A Critical Review of Effects of COPD Self-Management Education on Self-Efficacy

Abstract EN

Chronic obstructive pulmonary disease (COPD) causes progressive airflow limitation which results in prolonged episodes of coughing and shortness of breath.

COPD self-management education (COPDSME) programs attempt to enhance patient self-efficacy for managing symptoms.

The purpose of this paper was to conduct a critical literature review that identified peer-reviewed articles assessing the effects of COPDSME on self-efficacy outcomes.

Seven articles were located after an exhaustive search.

Most studies (n=6) reported statistically significant improvements in self-efficacy following intervention.

Almost all of the studies tested interventions that drew upon at least 2 recommended sources of efficacy information.

Two studies specifically noted increased self-efficacy for controlling physical exertion following COPDSME.

Within the reviewed studies, the content within each educational treatment varied widely and showed a lack of standardization, and the types of instruments used to assess self-efficacy varied.

This paper highlights the need for more controlled trials that investigate potential between-subjects effects of different types of COPDSME programs on self-efficacy outcomes.

Incorporating practice models for patient-centered primary care in COPD requires the use of tailored efficacy building strategies for specific self-management behaviors.