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International Journal of Telemedicine and Applications
Volume 2010, Article ID 450418, 13 pages
Research Article

Using Exploratory Focus Groups to Inform the Development of Targeted COPD Self-Management Education DVDs for Rural Patients

1Department of Health Education & Behavior, University of Florida, P.O. Box 261954, FLG 23, Gainesville, FL 32611, USA
2College of Health and Human Performance, University of Florida, 242B Florida Gym, P.O. Box 118200, Gainesville, FL 32611, USA

Received 15 September 2009; Revised 2 April 2010; Accepted 7 May 2010

Academic Editor: George Anastasopoulos

Copyright © 2010 Michael Stellefson et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


This exploratory study assessed the self-management learning needs, experiences, and perspectives of COPD patients treated at a Certified Federal Rural Health Clinic to inform the development of a COPD self-management DVD. A purposive, homogeneous sample of COPD patients participated in focus group interviews. Data from these interviews were referenced to edit a library of Rvision COPD self-management DVDs into a single condensed DVD containing only the most pertinent self-management topics. Patients reported a lack of knowledge and skill development related to purse lipped breathing, controlled coughing, and stress management; while medication management skills were found to be quite adequate. Engaging rural communities in formal qualitative inquiries to describe COPD specific needs for self-management may lead to future use of educational technologies aimed at improving quality of life for these rural, hard to reach populations.