Abstract
Activating primary care COPD patients with multi-morbidity (APCOM) pilot project: study protocol
Highlights
Chronic obstructive pulmonary disease (COPD), third leading cause of mortality worldwide,[1] is primarily caused by cigarette smoking in Australia.[2]
COPD often occurs in the presence of multi-morbidity, which is the simultaneous occurrence of two or more chronic conditions; this is a growing concern in a health system focused on single-disease management.[3]
A systematic review of COPD education programs suggests that equipping patients with self-management skills is as important as disease knowledge.[5]
Summary
Chronic obstructive pulmonary disease (COPD), third leading cause of mortality worldwide,[1] is primarily caused by cigarette smoking in Australia.[2]. Even a brief education session is effective in improving disease knowledge and response to symptoms;[14] as demonstrated by selfmanagement interventions[10, 15] on COPD which increased patient self-efficacy. Such programs do improve health status and prevent hospital remissions,[16] and lead to better patientprovider relationships, self-efficacy and sense of identity.[17] With no prior study having seemed to focus on improving self-efficacy of COPD patients with co-morbidities in primary care, our study aims to empower these patients by trialling a tailored, practice nurse -delivered self-management program. Increased self-efficacy in terms of their overall health behaviours
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