Evidence map›Paper›PMID 33235444›Full record

ArticleInternational journal of chronic obstructive pulmonary disease2020

Frustrated Caring: Family Members' Experience of Motivating COPD Patients Towards Self-Management.

Jonina Sigurgeirsdottir, Sigridur Halldorsdottir, Ragnheidur Harpa Arnardottir, Gunnar Gudmundsson, Eythor Hreinn Bjornsson

Abstract read
In one paragraph

Article in International journal of chronic obstructive pulmonary disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

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

  1. Pooled it
  2. Trial
  3. Using a photovoice methodology to explore the impacts of living with COPD on quality of life.International journal of qualitative studies on health and well-being · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Ethical Dilemmas in Physicians' Consultations with COPD Patients.International journal of chronic obstructive pulmonary disease · 2022
    Article
  12. 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

5 authors.

Jonina SigurgeirsdottirUniversity of Iceland, Medical Faculty, Reykjavik, Iceland.ORCID 0000-0002-1103-6311
Sigridur HalldorsdottirUniversity of Akureyri, School of Health Sciences, Faculty of Graduate Studies, Akureyri, Iceland.ORCID 0000-0003-0629-4428
Ragnheidur Harpa ArnardottirUniversity of Akureyri, School of Health Sciences, Faculty of Graduate Studies, Akureyri, Iceland.ORCID 0000-0003-0670-8248
Gunnar GudmundssonUniversity of Iceland, Medical Faculty, Reykjavik, Iceland.ORCID 0000-0002-7251-8322
Eythor Hreinn BjornssonReykjalundur Rehabilitation Center, Lung Department, Mosfellsbaer, Iceland.ORCID 0000-0003-1186-8473

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: The aim of this phenomenological study was to explore principal family members' experience of motivating patients with chronic obstructive pulmonary disease (COPD) towards self-management. Methods: Interviews were conducted with 10 family members (spouses and adult children) of COPD patients. The interviews were audio recorded, transcribed and analyzed thematically. Results: Being a principal family member of a COPD patient is characterized by frustrated caring; wanting the best for him/her and yet carrying a heavier burden than the person feels equipped for, lacking both knowledge about the disease progress and information about available healthcare resources. The situation demands much energy, due to COPD patients' lack of stamina; family members' fear of the patient's possible breathlessness; willingness to help, though sometimes meeting with negative reactions from the patient; and feeling ignored by health professionals (HPs). Family members expressed a need for a formal connection between patient-family-HPs. The increasing burden experienced by patients' family members is characterized by a sequential process in three phases of the patient's declining self-management. In the early phase, family and patient are ignorant of COPD yet recognize the patient's smoking as a risky lifestyle. In the intermediary phase, signs of COPD become evident to the family. The first turning point is when the family first observes the patient's acute exacerbation. A second turning point is in the advanced phase, when family and patient recognize COPD as a progressive disease, possibly fatal. We also identified family members' views on COPD patients' needs, and their own roles, main frustrations and concerns. Conclusion: Family members' experience of motivating COPD patients towards self-management is a sequential process where the family experiences advancing caring burden and declining self-management by the patient. We propose the establishment of COPD patients' teams consisting of patient-family-HP, aimed at the patients' best possible self-management.

Indexed as

Pulmonary Disease, Chronic ObstructiveSelf-ManagementAdultFamilyFemaleFrustrationHumansMaleQualitative Researchchronicfamily’s needsobstructivePRpulmonary rehabilitationqualitative researchself-management

Identifiers

PMID33235444
PMCPMC7680160

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.