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Self-management in patients with COPD: theoretical context, content, outcomes, and integration into clinical care

Authors Kaptein A, Fischer M, Scharloo M

Received 1 April 2014

Accepted for publication 12 May 2014

Published 1 September 2014 Volume 2014:9(1) Pages 907—917

DOI https://doi.org/10.2147/COPD.S49622

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 4


Video abstract presented by Kaptein AA, Fischer MJ and Scharloo M.

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Ad A Kaptein, Maarten J Fischer, Margreet Scharloo

Medical Psychology Section, Leiden University Medical Centre (LUMC), Leiden, the Netherlands

Abstract: In this narrative review, we put self-management in the context of a 50-year history of research about how patients with COPD respond to their illness. We review a definition of self-management, and emphasize that self-management should be combined with disease management and the chronic care model in order to be effective. Reviewing the empirical status of self-management in COPD, we conclude that self-management is part and parcel of modern, patient-oriented biopsychosocial care. In pulmonary rehabilitation programs, self-management is instrumental in improving patients’ functional status and quality of life. We conclude by emphasizing how studying the way persons with COPD make sense of their illness helps in refining self-management, and thereby patient-reported outcomes in COPD.

Keywords: chronic obstructive pulmonary disease, self-management, psychology, quality of life, biopsychosocial model, medical humanities

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