COPD self-management behaviors Exercise Tolerance Depression Dyspnea family function of family members COPD self-management behaviors Exercise Tolerance Depression Dyspnea family function of family members
Conditions
Interventions
Self-and family management program was defined as an education and skills training program for older people with COPD plus usual care. The self-and family management program consists of three part: 1)
Experimental Behavioral,No Intervention No treatment
A self-and family management program ,Usual care
Sponsors
None listed
Eligibility
Sex/Gender
All
Age
60 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Older people who were 60 years and older, both male and female 2. Having a spirometry-verified diagnosis of COPD with a mild or moderate level according to the criteria proposed by the Global Initiative for Chronic Obstructive Lung Disease (GOLD, 2020) and having been diagnosed for at least 3 months 3. No cognitive impairment, according to the Montreal Cognitive Assessment (MOCA) (Hemrungrojn, 2007). The total possible score is 30 points, and a score of 25 or above is considered normal. 4. Being stable with COPD within 1 month before participating in the program (stable COPD refers to no dyspnea, frequent coughing or wheezing, excess phlegm or sputum, and trouble taking a deep breath). 5. Capable of communicating in Thai and understanding it. 6. Willing to participate in the study 7. Having a mobile phone with WiFi, 4G, or 5G internet and being able to use LINE application and internet access. 8. Having family members who agreed to participate in this study. 9. Allow the researcher to visit their home.
Exclusion criteria
Exclusion criteria: 1. The older people who were diagnosed with lung cancer, pulmonary tuberculosis, bronchiectasis, ischemic heart disease, myocardial infarction, major cardiac arrhythmias, congestive heart failure, active infectious disease, or musculoskeletal problem causing walking limitations. 2. Older people who were diagnosed with schizophrenia or bipolar disorder.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| COPD Self-Management behaviors At baseline, week 4 and week 8 COPD Self-Management Questionnaire | — |
Secondary
| Measure | Time frame |
|---|---|
| Exercise Tolerance At baseline, week 4, and week 8 Exercise Tolerance measure by the distance the person is capable of walking on a flat, hard surface in 6 minutes (6MWT). The goal is to walk as far as possible within 6 minutes.,Dyspnea At baseline, week 4, and week 8 The Dyspnea Visual Analog Scale (DVAS),Depression At baseline, week 4, and week 8 Thai Geriatric Depression Scale (TGDS),Family Function At baseline, week 4, and week 8 The General Functioning Subscale (GF-12) of the Family Assessment Device | — |
Countries
Thailand
Contacts
Public ContactTheepapha Jamkrajang
Faculty of Nursing, Mahidol University
Outcome results
None listed