Abstract
To decisive the effect of a motivational interview-based self-management programme on the perception of dyspnea and self-efficacy in individual with Chronic Obstructive Pulmonary Disease (COPD). Our randomised controlled study was conducted in a chest diseases hospital between March and June 2018. A total of 100 COPD inpatients were screened. After 80 were randomised, a total of 78 individual were included in the study (intervention group, n = 39; control group, n = 39). The intervention was developed based on the motivational interview-based self-management programme and consisted of one face-to-face group training session, followed by three individual motivational interview sessions. Data were assessed by analysis of variance for the multiple repeated measurements, and t-test in independent groups. After the motivational interview-based self-management programme and follow-up, a statistically significant distinction was observed in the self-efficacy levels of the two groups (p < 0.05). It was determined that the mean self-efficacy scores of the patients in the intervention group were higher than those of the control group. The motivational interview-based self-management programme was effective in increasing self-efficacy in individual with COPD compared to usual nursing care. Nurses can provide appropriate training and counseling by integrating motivational interviewing into the self-management program in clinical practice.
Similar content being viewed by others
Data Availability
The datasets generated during and/or analysed during the current study are available from the corresponding author on reasonable request.
Referen
Baker, E., & Fatoye, F. (2017). Clinical and cost effectiveness of nurse-led self-management interventions for patients with copd in primary care: A systematic review. International Journal of Nursing Studies, 71, 125–138. https://doi.org/10.1016/J.IJNURSTU.2017.03.010.
Baker, E., & Fatoye, F. (2019). Patient perceived impact of nurse-led self-management interventions for COPD: A systematic review of qualitative research. International Journal of Nursing Studies, 91, 22–34. https://doi.org/10.1016/J.IJNURSTU.2018.12.004.
Bandura, A. (1982). Self-efficacy mechanism in human agency. American Psychologist, 37(2), 122–147. https://doi.org/10.1037/0003-066X.37.2.122https://psycnet.apa.org/doiLanding?doi=10.1037/2F0003-066X.37.2.122. Accessed 5 Jul 2023.
Benzo, R. P. (2013). Mindfulness and Motivational Interviewing: Two candidate methods for promoting self-management. Chronic respiratory disease, 10(3), 175–182. https://journals.sagepub.com/doi/pdf/10.1177/1479972313497372.
Demir. (2017). Chest Diseases Perspective on Burden of Disease Research, National Burden of Disease Study. Hacettepe University Faculty of Medicine, 1, 15–16. https://silo.tips/download/ulusal-hastalk-yk-almas-2017.
Effing, T. W., Vercoulen, J. H., Bourbeau, J., Trappenburg, J., Lenferink, A., Cafarella, P., Coultas, D., Meek, P., Van Der Valk, P., Bischoff, E. W. M. A., Bucknall, C., Dewan, N. A., Early, F., Fan, V., Frith, P., Janssen, D. J. A., Mitchell, K., Morgan, M., Nici, L., … Van Der Palen, J. (2016). Definition of a COPD self-management intervention: International Expert Group consensus. European Respiratory Journal, 48(1), 46–54. https://doi.org/10.1183/13993003.00025-2016.
Farley, H. (2020). Promoting self-efficacy in patients with chronic disease beyond traditional education: A literature review. Nursing Open, 7(1), 30–41. https://doi.org/10.1002/NOP2.382.
Fletcher, C. M. (1952). The clinical diagnosis of pulmonary emphysema. Proceedings of the Royal Society of Medicine, 45, 577–584. https://ci.nii.ac.jp/naid/10020838076.
Freedman, N. (2019). Reducing COPD Readmissions: Strategies for the Pulmonologist to Improve Outcomes. Chest, 156(4), 802–807. https://doi.org/10.1016/J.CHEST.2019.06.005.
GBD 2019 Diseases and Injuries Collaborators. (2020). Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: A systematic analysis for the Global Burden of Disease Study 2019. The Lancet, 396(10258), 1204–1222. https://doi.org/10.1016/S0140-6736(20)30925-9.
GOLD. (2022). Global Strategy for Prevention, Diagnosis and Management of COPD.
Gosak, L., Vrbnjak, D., Pajnkihar, M. (2022) Self-management of chronic diseases: a concept analysis. Pielegniarstwo XXI Wieku, 21(2), 115–121. https://doi.org/10.2478/pielxxiw-2022-0006https://www.webofscience.com/wos/woscc/full-record/WOS:000757783600001?SID=EUW1ED0FC2mc58ORQDcvS27pxOcrs. Accessed 4 Jul 2023
Harris, E., Barker, C., Burton, K., Lucock, M., & Astin, F. (2020). Self-management support activities in primary care: A qualitative study to compare provision across common health problems. Patient Education and Counseling, 103(12), 2532–2539. https://doi.org/10.1016/j.pec.2020.07.003https://www.sciencedirect.com/science/article/pii/S0738399120303542?via%3Dihub. Accessed 5 Jul 2023
Helvaci, A., & Gok Metin, Z. (2020). The effects of nurse-driven self-management programs on chronic obstructive pulmonary disease: A systematic review and meta-analysis. Journal of Advanced Nursing, 76(11), 2849–2871. https://doi.org/10.1111/JAN.14505.
Kara, M., & Mirici, A. (2002). The valıdıty and relıabılıty of Turkısh form of the copd self-effıcacy scale. Medicine Journal of Atatürk University (MJAU), 34, 61–66. https://toad.halileksi.net/wp-content/uploads/2022/07/koah-oz-etkililik-olcegi-toad.pdf. Accessed 5 Jul 2023
Kim, Y., Chung, S., & So, J. (2019). Success expectancy: A mediator of the effects of source similarity and self-efficacy on health behavior intention, 35(9), 1063–1072. https://www.tandfonline.com/doi/pdf/10.1080/10410236.2019.1613475.
Lenferink, A., Brusse-Keizer, M., van der Valk, P. D. L. P. M., Frith, P. A., Zwerink, M., Monninkhof, E. M., van der Palen, J., & Effing, T. W. (2017). Self-management interventions including action plans for exacerbations versus usual care in patients with chronic obstructive pulmonary disease. Cochrane Database of Systematic Reviews, (8). https://doi.org/10.1002/14651858.CD011682.pub2https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD011682.pub2/epdf/full. Accessed 6 Jul 2023
Lim, K. E., Kim, S. R., Kim, H. Y., Kim, S. R., & Lee, Y. C. (2022). Self-management model based on information–motivation–behavioral skills model in patients with chronic obstructive pulmonary disease. Journal of Advanced Nursing., 78(12), 4092–4103. https://onlinelibrary.wiley.com/doi/epdf/10.1111/jan.15371.
Medical Research Council. (2021). Medical Research Council Dyspnoea scale. https://www.ukri.org/councils/mrc/facilities-and-resources/find-an-mrc-facility-or-resource/mrc-dyspnoea-scale/. Accessed 5 Jul 2023
Miller, W. R., & Rollnick, S. (2013). Motivational Interviewing: Helping People Change . The Guilford Press. https://books.google.com.tr/books/about/Motivational_Interviewing.html?id=o1-ZpM7QqVQC&redir_esc=y. Accessed 5 Jul 2023
Mitchell, K. E., Johnson-Warrington, V., Apps, L. D., Bankart, J., Sewell, L., Williams, J. E., Rees, K., Jolly, K., Steiner, M., Morgan, M., & Singh, S. J. (2014). A self-management programme for COPD: A randomised controlled trial. European Respiratory Journal, 44(6), 1538–1547. https://doi.org/10.1183/09031936.00047814.
Newham, J. J., Presseau, J., Heslop-Marshall, K., Russell, S., Ogunbayo, O. J., Netts, P., Hanratty, B., & Kaner, E. (2017). Features of self-management interventions for people with COPD associated with improved health-related quality of life and reduced emergency department visits: A systematic review and meta-analysis. International Journal of Chronic Obstructive Pulmonary Disease, 12, 1705. https://doi.org/10.2147/COPD.S133317.
Ögel K. (2009). Motivational Interviewing. Türkiye Clinics. Psychiatry-Special Topics, 2(2), 41–4. http://www.ogelk.net/Dosyadepo/motivasyonel_gorusme.pdf. Accessed 4 Jul 2023.
Rehman, H., Karpman, C., Douglas, K. V., & Benzo, R. P. (2017). Effect of a Motivational Interviewing-Based Health Coaching on Quality of Life in Subjects With COPD. Respiratory Care, 62(8), 1043–1048. https://doi.org/10.4187/RESPCARE.04984.
Rocca, H.-P. B.-L., Peden, C. J., Soong, J., Holman, P. A., Bogdanovskaya, M., & Barclay, L. (2020). Reasons for readmission after hospital discharge in patients with chronic diseases—Information from an international dataset. PLoS ONE, 15(6). https://doi.org/10.1371/journal.pone.0233457https://pubmed.ncbi.nlm.nih.gov/32603361/.
Sassen B. Nursing: Health Education and Improving Patient Self-Management Intervention Mapping for Healthy Lifestyles. (2023). 2th ed. Springer AG;. https://link.springer.com/chapter/10.1007/978-3-031-11255-3_12. Accessed 5 June 2023.
Schulz, K. F., Altman, D. G., & Moher, D. (2010). CONSORT 2010 Statement: updated guidelines for reporting parallel group randomised trials. Trials, 11(1), 1–8. https://trialsjournal.biomedcentral.com/articles/10.1186/1745-6215-11-32. Accessed 5 Jul 2023
Selzler, A. M., Habash, R., Robson, L., Lenton, E., Goldstein, R., & Brooks, D. (2020). Self-efficacy and health-related quality of life in chronic obstructive pulmonary disease: A meta-analysis. Patient Education and Counseling, 103(4), 682–692. https://doi.org/10.1016/J.PEC.2019.12.003.
Serra-Picamal, X., Roman, R., Escarrabill, J., García-Altés, A., Argimón, J. M., Soler, N., Faner, R., Carbonell, E. M., Trilla, A., & Agusti, A. (2018). Hospitalizations due to exacerbations of COPD: A big data perspective. Respiratory Medicine, 145, 219–225. https://doi.org/10.1016/J.RMED.2018.01.008.
Shnaigat, M., Downie, S., & Hosseinzadeh, H. (2022). Effectiveness of patient activation interventions on chronic obstructive pulmonary disease self-management outcomes: A systematic review. Australian Journal of Rural Health, 30(1), 8–21. https://doi.org/10.1111/AJR.12828.
Slama-Chaudhry, A., & Golay, A. (2019). Patient education and self-management support for chronic disease: methodology for implementing patient-tailored therapeutic programmes. Public Health Panorama, 5(2–3), 357–367. https://apps.who.int/iris/bitstream/handle/10665/330106/php-5-2-3-357-361-eng.pdf?sequence=1&isAllowed=y. Accessed 5 Jul 2023
Sleeman, K. E., de Brito, M., Etkind, S., Nkhoma, K., Guo, P., Higginson, I. J., Gomes, B., & Harding, R. (2019). The escalating global burden of serious health-related suffering: Projections to 2060 by world regions, age groups, and health conditions. The Lancet Global Health, 7(7), e883–e892. https://doi.org/10.1016/S2214-109X(19)30172-X.
TurkStat. (2019). Cause of Death Statistics, 2018. Turkish Statistical İnstitute. https://data.tuik.gov.tr/Bulten/Index?p=Olum-Nedeni-Istatistikleri-2018-30626. Accessed 5 Jul 2023
Tülüce, D., & Kutlutürkan, S. (2018). The effect of health coaching on treatment adherence, self-efficacy, and quality of life in patients with chronic obstructive pulmonary disease. International Journal of Nursing Practice, 24(4), e12661. https://doi.org/10.1111/IJN.12661.
Valeiro, B., Rodríguez, E., Pérez, P., Gómez, A., Mayer, A. I., Pasarín, A., ... & Ramon, M. A. (2022). Promotion of physical activity after hospitalization for COPD exacerbation: A randomized control trial. Respirology. https://onlinelibrary.wiley.com/doi/10.1111/resp.14394.
Van De Velde, D., De Zutter, F., Satink, T., Costa, U., Janquart, S., Senn, D., & De Vriendt, P. (2019). Delineating the concept of self-management in chronic conditions: a concept analysis. BMJ Open, 9(7), e027775. https://doi.org/10.1136/BMJOPEN-2018-027775.
van Hooft, S. M., Been-Dahmen, J. M. J., Ista, E., van Staa, A. L., & Boeije, H. R. (2017). A realist review: What do nurse-led self-management interventions achieve for outpatients with a chronic condition? Journal of Advanced Nursing, 73(6), 1255–1271. https://doi.org/10.1111/JAN.13189.
Wang, R., Zhou, C., Wu, Y., Sun, M., Yang, L., Ye, X., & Zhang, M. (2022). Patient empowerment and self-management behaviour of chronic disease patients: A moderated mediation model of self-efficacy and health locus of control. Journal of Advanced Nursing, 78(4), 1055–1065. https://doi.org/10.1111/JAN.15077.
WHO. (2021). Chronic obstructive pulmonary disease (COPD). World Health Organization. https://www.who.int/news-room/fact-sheets/detail/chronic-obstructive-pulmonary-disease-(copd). Accessed 5 Jul 2023
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.
Yadav, U. N., Hosseinzadeh, H., & Baral, K. P. (2018). Self-management and patient activation in COPD patients: An evidence summary of randomized controlled trials. Clinical Epidemiology and Global Health, 6(3), 148–154. https://doi.org/10.1016/j.cegh.2017.10.004https://www.sciencedirect.com/science/article/pii/S2213398417300830. Accessed 4 Jul 2023
Yi, Q. F., Yang, G. L., & Yan, J. (2021). Self-Efficacy Intervention Programs in Patients with Chronic Obstructive Pulmonary Disease: Narrative Review. International Journal of Chronic Obstructive Pulmonary Disease, 16, 3397. https://doi.org/10.2147/COPD.S338720.
Zwerink, M., Brusse-Keizer, M., van der Valk, P. D. L. P. M., Zielhuis, G. A., Monninkhof, E. M., van der Palen, J., Frith, P. A., & Effing, T. (2014). Self management for patients with chronic obstructive pulmonary disease. Cochrane Database of Systematic Reviews, 2014(3). https://doi.org/10.1002/14651858.CD002990.pub3
Acknowledgements
The authors want to thank the clinical team at Chest Diseases Hospital for their support and advice, people with COPD for participating and the Scientific Research Projects Coordination Unit of Aydın Adnan Menderes University for financial support.
Funding
Funding for this study was provided by Aydın Adnan Menderes University Scientific Research Projects Coordination Unit (SCP) (HF-18005). SCP had no role in the design and conduct of the study; collection, management, analysis, and interpretation of data; and drafting, reviewing, or approving the article.
Author information
Authors and Affiliations
Contributions
All authors contributed to the study conception and design. Conceptualization and methodology: YK, FD. Material preparation, data collection and analysis were performed by YK. The first draft of the manuscript was written by YK and FD and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript. All authors have participated sufficiently in the work to take public responsibility for appropriate portions of the content.
Corresponding author
Ethics declarations
Conflict of interest
The authors declare no potential conflicts of interest with respect to the authorship and/or publication of this article.
Additional information
Publisher's note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Supplementary Information
Below is the link to the electronic supplementary material.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Karaçar, Y., Demirkıran, F. Effect of motivational interview-based self management programme on self-efficacy in individual with chronic obstructive pulmonary disease: a randomized controlled trial. Curr Psychol 43, 10103–10116 (2024). https://doi.org/10.1007/s12144-023-05104-z
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12144-023-05104-z