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Self-management in chronic lung disease: what is missing?

Kelly, Carol; Heslop-Marshall, Karen; Jones, Steve; Roberts, Nicola J.

Authors

Carol Kelly

Karen Heslop-Marshall

Steve Jones



Abstract

Self-management, as a strategy to support those living with chronic respiratory conditions such as asthma and COPD, has been widely advocated in guidelines and adopted in practice. However, there can be a disconnect between the goals of patients and healthcare professionals. Goals and barriers to self-management are often compounded by the complex social, emotional and medical needs of patients. People living with chronic respiratory conditions also often have symptoms of anxiety and depression, which can impact on self-management. Self-management therefore requires patients and healthcare professionals to work together and it is essential to involve patients when designing, implementing and evaluating self-management interventions.

Patient preferences are clearly important and goal setting needs an individual, flexible and responsive approach from healthcare professionals, which aligns to a more personalised approach to management of treatable traits and the burden of disease. To achieve these goals, healthcare professionals need education to support patients in self-management and behaviour change. This approach should lead to shared decision-making and partnership working that puts the patient right at the centre of their care.

Journal Article Type Article
Acceptance Date Mar 22, 2022
Online Publication Date May 9, 2022
Publication Date 2022
Deposit Date Aug 30, 2022
Publicly Available Date Sep 1, 2022
Journal Breathe
Print ISSN 1810-6838
Electronic ISSN 2073-4735
Publisher European Respiratory Society
Peer Reviewed Peer Reviewed
Volume 18
Issue 1
Article Number 210179
DOI https://doi.org/10.1183/20734735.0179-2021
Public URL http://researchrepository.napier.ac.uk/Output/2899126

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