the need for rescue medication and led to increased use of courses of oral steroids and antibiotics for respiratory symptoms. Conclusions: Insufficient data were obtained to make recommendations because of the wide variation in outcome measures used and other limitations to generalizations in the current published literature. Further research in this area is needed.


Related Articles

  • 47 Year Old Patient with Pseudo-Asthma. Altinsoy, Bulent; Altinta, Nejat; Celik, Zeynep Sonmez // Oman Medical Journal;Jan2011, Vol. 26 Issue 1, p61 

    A quiz concerning the occurrence of pseudo-asthma is presented.

  • Inadequate peak expiratory flow meter characteristics detected by a computerised explosive decompression device. Miller, M.R.; Atkins, P.R.; Pedersen, O.F. // Thorax;May2003, Vol. 58 Issue 5, p411 

    Background: Recent evidence suggests that the frequency response requirements for peak expiratory flow (PEF) meters are higher than was first thought and that the American Thoracic Society (ATS) waveforms to test PEF meters may not be adequate for the purpose. Methods: The dynamic response of...

  • Telephone 'asthma clinics'? Hurst, J. // Thorax;May2003, Vol. 58 Issue 5, p457 

    Looks at the telephone consultation as a means of improving asthma review rates. Identification of adult asthmatic patients who consented to participate and were randomized to telephone or standard face to face review; Analysis of asthma morbidity, patient satisfaction and consultation duration.

  • Dysfunctional breathing in COPD. Connolly, C.K. // Thorax;May2003, Vol. 58 Issue 5, p460 

    Comments on the article 'Dysfunctional breathing in asthma: Is it common, identifiable and correctable?' by M.D.L. Morgan, published in the Volume 57 of the journal 'Thorax.' Consequences of asthma in terms of morbidity; Role of breathlessness as a measure of disability due to physiological...

  • Occupational asthma evaluation. Fishwick, D.; Bradshaw, L.M.; Tate, P.A.; Curran, A.D. // Thorax;May2003, Vol. 58 Issue 5, p461 

    Comments on the article 'Interpretation of occupational peak flow records: Level of agreement between expert clinicians and OASYS-2,' by D.R. Baldwin, published in the Volume 57 of the journal 'Thorax.' Helpfulness of OASYS software in the diagnosis of occupational asthma; OASYS systems...

  • Author's reply. Burge, P.S. // Thorax;May2003, Vol. 58 Issue 5, p461 

    Responds to authors commentaries on the article 'Interpretation of occupational peak flow records: Level of agreement between expert clinicians and OASYS-2,' by D.R. Baldwin, published in the Volume 57 of the journal 'Thorax.' Explanation of the sensitivity of OASYS-2 when tested against...

  • Letter of Editor-in-Chief. Bagheri, Reza // Journal of Cardio-Thoracic Medicine;2014, Vol. 2 Issue 1, p108 

    An introduction is presented in which the editor discusses various reports within the issue on topics including the overlap syndrome between asthma and chronic obstructive pulmonary disease.

  • Asthma action plans in action; nurses' roles in promoting self-management. Walker, Samantha // Primary Care Respiratory Journal;Oct2007, Vol. 16 Issue 5, p269 

    The article discusses various topics published within the issue including one on the impact of a short educational intervention on asthma, description on the difficulties of asthma and methodological limitations.

  • Asthma crisis continues to worsen in the U.S.  // Nation's Health;Jul2000, Vol. 30 Issue 6, p7 

    Discusses the asthma crisis in the United States (U.S.). Projections on the effects of asthma; Failure of the government to intervene in the asthma crisis; Lack of tracking system on the causes of asthma in several states in U.S.


Read the Article


Sign out of this library

Other Topics