Evidence map›Paper›PMID 26632024›Full record

ArticlePatient education and counseling2016

Self-management and quality of life in chronic obstructive pulmonary disease (COPD): The mediating effects of positive affect.

Roberto P Benzo, Beatriz Abascal-Bolado, Megan M Dulohery

Abstract read
In one paragraph

Article in Patient education and counseling, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  12. Adding Granularity of COPD Self-Management to Impact Quality of Life.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2022
    Article
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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

3 authors.

Roberto P BenzoMindful Breathing Lab, Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, Minnesota, USA. Electronic address: benzo.roberto@mayo.edu.
Beatriz Abascal-BoladoMindful Breathing Lab, Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, Minnesota, USA; Instituto de Investigación Sanitaria Valdecilla, IDIVAL, Santander, Spain.
Megan M DuloheryMindful Breathing Lab, Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, Minnesota, USA.

Funding

Multicomponent Intervention to Decrease COPD-Related HospitalizationsR01HL094680 · NHLBI · MAYO CLINIC ROCHESTER · PI BENZO, ROBERTO PABLO · 2010 to 2014
$2.1M
NHLBI NIH HHS 1R01HL 94680-01A2NHLBI NIH HHS R01 HL094680
6 · The paper itself

Abstract

objectiveThis study aimed to increase our understanding of general self-management (SM) abilities in COPD by determining if SM can predict disease specific quality of life (QoL), by investigating whether specific SM domains are significant in COPD and by exploring the mediating effect of the positive/negative affect in the association between SM and QoL.

methodsCross-sectional study based on 292 patients with COPD. Measures included demographics, lung function, gait speed, health care utilization, positive/negative affect, SM abilities, breathlessness and disease specific QoL. We performed, correlation, multiple regression models and mediation analysis (positive/negative affect being mediator between SM and QoL association).

resultsAfter controlling for breathlessness, living alone, marital status, hospitalization history, age and lung function, SM related to QoL (p<0.0001). Investment in behaviors (hobbies and social relationships) and self-efficacy are SM domains independently related to QoL in COPD. Positivity measured by the positive/negative affect ratio completely mediates the relationship of SM with QoL.

conclusionSM is independently associated with disease specific QoL in COPD after adjustment significant covariates but positive/negative affect ratio completely mediates the relationship of SM with QoL. PRACTICE IMPLICATIONS: Measuring positive/negative affect and addressing investment behavior and self-efficacy are important in implementing COPD-SM programs.

Indexed as

Health StatusQuality of LifeSelf EfficacyAgedAged, 80 and overCohort StudiesCross-Sectional StudiesDyspneaFemaleGaitHumansMaleMiddle AgedPatient Acceptance of Health CarePatient Reported Outcome MeasuresPulmonary Disease, Chronic ObstructiveCOPDPositive affectQuality of lifeSelf-management

Identifiers

PMID26632024
PMCPMC4808334

What OpenQuestion holds

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Registered trials

None linked

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.