Abstract
Chronic Obstructive Pulmonary Disease (COPD), a major cause of morbidity and mortality worldwide, is preventable and treatable. Comprehensive COPD management can improve many aspects of patient functioning, but adherence tends to be poor. Barriers to adherence may be socioeconomic, patient, therapy, disease, or healthcare systems/provider-related (Sabaté, 2003). This chapter describes potential barriers to participation in COPD management, including screening and assessment questions and tools. It then outlines a stepped-care approach to brief interventions to increase adherence across all aspects of COPD treatment and provides resources for patients and providers.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Ayiesah, R., Leonard, J. H., & Chong, C. Y. (2014). Development and validation of non-adherence to pulmonary rehabilitation questionnaire: A clinical tool for patients with chronic obstructive pulmonary diseases. La Clinica Terapeutica, 165(3), 123–128. https://doi.org/10.7417/CT.2014.1708
Barrera, T. L., Grubbs, K. M., Kunik, M. E., & Teng, E. J. (2014). A review of cognitive behavioral therapy for panic disorder in patients with chronic obstructive pulmonary disease: The rationale for interoceptive exposure. Journal of Clinical Psychology in Medical Settings, 21(2), 144–154. https://doi.org/10.1007/s10880-014-9393-4
Bartlett, Y. K., Sheeran, P., & Hawley, M. S. (2014). Effective behaviour change techniques in smoking cessation interventions for people with chronic obstructive pulmonary disease: A meta-analysis. British Journal of Health Psychology, 19(1), 181–203. https://doi.org/10.1111/bjhp.12071
Beck, A. T., & Steer, R. A. (1993). Beck anxiety inventory manual. San Antonio, TX: Psychological Corporation.
Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the Beck depression inventory-II. San Antonio, TX: Psychological Corporation.
Bellamy, D., & Smith, J. (2007). Role of primary care in early diagnosis and effective management of COPD. International Journal of Clinical Practice, 61(8), 1380–1389. https://doi.org/10.1111/j.1742-1241.2007.01447.x
Bourbeau, J., & Bartlett, S. J. (2008). Patient adherence in COPD. Thorax, 63(9), 831–838. https://doi.org/10.1136/thx.2007.086041
Broadbent, E., Petrie, K. J., Main, J., & Weinman, J. (2006). The brief illness perception questionnaire. Journal of Psychosomatic Research, 60(6), 631–637. https://doi.org/10.1016/j.jpsychores.2005.10.020
Bryant, J., McDonald, V. M., Boyes, A., Sanson-Fisher, R., Paul, C., & Melville, J. (2013). Improving medication adherence in chronic obstructive pulmonary disease: A systematic review. Respiratory Research, 14(1), 109. https://doi.org/10.1186/1465-9921-14-109
Burgess, A., Kunik, M. E., & Stanley, M. A. (2005). Chronic obstructive pulmonary disease: Assessing and treating psychological issues in patients with COPD. Geriatrics, 60, 18.
Carver, C. S. (1997). You want to measure coping but your protocol’s too long: Consider the brief COPE. International Journal of Behavioral Medicine, 4, 92–100. https://doi.org/10.1207/s15327558ijbm0401_6
Chiles, J. A., & Strosahl, K. D. (2005). Clinical manual for assessment and treatment of suicidal patients. Arlington, VA: American Psychiatric Publishing.
Coventry, P. A., & Hind, D. (2007). Comprehensive pulmonary rehabilitation for anxiety and depression in adults with chronic obstructive pulmonary disease: Systematic review and meta-analysis. Journal of Psychosomatic Research, 63(5), 551–565. https://doi.org/10.1016/j.jpsychores.2007.08.002
Cullen, D. L. (2006). Long term oxygen therapy adherence and COPD: What we don’t know. Chronic Respiratory Disease, 3(4), 217–222. https://doi.org/10.1177/1479972306070506
Diaz-Guzman, E., & Mannino, D. M. (2014). Epidemiology and prevalence of chronic obstructive pulmonary disease. Clinics in Chest Medicine, 35(1), 7–16. https://doi.org/10.1016/j.ccm.2013.10.002
George, J., Kong, D. C. M., & Stewart, K. (2007). Adherence to disease management programs in patients with COPD. International Journal of Chronic Obstructive Pulmonary Disease, 2(3), 253–262.
George, J., Kong, D. C. M., Thoman, R., & Stewart, K. (2005). Factors associated with medication nonadherence in patients with COPD. Chest, 128(5), 3198–3204.
George, J., Mackinnon, A., Kong, D. C. M., & Stewart, K. (2006). Development and validation of the Beliefs and Behaviour Questionnaire (BBQ). Patient Education and Counseling, 64(1), 50–60. https://doi.org/10.1016/j.pec.2005.11.010
Goodwin, R. D. (2011). Is COPD associated with suicide behavior? Journal of Psychiatric Research, 45(9), 1269–1271. https://doi.org/10.1016/j.jpsychires.2011.01.014
Grigsby, M., Siddharthan, T., Chowdhury, M. A. H., Siddiquee, A., Rubinstein, A., Sobrino, E., … Checkley, W. (2016). Socioeconomic status and COPD among low- and middle-income countries. International Journal of Chronic Obstructive Pulmonary Disease, 11, 2497–2507. https://doi.org/10.2147/COPD.S111145
Hajek, P., Stead, L. F., West, R., Jarvis, M., Hartmann-Boyce, J., & Lancaster, T. (2013). Relapse prevention interventions for smoking cessation. Cochrane Database of Systematic Reviews, (8), CD003999. https://doi.org/10.1002/14651858.CD003999.pub4
Han, M. K., Steenrod, A. W., Bacci, E. D., Leidy, N. K., Mannino, D. M., Thomashow, B. M., … Martinez, F. J. (2015). Identifying patients with undiagnosed COPD in primary care settings: Insight from screening tools and epidemiologic studies. Chronic Obstructive Pulmonary Diseases, 2(2), 103–121. 10.15326/jcopdf.2.2.2014.0152
Hayton, C., Clark, A., Olive, S., Browne, P., Galey, P., Knights, E., … Wilson, A. M. (2013). Barriers to pulmonary rehabilitation: Characteristics that predict patient attendance and adherence. Respiratory Medicine, 107(3), 401–407. https://doi.org/10.1016/j.rmed.2012.11.016
Hitchman, S. C., Fong, G. T., Zanna, M. P., Thrasher, J. F., Chung-Hall, J., & Siahpush, M. (2014). Socioeconomic status and smokers’ number of smoking friends: Findings from the International Tobacco Control (ITC) Four Country Survey. Drug and Alcohol Dependence, 143, 158–166. https://doi.org/10.1016/j.drugalcdep.2014.07.019
Holland, A. E., Hill, C. J., Jones, A. Y., & McDonald, C. F. (2012). Breathing exercises for chronic obstructive pulmonary disease. Cochrane Database of Systematic Reviews, (10), CD008250. https://doi.org/10.1002/14651858.CD008250.pub2
Horne, R. (1996). The medication adherence report scale. Brighton: University of Brighton.
Horne, R., Weinman, J., & Hankins, M. (1999). The beliefs about medicines questionnaire: The development and evaluation of a new method for assessing the cognitive representation of medication. Psychology & Health, 14(1), 1–24. https://doi.org/10.1080/08870449908407311
Howard, C., & Dupont, S. (2014). ‘The COPD breathlessness manual’: A randomised controlled trial to test a cognitive-behavioural manual versus information booklets on health service use, mood and health status, in patients with chronic obstructive pulmonary disease. NPJ Primary Care Respiratory Medicine, 24, 14076. https://doi.org/10.1038/npjpcrm.2014.76
Hughes, J. R., Stead, L. F., Hartmann-Boyce, J., Cahill, K., & Lancaster, T. (2014). Antidepressants for smoking cessation. Cochrane Database of Systematic Reviews, (1), CD000031. https://doi.org/10.1002/14651858.CD000031.pub4
Johnston, K. N., Young, M., Grimmer-Somers, K. A., Antic, R., & Frith, P. A. (2011). Why are some evidence-based care recommendations in chronic obstructive pulmonary disease better implemented than others? Perspectives of medical practitioners. International Journal of Chronic Obstructive Pulmonary Disease, 6, 659–667. https://doi.org/10.2147/COPD.S26581
Jolly, K., Majothi, S., Sitch, A. J., Heneghan, N. R., Riley, R. D., Moore, D. J., … Jordan, R. E. (2016). Self-management of health care behaviors for COPD: A systematic review and meta-analysis. International Journal of Chronic Obstructive Pulmonary Disease, 11, 305–326. https://doi.org/10.2147/COPD.S90812
Jones, P. W., Quirk, F. H., & Baveystock, C. M. (1991). The St George’s respiratory questionnaire. Respiratory Medicine, 85, 25–31. https://doi.org/10.1016/S0954-6111(06)80166-6
Kanfer, F. H. (1975). Self-management methods. In F. H. Kanfer & A. P. Goldstein (Eds.), Helping people change. New York: Pergamon Press.
Keating, A., Lee, A., & Holland, A. E. (2011). What prevents people with chronic obstructive pulmonary disease from attending pulmonary rehabilitation? A systematic review. Chronic Respiratory Disease, 8(2), 89–99. https://doi.org/10.1177/1479972310393756
Kent, B. D., Mitchell, P. D., & McNicholas, W. T. (2011). Hypoxemia in patients with COPD: Cause, effects, and disease progression. International Journal of Chronic Obstructive Pulmonary Disease, 6, 199–208. https://doi.org/10.2147/COPD.S10611
Koff, P. B., Jones, R. H., Cashman, J. M., Voelkel, N. F., & Vandivier, R. W. (2009). Proactive integrated care improves quality of life in patients with COPD. European Respiratory Journal, 33(5), 1031.
Kruis, A. L., Smidt, N., Assendelft, W. J. J., Gussekloo, J., Boland, M. R. S., Rutten-van Mölken, M., & Chavannes, N. H. (2013). Integrated disease management interventions for patients with chronic obstructive pulmonary disease. Cochrane Database of Systematic Reviews, (10), CD009437. https://doi.org/10.1002/14651858.CD009437.pub2
Libedinsky, C., Massar, S. A. A., Ling, A., Chee, W., Huettel, S. A., & Chee, M. W. L. (2013). Sleep deprivation alters effort discounting but not delay discounting of monetary rewards. Sleep, 36(6), 899–904. https://doi.org/10.5665/sleep.2720
Maurer, J., Rebbapragada, V., Borson, S., Goldstein, R., Kunik, M. E., Yohannes, A. M., & Hanania, N. A. (2008). Anxiety and depression in COPD: Current understanding, unanswered questions, and research needs. Chest, 134(4 Suppl), 43S–56S. https://doi.org/10.1378/chest.08-0342
McCabe, C., McCann, M., & Brady, A. M. (2017). Computer and mobile technology interventions for self-management in chronic obstructive pulmonary disease. Cochrane Database of Systematic Reviews, (5), CD011425. https://doi.org/10.1002/14651858.CD011425.pub2
McCarthy, B., Casey, D., Devane, D., Murphy, K., Murphy, E., & Lacasse, Y. (2015). Pulmonary rehabilitation for chronic obstructive pulmonary disease. Cochrane Database of Systematic Reviews, (2), CD003793. https://doi.org/10.1002/14651858.CD003793.pub3
Mewes, R., Rief, W., Kenn, K., Ried, J., & Stenzel, N. (2016). Psychological predictors for health-related quality of life and disability in persons with chronic obstructive pulmonary disease (COPD). Psychology & Health, 31(4), 470–486. https://doi.org/10.1080/08870446.2015.1111369
Moreo, K., Greene, L., & Sapir, T. (2016). Improving interprofessional and coproductive outcomes of care for patients with chronic obstructive pulmonary disease. BMJ Quality Improvement Reports, 5(1). https://doi.org/10.1136/bmjquality.u210329.w4679
Morisky, D. E., Ang, A., Krousel-Wood, M., & Ward, H. J. (2008). Predictive validity of a medication adherence measure in an outpatient setting. The Journal of Clinical Hypertension, 10(5), 348–354. https://doi.org/10.1111/j.1751-7176.2008.07572.x
Nasreddine, Z. S., Phillips, N. A., Bedirian, V., Charbonneau, S., Whitehead, V., Collin, I., … Chertkow, H. (2005). The Montreal Cognitive Assessment, MoCA: A brief screening tool for mild cognitive impairment. Journal of the American Geriatrics Society, 53(4), 695–699. https://doi.org/10.1111/j.1532-5415.2005.53221.x
Nguyen, T.-M.-U., Caze, A. L., & Cottrell, N. (2014). What are validated self-report adherence scales really measuring? A systematic review. British Journal of Clinical Pharmacology, 77(3), 427–445. https://doi.org/10.1111/bcp.12194
O’Donoghue, D. L., Gerbert, D., Herman, L., Larson, L., Léger, M., McNellis, R., … van Dyke, E. (2006). Clinical practice guidelines for managing COPD in a primary care setting. Journal of the American Academy of Physician Assistants, 19(8), 24–26.
O’Donohue, W. T., & Fisher, J. E. (2008). Cognitive behavior therapy: Applying empirically supported techniques in your practice (2nd ed.). Hoboken, NJ: Wiley.
O’Donohue, W. T., & Levensky, E. R. (Eds.). (2006). Promoting treatment adherence: A practical handbook for health care providers. Thousand Oaks, CA: Sage Publishing.
Omachi, T. A., Sarkar, U., Yelin, E. H., Blanc, P. D., & Katz, P. P. (2013). Lower health literacy is associated with poorer health status and outcomes in chronic obstructive pulmonary disease. Journal of General Internal Medicine, 28(1), 74–81. https://doi.org/10.1007/s11606-012-2177-3
Postma, D. S., & Rabe, K. F. (2015). The asthma–COPD overlap syndrome. New England Journal of Medicine, 373(13), 1241–1249. https://doi.org/10.1056/NEJMra1411863
Pumar, M. I., Gray, C. R., Walsh, J. R., Yang, I. A., Rolls, T. A., & Ward, D. L. (2014). Anxiety and depression—Important psychological comorbidities of COPD. Journal of Thoracic Disease, 6(11), 1615–1631. https://doi.org/10.3978/j.issn.2072-1439.2014.09.28
Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401. https://doi.org/10.1177/014662167700100306
Rice, K. L., Dewan, N., Bloomfield, H. E., Grill, J., Schult, T. M., Nelson, D. B., … Niewoehner, D. E. (2010). Disease management program for chronic obstructive pulmonary disease: A randomized controlled trial. American Journal of Respiratory and Critical Care Medicine, 182(7), 890–896.
Rollnick, S., Miller, W. R., & Butler, C. C. (2007). Motivational interviewing in health care: Helping patients change behavior. New York, NY: The Guilford Press.
Sabaté, E. (2003). Adherence to long-term therapies: Evidence for action. Geneva: World Health Organization.
Sanduzzi, A., Balbo, P., Candoli, P., Catapano, G. A., Contini, P., Mattei, A., … Stanziola, A. A. (2014). COPD: Adherence to therapy. Multidisciplinary Respiratory Medicine, 9(1), 60. https://doi.org/10.1186/2049-6958-9-60
Selzler, A. M., Rodgers, W. M., Berry, T. R., & Stickland, M. K. (2016). The importance of exercise self-efficacy for clinical outcomes in pulmonary rehabilitation. Rehabilitation Psychology, 61(4), 380–388. https://doi.org/10.1037/rep0000106
Sharma, G., Meena, R., Goodwin, J. S., Zhang, W., Kuo, Y.-F., & Duarte, A. G. (2015). Burn injury associated with home oxygen use in patients with chronic obstructive pulmonary disease. Mayo Clinic Proceedings, 90(4), 492–499. https://doi.org/10.1016/j.mayocp.2014.12.024
Spitzer, R., Kroenke, K., & Williams, J. B. (1999). Validation and utility of a selfreport version of PRIMEMD: The PHQ primary care study. The Journal of the American Medical Association, 282(18), 1737–1744. https://doi.org/10.1001/jama.282.18.1737
Trivedi, R. B., Bryson, C. L., Udris, E., & Au, D. H. (2012). The influence of informal caregivers on adherence in COPD patients. Annals of Behavioral Medicine, 44(1), 66–72. https://doi.org/10.1007/s12160-012-9355-8
Tselebis, A., Pachi, A., Ilias, I., Kosmas, E., Bratis, D., Moussas, G., & Tzanakis, N. (2016). Strategies to improve anxiety and depression in patients with COPD: A mental health perspective. Neuropsychiatric Disease and Treatment, 12, 297–328. https://doi.org/10.2147/NDT.S79354
Turan, O., Yemez, B., & Itil, O. (2014). The effects of anxiety and depression symptoms on treatment adherence in COPD patients. Primary Health Care Research & Development, 15(3), 244–251. https://doi.org/10.1017/S1463423613000169
Usmani, Z. A., Carson, K. V., Heslop, K., Esterman, A. J., De Soyza, A., & Smith, B. J. (2017). Psychological therapies for the treatment of anxiety disorders in chronic obstructive pulmonary disease. Cochrane Database of Systematic Reviews, (3), CD010673. https://doi.org/10.1002/14651858.CD010673.pub2
Van der Feltz-Cornelis, C. M., Van Oppen, P., Van Marwijk, H. W., De Beurs, E., & Van Dyck, R. (2004). A patient-doctor relationship questionnaire (PDRQ-9) in primary care: Development and psychometric evaluation. General Hospital Psychiatry, 26(2), 115–120. https://doi.org/10.1016/j.genhosppsych.2003.08.010
van Eerd, E. A. M., van der Meer, R. M., van Schayck, O. C. P., & Kotz, D. (2016). Smoking cessation for people with chronic obstructive pulmonary disease. Cochrane Database of Systematic Reviews, (8), CD010744. https://doi.org/10.1002/14651858.CD010744.pub2
Vestbo, J., Agusti, A., Wouters, E. F. M., Bakke, P., Calverley, P. M. A., Celli, B., … Tal-Singer, R. (2014). Should we view chronic obstructive pulmonary disease differently after ECLIPSE? A clinical perspective from the study team. American Journal of Respiratory and Critical Care Medicine, 189(9), 1022–1030.
Vogelmeier, C. F., Criner, G. J., Martinez, F. J., Anzueto, A., Barnes, P. J., Bourbeau, J., … Agusti, A. (2017). Global strategy for the diagnosis, management and prevention of chronic obstructive lung disease 2017 report: GOLD executive summary. Respirology, 22(3), 575–601. https://doi.org/10.1111/resp.13012
Vozoris, N. T., Fischer, H. D., Wang, X., Stephenson, A. L., Gershon, A. S., Gruneir, A., … Rochon, P. A. (2014). Benzodiazepine drug use and adverse respiratory outcomes among older adults with COPD. European Respiratory Journal, 44(2), 332. https://doi.org/10.1183/09031936.00008014
White, R., Walker, P., Roberts, S., Kalisky, S., & White, P. (2006). Bristol COPD Knowledge Questionnaire (BCKQ): Testing what we teach patients about COPD. Chronic Respiratory Disease, 3(3), 123–131. https://doi.org/10.1191/1479972306cd117oa
Wigal, J. K., Creer, T. L., & Kotses, H. (1991). The COPD self-efficacy scale. Chest, 99(5), 1193–1196. https://doi.org/10.1378/chest.99.5.1193
Yesavage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, V., Adey, M., & Leirer, V. O. (1983). Development and validation of a geriatric depression screening scale: A preliminary report. Journal of Psychiatric Research, 17(1), 37–49. https://doi.org/10.1016/0022-3956(82)90033-4
Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67(6), 361–370. https://doi.org/10.1111/j.1600-0447.1983.tb09716.x
Zwerink, M., Brusse-Keizer, M., van der Valk, P. D., Zielhuis, G. A., Monninkhof, E. M., van der Palen, J., … Effing, T. (2014). Self management for patients with chronic obstructive pulmonary disease. Cochrane Database of Systematic Reviews, (3), CD002990. https://doi.org/10.1002/14651858.CD002990.pub3
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG
About this chapter
Cite this chapter
Poehacker, S., Garg, M., Drossel, C. (2018). Chronic Obstructive Pulmonary Disease. In: Maragakis, A., O'Donohue, W. (eds) Principle-Based Stepped Care and Brief Psychotherapy for Integrated Care Settings. Springer, Cham. https://doi.org/10.1007/978-3-319-70539-2_11
Download citation
DOI: https://doi.org/10.1007/978-3-319-70539-2_11
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-70538-5
Online ISBN: 978-3-319-70539-2
eBook Packages: Behavioral Science and PsychologyBehavioral Science and Psychology (R0)