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Effects of the “Living well with COPD” intervention in primary care: a comparative study

Caludia Steurer-Stey, Kaba Dalla Lana, Julia Braun, et al.
Eur Respir J 2018;51:1701375.
doi: 10.1183/13993003.01375-2017

Chronic obstructive pulmonary disease (COPD) self-management programmes aim to give patients the support and techniques required to effect change in their behaviour, reducing the risk of moderate and severe exacerbations, and improving disease-specific and health-related quality of life (QoL). This study, conducted by Caludia Steurer-Stey (University of Zurich) and her colleagues, aimed to compare key outcomes between COPD patients who participated in the ‘Living well with COPD’ (LWWCOPD) self-management intervention programme, or who had undergone usual care in the COPD Cohort ICE COLD ERIC. Analysis of data collected from 467 patients (71 of whom had undergone the LWWCOPD intervention) demonstrated that patients undergoing self-management had improved health-related QoL and overall health-status. What’s more, use of this intervention considerably reduced the risk of moderate and severe exacerbations. From this, the authors concluded that self-management coaching in primary care gives patients the skills to accurately manage their condition, aiding the reduction of exacerbation risk and improving patient QoL, meaning the incorporation of this intervention into COPD patient care can improve outcomes in patients with COPD.

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