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Self-management and health related quality of life in persons with chronic obstructive pulmonary disease

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Abstract

Purpose

Although it is well-known that persons with COPD experience lower health related quality of life (HRQoL), little is known about the importance of self-management related domains on HRQoL in persons with COPD. Therefore, the purpose of this study is to examine associations between self-management related domains and HRQoL, adjusting for sociodemographic and clinical characteristics, self-efficacy, and sense of coherence.

Methods

Cross-sectional data of 225 persons with COPD, recruited from a hospital register, were analyzed. Self-management related domains were measured using the Health education impact questionnaire (heiQ) and HRQoL was measured using the St. George’s Respiratory Questionnaire (SGRQ). Multiple linear regression analysis was used.

Results

The final models showed significant associations between the self-management domains constructive attitudes and approaches and emotional distress and HRQoL. Dyspnea, number of comorbidities, self-efficacy, and the various self-management related domains explained 51.3 to 55.1% of the variance in HRQoL.

Conclusions

The findings suggest that addressing self-management related domains, in addition to self-efficacy, dyspnea, and comorbidities, may be of importance for enhancement of HRQoL in persons with COPD.

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Acknowledgements

The Western Norway Regional Health Authority supported this study through a grant (No. 2013/911836). The authors thank research assistant Mien Parlati for technical assistance in preparing the data for analysis and Mr. Gunnar Egge for his contributions in planning the study.

Funding

The Western Norway Regional Health Authority supported this study through a grant (No. 2013/911836).

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Authors and Affiliations

  1. Department of Research and Innovation, Helse Fonna HF, Postboks 2170, 5504, Haugesund, Norway

    Heidi B. Bringsvor & Knut Skaug

  2. Faculty of Health Sciences, University of Stavanger, Stavanger, Norway

    Heidi B. Bringsvor, Bjørg Frøysland Oftedal & Signe Berit Bentsen

  3. Department of Health and Caring Sciences, Western Norway University of Applied Sciences, Bergen, Norway

    Eva Langeland

  4. Center for Clinical Research, Haukeland University Hospital, Bergen, Norway

    Jörg Assmus

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  1. Heidi B. Bringsvor
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  2. Eva Langeland
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  3. Bjørg Frøysland Oftedal
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  4. Knut Skaug
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  5. Jörg Assmus
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  6. Signe Berit Bentsen
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Correspondence to Heidi B. Bringsvor.

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Ethical approval

The present study was approved by the Regional Committees of Medical and Health Research Ethics (no. 2013/1741). All procedures performed were in accordance with the ethical standards of the research committee and with the 1964 Helsinki declaration and its later amendments.

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Informed consent was obtained from all individual participants included in the study.

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Bringsvor, H.B., Langeland, E., Oftedal, B.F. et al. Self-management and health related quality of life in persons with chronic obstructive pulmonary disease. Qual Life Res 28, 2889–2899 (2019). https://doi.org/10.1007/s11136-019-02231-8

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