ArticleInternational journal of chronic obstructive pulmonary disease2016
Factors influencing exacerbation-related self-management in patients with COPD: a qualitative study.
Article in International journal of chronic obstructive pulmonary disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.
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Who cites it
26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 57 citations in OpenAlex.
- Self-management experiences and needs in patients with chronic obstructive pulmonary disease: a meta-synthesis of qualitative studies.BMJ open · 2026Pooled it
- COPD-Related Anxiety: A Systematic Review of Patient Perspectives.International journal of chronic obstructive pulmonary disease · 2023Pooled it
- Patients' and healthcare personnel's experiences of a health-literacy intervention in chronic obstructive pulmonary disease - a qualitative study.BMC health services research · 2025Trial
- The impact of Tai Chi and mind-body breathing in COPD: Insights from a qualitative sub-study of a randomized controlled trial.PloS one · 2021Trial
- The impact of a personalised action plan delivered at discharge to patients with COPD on readmissions: a pilot study.Scandinavian journal of caring sciences · 2020Trial
- Patients' and Health Care Professionals' Perspectives on Remote Patient Monitoring in Chronic Obstructive Pulmonary Disease Exacerbation Management: Initiating Cocreation.Journal of medical Internet research · 2025Article
- How People with COPD Perceive and Communicate Exacerbations: A Multicountry Survey Study.International journal of chronic obstructive pulmonary disease · 2025Article
- Latent Profile Analysis for Patient Activation in Patients with Essential Hypertension.Patient preference and adherence · 2025Article
- Breaking down barriers to COPD management in primary care: applying the updated 2023 Canadian Thoracic Society guideline for pharmacotherapy.Frontiers in medicine · 2024Review
- Article
- Healthcare experiences of adults with COPD across community care settings: a meta-ethnography.ERJ open research · 2023Review
- Supporting Behavior Change After AECOPD - Development of a Hospital-Initiated Intervention Using the Behavior Change Wheel.International journal of chronic obstructive pulmonary disease · 2022Article
- Defining an enabling environment for those with chronic disease: an integrative review.BMC nursing · 2021Article
- Determinants of patient activation and its association with cardiovascular disease risk in chronic kidney disease: A cross-sectional study.Health expectations : an international journal of public participation in health care and health policy · 2021Article
- Article
- Adherence to an eHealth Self-Management Intervention for Patients with Both COPD and Heart Failure: Results of a Pilot Study.International journal of chronic obstructive pulmonary disease · 2021Article
- User-Centered Design of a Mobile Health Intervention to Enhance Exacerbation-Related Self-Management in Patients With Chronic Obstructive Pulmonary Disease (Copilot): Mixed Methods Study.Journal of medical Internet research · 2020Article
- Advanced nursing practice in COPD exacerbations: the solution for a gap in Switzerland?ERJ open research · 2020Article
- COPD patients need more information about self-management: a cross-sectional study in Swedish primary care.Scandinavian journal of primary health care · 2019Article
- Inflammation and infections in unreported chronic obstructive pulmonary disease exacerbations.International journal of chronic obstructive pulmonary disease · 2019Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn patients with COPD, self-management skills are important to reduce the impact of exacerbations. However, both detection and adequate response to exacerbations appear to be difficult for some patients. Little is known about the underlying process of exacerbation-related self-management. Therefore, the objective of this study was to identify and explain the underlying process of exacerbation-related self-management behavior.
methodsA qualitative study using semi-structured in-depth interviews was performed according to the grounded theory approach, following a cyclic process in which data collection and data analysis alternated. Fifteen patients (male n=8; age range 59-88 years) with mild to very severe COPD were recruited from primary and secondary care settings in the Netherlands, in 2015.
resultsSeveral patterns in exacerbation-related self-management behavior were identified, and a conceptual model describing factors influencing exacerbation-related self-management was developed. Acceptance, knowledge, experiences with exacerbations, perceived severity of symptoms and social support were important factors influencing exacerbation-related self-management. Specific factors influencing recognition of exacerbations were heterogeneity of exacerbations and habituation to symptoms. Feelings of fear, perceived influence on exacerbation course, patient beliefs, ambivalence toward treatment, trust in health care providers and self-empowerment were identified as specific factors influencing self-management actions.
conclusionThis study provided insight into factors influencing exacerbation-related self-management behavior in COPD patients. The conceptual model can be used as a framework for health care professionals providing self-management support. In the development of future self-management interventions, factors influencing the process of exacerbation-related self-management should be taken into account.
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Registered trials
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