ArticleBMC pulmonary medicine2025
Latent classes of self-management and associated factors in patients with COPD.
Article in BMC pulmonary medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
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.
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Who cites it
2 citing papers in PubMed.
- The Current Status, Challenges, and Optimization Strategies for Self-Management in Patients with COPD: A Review.International journal of chronic obstructive pulmonary disease · 2026Review
- Protocol for a realist evaluation of a COPD clinical pathway in Saskatchewan, Canada.PloS one · 2026Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEffective self-management is crucial for Chronic Obstructive Pulmonary Disease (COPD) patients, yet significant heterogeneity exists in their self-management behaviors. Understanding this variation is key to providing personalized care. This study aimed to identify distinct latent classes of self-management behaviors among COPD patients and explore the factors associated with class membership.
methodsA cross-sectional survey was conducted with 315 COPD inpatients from a tertiary hospital in Hebei, China. Data were collected using the COPD Self-Management Scale, the modified Medical Research Council Dyspnea Scale (mMRC), the Fatigue Severity Scale (FSS), the Hospital Anxiety and Depression Scale (HADS), and a sociodemographic/clinical questionnaire. Latent Class Analysis (LCA) was used to identify unobserved subgroups based on self-management patterns. Factors influencing class membership were identified using multivariate logistic regression analysis.
resultsLCA revealed three distinct latent classes of self-management: “Comprehensive Weakness” (45.4%), characterized by poor performance across all domains; “Symptom-Disconnected” (35.9%), showing adequate symptom management but poor daily life/emotion management; and ‘Balanced Management” (18.7%), demonstrating strong performance in all areas. Multivariate analysis indicated that higher education level, longer disease duration, and higher social support were significant predictors of belonging to the “Balanced Management” class compared to the “Comprehensive Weakness” class. Anxiety was a significant negative factor distinguishing the classes.
conclusionsThis study identifies three distinct profiles of self-management behavior in COPD patients, highlighting the need for tailored interventions rather than a one-size-fits-all approach. Factors such as education, disease duration, and social support are key determinants of better self-management. Clinicians should prioritize assessing and addressing anxiety and leverage social support to help patients transition towards more balanced and effective self-management practices.
trial registrationNot applicable. This study is an observational, cross-sectional survey and does not involve a health care intervention.
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