Health Illiteracy, COPD, Health Literacy, Lung disease, Asthma
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients were considered eligible when diagnosed with chronic lung disease (defined as chronic disease of the airways and other structures of the lungs, including but not limited to: asthma, chronic obstructive pulmonary disease (COPD), pulmonary hypertension, interstitial lung disease, and bronchiectasis, (WHO, 2007)), and referred for PR. Resident loved ones are defined as persons living together with a patient with chronic lung disease (Nakken et al., 2014).
Exclusion criteria
Exclusion criteria: Participants were excluded when they were younger than 18, unable to speak or understand the Dutch language or were considered incapacitated.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcomes are subjective and objective health literacy as measured by the REALM-D and HLS-EU-Q16 questionnaire. | — |
Secondary
| Measure | Time frame |
|---|---|
| The following secondary outcomes were assessed as part of standard clinical routine: diagnosis, comorbidities, height, weight, body mass index (BMI), smoking behavior, sensation of dyspnea (mMRC dyspnea Scale (mMRC)), symptoms of anxiety and depression (Hospital Anxiety Depression Scale (HADS)), disease-specific health status (COPD Assessment Test (CAT)), exercise tolerance (six-minute walk distance (6MWD); cardio pulmonary exercise test (CPET); constant work rate test (CRWT)) lung function (FEV1; FVC; IC/TLC). Background characteristics included: gender, age, country of birth, social/marital status, and educational attainment level based on Verhage (1964) and the Dutch Standard Classification of Education (CBS, 2014; Hendriks et al., 2014). Moreover, previous studies suggested that a variability in health literacy can be explained by cognitive abilities. To identify patients characteristics, the Montreal Cognitive Assessment was performed among patients during the three-day baseline assessment (Levinthal et al., 2008). Finally, the degree of patients' self-managemens was assessed using a 10-point Likert scale. | — |
Contacts
Central Department of Treatment and Care Proteion Thuis