Evidence map›Paper›PMID 23434613›Full record

Trial reportJournal of cardiopulmonary rehabilitation and prevention

Development and feasibility of a self-management intervention for chronic obstructive pulmonary disease delivered with motivational interviewing strategies.

Roberto Benzo, Kristin Vickers, Denise Ernst, Sharon Tucker, Charlene McEvoy, Kate Lorig

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of cardiopulmonary rehabilitation and prevention. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05054205 (The Effect on Self-effıcacy of Self-management Program Based on motıvatıonal ıntervıewing in Chronic Obstructive Pulmonary Disease), which is not on this map. Cited by 31 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 5 pooled it
5.3field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05054205 nacompletednot on this map

The Effect on Self-effıcacy of Self-management Program Based on motıvatıonal ıntervıewing in Chronic Obstructive Pulmonary Disease (COPD) patıents: A Randomized Controlled Trial

TypeinterventionalSponsorAkdeniz UniversityRan2018 to 2018Enrolled78ConditionsCOPD, Motivational Interviewing, Self Management, Self-EfficacyArmsMotivational İnterviewing
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 5 syntheses or guidelines pooled it, 67 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Social network participation towards enactment of self-care in people with chronic obstructive pulmonary disease: A qualitative meta-ethnography.Health expectations : an international journal of public participation in health care and health policy · 2021
    Pooled it
  4. Pooled it
  5. Pooled it
  6. Assessing Lifestyle Goal Setting in Patients with COPD.International journal of chronic obstructive pulmonary disease · 2026
    Trial
  7. Trial
  8. Trial
  9. Health Coaching and Chronic Obstructive Pulmonary Disease Rehospitalization. A Randomized Study.American journal of respiratory and critical care medicine · 2016
    Trial
  10. Trial
  11. Trial
  12. Trial
  13. Effects of a COPD self-management support intervention: a randomized controlled trial.International journal of chronic obstructive pulmonary disease
    Trial
  14. Article
  15. Article
  16. How might patient involvement in healthcare quality improvement efforts work-A realist literature review.Health expectations : an international journal of public participation in health care and health policy · 2019
    Review
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Roberto BenzoMindful Breathing Laboratory, Division of Pulmonary and Critical Care Medicine, Department of Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA. benzo.roberto@mayo.edu
Kristin Vickers
Denise Ernst
Sharon Tucker
Charlene McEvoy
Kate Lorig
Performance Communications · USMayo Clinic · US

Funding

Multicomponent Intervention to Decrease COPD-Related HospitalizationsR01HL094680 · NHLBI · MAYO CLINIC ROCHESTER · PI BENZO, ROBERTO PABLO · 2010 to 2014
$2.1M
NHLBI NIH HHS 5R01HL094680-03NHLBI NIH HHS R01 HL094680
6 · The paper itself

Abstract

backgroundSelf-management is proposed as the standard of care in chronic obstructive pulmonary disease (COPD), but details of the process and training required to deliver effective self-management are not widely available. In addition, recent data suggest that patient engagement and motivation are critical ingredients for effective self-management. This article carefully describes a self-management intervention using motivational interviewing skills, aimed to increase engagement and commitment in severe COPD patients.

methodsThe intervention was developed and pilot tested for fidelity to protocol, for patient and interventionist feedback (qualitative) and effect on quality of life. Engagement between patient and interventionists was measured by the Working Alliance Inventory. The intervention was refined on the basis of the results of the pilot study and delivered in the active arm of a prospective randomized study.

resultsThe pilot study suggested improvements in quality of life, fidelity to theory, and patient acceptability. The refined self-management intervention was delivered 540 times in the active arm of a randomized study. We observed a retention rate of 86% (patients missing or not available for only 14% the scheduled encounters).

conclusionsA self-management intervention that includes motivational interviewing as the way if guiding patients into behavior change is feasible in severe COPD and may increase patient engagement and commitment to self-management. This provides a very detailed description of the process for the specifics of training and delivering the intervention, which facilitates replicability in other settings and could be translated to cardiac rehabilitation.

Indexed as

AgedFeasibility StudiesHumansMiddle AgedMotivational InterviewingOutcome Assessment, Health CarePilot ProjectsPulmonary Disease, Chronic ObstructiveQuality of LifeSelf CareSurveys and Questionnaires

Identifiers

PMID23434613
PMCPMC3586298
OpenAlexW1983454036

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.