Evidence map›Paper›PMID 41219839›Full record

ArticleBMC primary care2025

Patient and provider perspectives of a self-management program for COPD in the context of multimorbidity: a qualitative study.

Sameera Ansari, Hassan Hosseinzadeh, Sarah Dennis, Teresa Sheng, Mohana Kunasekaran, Sadan Taher, Nicholas Zwar

Abstract read
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In one paragraph

Article in BMC primary care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. 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

7 authors.

Sameera AnsariSchool of Population Health, Faculty of Medicine and Health, UNSW Sydney, Randwick, Sydney, NSW, Australia. sameera.ansari@unsw.edu.au.
Hassan HosseinzadehSchool of Health and Society, University of Wollongong Australia, Wollongong, NSW, Australia.
Sarah DennisSydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.
Teresa ShengSchool of Population Health, Faculty of Medicine and Health, UNSW Sydney, Randwick, Sydney, NSW, Australia.
Mohana KunasekaranKirby Institute, Faculty of Medicine and Health, UNSW Sydney, Sydney, NSW, Australia.
Sadan TaherSchool of Clinical Medicine, Faculty of Medicine and Health, UNSW Sydney, Sydney, NSW, Australia.
Nicholas ZwarSchool of Population Health, Faculty of Medicine and Health, UNSW Sydney, Randwick, Sydney, NSW, Australia.

Funding

GlaxoSmithKline Australia Study number 204950National Health and Medical Research Council GNT1093032
6 · The paper itself

Abstract

backgroundChronic obstructive pulmonary disease (COPD) is often associated with comorbidities, which further complicates the impact of the disease. However, most self-management support for COPD do not account for patients' comorbidities. This study is the qualitative evaluation of a novel self-management program for people with COPD in the context of multimorbidity, delivered by practice nurses (PNs) in collaboration with general practitioners (GPs) in Sydney, Australia.

methodsSemi-structured interviews were conducted with 12 patients, 10 PNs, and seven GPs. The interviews were thematically analysed using a constructivist approach, and further interpreted through the Normalisation Process Theory.

resultsMost patients accepted the program and perceived it as beneficial. Facilitators towards better activation were personalised care and the PNs' counselling approach during the program. Barriers to better health behaviour included personal challenges and comorbidities. Overall, the PNs and GPs found the program to be feasible and beneficial for participating patients. The PNs felt upskilled about COPD, and confident for delivering self-management support, following participation in the study. The main challenge faced by them were managing their existing workload alongside the education sessions.

conclusionsThe findings emphasise the need for tailored, self-management support for people with COPD and comorbidities, and upskilling of the PN's role in general practice.

Indexed as

Attitude of Health PersonnelPulmonary Disease, Chronic ObstructiveSelf CareSelf-ManagementAgedAged, 80 and overFemaleGeneral PractitionersHumansInterviews as TopicMaleMiddle AgedMultimorbidityNurse PractitionersQualitative ResearchCOPDImplementation scienceMultimorbidityPatient activationPrimary careSelf-management

Identifiers

PMID41219839
PMCPMC12607210

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.