COPD,Pulmonary Disease, Chronic Obstructive ,Pulmonary Disease, Chronic Obstructive
Conditions
Keywords
COPD, elderly patients, self-management, digital multimedia
Brief summary
COPD is a progressive and irreversible lung disease characterized by persistent airflow limitation, dyspnea, chronic cough, and impaired daily functioning, often accompanied by comorbidities that reduce quality of life. Despite its high prevalence in Taiwan, COPD remains underdiagnosed and undertreated. This study aims to evaluate a transtheoretical model-based digital multimedia nursing education intervention for elderly patients with COPD. The intervention is designed to enhance disease knowledge, promote self-care behaviors, and improve self-management abilities, ultimately supporting better quality of life and daily functioning in this population.
Detailed description
COPD is a chronic and progressive respiratory disease characterized by persistent airflow limitation and symptoms such as dyspnea, chronic cough, and sputum production. The disease significantly impairs daily functioning and quality of life, particularly among older adults. Despite its high prevalence, COPD remains underdiagnosed and inadequately managed in Taiwan. To improve disease management, digital health education strategies may enhance patients' knowledge and self-care abilities. This study aims to evaluate the effectiveness of a transtheoretical model-based digital multimedia nursing education intervention in improving disease knowledge, self-management behaviors, and quality of life among elderly patients with COPD.
Interventions
BEHAVIORALE-book on Pulmonary Obstruction
The digital teaching intervention group used a computer-downloaded "E-book on Pulmonary Obstruction" for one-on-one teaching. The subjects were also taught how to use their mobile phones to download the "E-book on Pulmonary Obstruction" and how to read it, so that they could use it on their own after returning home. The intervention time for both groups was once a week for 50 minutes each time for a total of 8 weeks. The teaching content is divided into eight themes: (1) How much do you know about pulmonary obstruction? (2) Inhalation treatment for pulmonary obstruction - Introduction to inhalers? (3) Care for pulmonary obstruction - Breathing exercise techniques? (4) Activities and exercise training? (5) Self-management methods for acute pulmonary obstruction? (6) Lung rehabilitation for pulmonary obstruction? (7) Nutritional care for pulmonary obstruction? (8) Care for pulmonary obstruction - Smoking cessation?
Sponsors
Fu Jen Catholic University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)
Masking description
Single Blind Studies
Intervention model description
A experimental design was adopted
Eligibility
Sex/Gender
ALL
Age
60 Years to 99 Years
Healthy volunteers
No
Inclusion criteria
1. Patients diagnosed with pulmonary obstruction after evaluation by a physician. 2. Elderly people aged 60 years or above. 3. Those who are literate, have clear consciousness and can communicate in Chinese and Taiwanese. 4. Those who agree to participate in this research and sign the consent form.
Exclusion criteria
1. Patients with respiratory distress syndrome. 2. Those who use respirators. 3. Those who are unable to communicate due to cognitive impairment due to major mental illness or dementia. 4. Color blindness and visual impairment. 5. Those who do not have mobile phones or tablet computers at home and cannot obtain electronic equipment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| COPD assessment test; CAT | Baseline (Week 1), Week 8, and Week 12 | The CAT is an 8-item questionnaire assessing the impact of COPD on health status and daily functioning. Higher scores indicate greater disease burden. This study evaluates the effectiveness of a digital multimedia nursing education intervention in improving disease knowledge, self-care, and self-management. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Knowledge of COPD Score | Baseline (Week 1), Week 8, and Week 12 | Assessed using a validated COPD knowledge questionnaire to evaluate participants' understanding of disease management and self-care principles. |
| Self-Care Behavior Score | Baseline (Week 1), Week 8, and Week 12 | Measured using a self-care behavior scale adapted for COPD, evaluating adherence to recommended lifestyle and symptom management strategies. |
Countries
Taiwan
Outcome results
None listed