"The Impact of Self-Management Education on Outcomes for Patients with COPD Attending Pulmonary Rehabilitation": Joy Gana-Inatimi's presentation from the conference.

1. 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)

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

3. COPD and Smoking Data
BODY COPY

4. 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

5. Prognosis
•COPD is currently not curable
•Effective management of COPD includes:
1.Smoking cessation
2.Medication management
3.Pulmonary rehabilitation (PR)

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

7. 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)

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

9. Project Overview
•Survey Study
•Retrospective Database Study
•Prospective Study - TBC

10. 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

11. 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

12. 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)

13. 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

14. Retrospective Study Findings – Clinical Outcomes
•Weak correlation between changes in self- management knowledge and functional capacity &

15. 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

16. Benefits of Research
•Standardised data collection
•Quality assurance measures
•New block SLA
•Formalising Brief Interventions

17. Thank you for your time and Attention
Any Questions?