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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?

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Let's Talk Research Annual Conference - 24th-25th September 2014 (Joy Gana-Inatimi)

  • 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?