Review Article

A Critical Review of Effects of COPD Self-Management Education on Self-Efficacy

Table 3

COPDSME delivery mode, content, and duration of instruction.

Reviewed studyDelivery modeContentLength of education

Davis et al. [36]Dyspnea self-management education (DME) + individualized walking planWalking, purse lipped breathing, diaphragmatic breathing, measure breathlessness and heart rate8 weeks

Donesky-Cuenco et al. [37]
(secondary data analysis from Davis et al. [36])
Dyspnea self-management education (DME) + individualized walking planWalking, measure breathlessness and heart rate12 months

Kara and Asti [38]Group educationBreathing techniques, coughing techniques, relaxation, medication, diet, exercise4 weeks of 3-4 sessions per week for about 35–40 min each session

Lemmens et al. [39]Practice nurse meetings with patientsSmoking behavior, medication usage, nutrition, and physical activityAt least 15 minute meetings over a 12-month period

Scherer et al. [40]Classes conducted by a clinical nurse specialistPathophysiology of COPD, nutrition, self-care instruction, purse lipped breathing, diaphragmatic breathing1 hour, 3 times a week for 12 weeks

Stellefson et al. [41]DVD OR Pamphlet OR DVD + PamphletCOPD knowledge, action steps following a diagnosis, seeking medical attention, breathing techniques when stationary and moving, infection detection, nutrition~30 min DVD or 4-page pamphlet reviewed individually over 2 months

Wong et al. [42]Telephone counseling by respiratory nursePatient dependent but including energy saving and breathing techniques, medication management, relaxation techniquesTwo calls over a 20-day period