Dating with copd


22-Oct-2020 02:13

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One such approach is to use interactive telephone health coaching, with the coach and patient working together to identify barriers to behaviour change and finding ways to overcome them.Key techniques include modelling behaviour, goal setting, and empowering the patient to improve their health status.4 Telephone health coaching has shown potential benefits on self efficacy, health behaviour, and health status in a rapid review of trials in long term conditions.5COPD is a common respiratory condition with an estimated 65 million people worldwide with moderate or severe disease.1 Like most chronic diseases, it causes a considerable burden on health services and society and is a leading cause of death in most countries.67 Interventions to support self management in patients with COPD have been shown to be effective in improving health related quality of life and in reducing hospital admissions among patients with COPD,89 but trials have largely recruited people from secondary care and excluded those with mild disease.9 However, patients with mild dyspnoea represent 38% to 54% of diagnosed patients in primary care.1011 This is likely to increase with case finding initiatives to identify disease in people with symptoms.12Many components of self management interventions could promote better health and prevent disease progression in the early stages of COPD.A sample of telephone consultations were recorded with the patients consent and reviewed by one researcher to determine compliance with the content of the intervention.Patients who had given informed consent and completed all the baseline measures were individually randomised in a 1:1 ratio to the telephone health coaching or usual care group stratified by centre.We evaluated telephone health coaching in patients with mildly symptomatic COPD to explore the effectiveness of supporting self management activities in this group of patients.

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The nurses briefly summarised the content of the call and any actions agreed after each telephone call.

However, more recent efforts have aimed to prevent onset or slow progression early in the disease course to reduce the burden and costs of treating more advanced disease later.



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