Nationwide implementation of the self-management program "Living well with COPD": Process and effectiveness evaluation using a mixed-methods approach.

Details

Serval ID
serval:BIB_59E3EE155BD3
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Nationwide implementation of the self-management program "Living well with COPD": Process and effectiveness evaluation using a mixed-methods approach.
Journal
Patient education and counseling
Author(s)
Strassmann A., Guler M., Steurer-Stey C., Lana K.D., Carron T., Braun J., Giroud P., Peytremann-Bridevaux I., Puhan M.A., Frei A.
ISSN
1873-5134 (Electronic)
ISSN-L
0738-3991
Publication state
Published
Issued date
03/2022
Peer-reviewed
Oui
Volume
105
Number
3
Pages
670-678
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
To evaluate the nationwide implementation of the "Living well with COPD" program by the Swiss Lung Association in various cantons in Switzerland.
For the process evaluation, we used qualitative (interview, focus group) and quantitative (questionnaires, documentation analysis) methods to assess the implementation outcomes reach, dose, fidelity and acceptability. For the effectiveness, we performed a pre-post analysis of patient data collected at baseline and program end (after 14 months).
Seven Cantonal Lung Associations implemented the program into their services according to plan, conducted it 13 times and included 122 COPD patients. Patients' attendance rate was 81% and coaches' fidelity to protocol 94%. Acceptance and satisfaction of all involved persons was high. Integration of the coaches' additional workload, uncertainties regarding roles and responsibilities and sustainable reimbursement were major challenges. Patients significantly improved in COPD specific quality of life and increased exercise capacity with on average 3.2 more repetitions in the 1-minute sit-to-stand test.
The program was successfully implemented throughout Switzerland with high acceptability and positive association with patients' quality of life.
Our findings support the broader multiplication throughout Switzerland and serves the international community since it is one of the first nationwide implementations beyond study settings.
Keywords
Humans, Pulmonary Disease, Chronic Obstructive/therapy, Quality of Life, Self-Management, Surveys and Questionnaires, Switzerland, Chronic obstructive pulmonary disease, Living well with COPD, Mixed-methods evaluation, Patient education, Program implementation, Self-management
Pubmed
Open Access
Yes
Create date
05/07/2021 14:32
Last modification date
26/04/2022 6:37
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