The Impact of Biofeedback on Self-Efficacy in Adults with Asthma: A Cross-Sectional Descriptive Survey
Joanne Walsh,1,2 Zena Moore,1 Elaine Mac Hale,2 Garrett Greene,2 Frank Doyle,3 Richard W Costello,2 Bridget Murray1 1School of Nursing and Midwifery, RCSI University of Medicine and Health Sciences, Dublin, Ireland; 2Clinical Research Centre, Beaumont Hospital and RCSI University of Medicine and Hea...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2022-06-01
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| Series: | Patient Preference and Adherence |
| Subjects: | |
| Online Access: | https://www.dovepress.com/the-impact-of-biofeedback-on-self-efficacy-in-adults-with-asthma-a-cro-peer-reviewed-fulltext-article-PPA |
| _version_ | 1828805219220193280 |
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| author | Walsh J Moore Z Mac Hale E Greene G Doyle F Costello RW Murray B |
| author_facet | Walsh J Moore Z Mac Hale E Greene G Doyle F Costello RW Murray B |
| author_sort | Walsh J |
| collection | DOAJ |
| description | Joanne Walsh,1,2 Zena Moore,1 Elaine Mac Hale,2 Garrett Greene,2 Frank Doyle,3 Richard W Costello,2 Bridget Murray1 1School of Nursing and Midwifery, RCSI University of Medicine and Health Sciences, Dublin, Ireland; 2Clinical Research Centre, Beaumont Hospital and RCSI University of Medicine and Health Sciences, Dublin, Ireland; 3Department of Health Psychology, RCSI University of Medicine and Health Sciences, Dublin, IrelandCorrespondence: Richard W Costello, Clinical Research Centre, Beaumont Hospital and RCSI University of Medicine and Health Sciences, Dublin, Ireland, Tel +353 01-8093761, Email rcostello@rcsi.comPurpose: Educating patients to self-manage chronic diseases such as asthma is a key role for nurses. The success of this education is often limited by low patient self-efficacy. In this study, we hypothesized that the self-efficacy of patients could be enhanced if their education was based on biofeedback of their own self-management, following a nurse led educational intervention.Patients and Methods: Patients with severe and uncontrolled asthma from one centre who participated in an eight-month, nurse-led asthma education and dose adjustment Randomised Control Trial (RCT) were studied (NCT02307669). Inhaler adherence and technique of use were objectively assessed using a validated digital device. The data recorded on this device was used as the basis for the individualised biofeedback. The Asthma Self-efficacy Questionnaire was used to assess self-efficacy.Results: A total of 88 participants (44 in each group) completed the asthma self-efficacy questionnaire at the end of the study. The mean overall level of self-efficacy was high across both groups; 91 (8.7), with both biofeedback and standard care groups having similarly high levels of self-efficacy, biofeedback group: 89 (10) and standard care group 93 (6). Self-efficacy was not related to objective measures of adherence at either the start of the study, 68 (26), p=0.23, or the end of the study, 58 (32), p=0.62. It was also not related to peak expiratory flow (PEF) at the end of the study in either group (r2= 0.0245, p=0.14). Self-efficacy was related to asthma control test (ACT), 18 (5.5), p=0.0014 and quality-of-life measures; EuroQol (EQ5D3L) 6.4 (1.5) p=0.02.Conclusion: Repeated nurse-delivered education results in high levels of self-efficacy among patients with severe asthma. A high level of perceived self-efficacy should not be assumed to result in higher inhaler adherence.Keywords: nursing education, patient education and self-management |
| first_indexed | 2024-12-12T07:52:27Z |
| format | Article |
| id | doaj.art-7923459336184c44a13e3f75f99d4791 |
| institution | Directory Open Access Journal |
| issn | 1177-889X |
| language | English |
| last_indexed | 2024-12-12T07:52:27Z |
| publishDate | 2022-06-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Patient Preference and Adherence |
| spelling | doaj.art-7923459336184c44a13e3f75f99d47912022-12-22T00:32:25ZengDove Medical PressPatient Preference and Adherence1177-889X2022-06-01Volume 161469147575928The Impact of Biofeedback on Self-Efficacy in Adults with Asthma: A Cross-Sectional Descriptive SurveyWalsh JMoore ZMac Hale EGreene GDoyle FCostello RWMurray BJoanne Walsh,1,2 Zena Moore,1 Elaine Mac Hale,2 Garrett Greene,2 Frank Doyle,3 Richard W Costello,2 Bridget Murray1 1School of Nursing and Midwifery, RCSI University of Medicine and Health Sciences, Dublin, Ireland; 2Clinical Research Centre, Beaumont Hospital and RCSI University of Medicine and Health Sciences, Dublin, Ireland; 3Department of Health Psychology, RCSI University of Medicine and Health Sciences, Dublin, IrelandCorrespondence: Richard W Costello, Clinical Research Centre, Beaumont Hospital and RCSI University of Medicine and Health Sciences, Dublin, Ireland, Tel +353 01-8093761, Email rcostello@rcsi.comPurpose: Educating patients to self-manage chronic diseases such as asthma is a key role for nurses. The success of this education is often limited by low patient self-efficacy. In this study, we hypothesized that the self-efficacy of patients could be enhanced if their education was based on biofeedback of their own self-management, following a nurse led educational intervention.Patients and Methods: Patients with severe and uncontrolled asthma from one centre who participated in an eight-month, nurse-led asthma education and dose adjustment Randomised Control Trial (RCT) were studied (NCT02307669). Inhaler adherence and technique of use were objectively assessed using a validated digital device. The data recorded on this device was used as the basis for the individualised biofeedback. The Asthma Self-efficacy Questionnaire was used to assess self-efficacy.Results: A total of 88 participants (44 in each group) completed the asthma self-efficacy questionnaire at the end of the study. The mean overall level of self-efficacy was high across both groups; 91 (8.7), with both biofeedback and standard care groups having similarly high levels of self-efficacy, biofeedback group: 89 (10) and standard care group 93 (6). Self-efficacy was not related to objective measures of adherence at either the start of the study, 68 (26), p=0.23, or the end of the study, 58 (32), p=0.62. It was also not related to peak expiratory flow (PEF) at the end of the study in either group (r2= 0.0245, p=0.14). Self-efficacy was related to asthma control test (ACT), 18 (5.5), p=0.0014 and quality-of-life measures; EuroQol (EQ5D3L) 6.4 (1.5) p=0.02.Conclusion: Repeated nurse-delivered education results in high levels of self-efficacy among patients with severe asthma. A high level of perceived self-efficacy should not be assumed to result in higher inhaler adherence.Keywords: nursing education, patient education and self-managementhttps://www.dovepress.com/the-impact-of-biofeedback-on-self-efficacy-in-adults-with-asthma-a-cro-peer-reviewed-fulltext-article-PPAnursing educationpatient education and self-management |
| spellingShingle | Walsh J Moore Z Mac Hale E Greene G Doyle F Costello RW Murray B The Impact of Biofeedback on Self-Efficacy in Adults with Asthma: A Cross-Sectional Descriptive Survey Patient Preference and Adherence nursing education patient education and self-management |
| title | The Impact of Biofeedback on Self-Efficacy in Adults with Asthma: A Cross-Sectional Descriptive Survey |
| title_full | The Impact of Biofeedback on Self-Efficacy in Adults with Asthma: A Cross-Sectional Descriptive Survey |
| title_fullStr | The Impact of Biofeedback on Self-Efficacy in Adults with Asthma: A Cross-Sectional Descriptive Survey |
| title_full_unstemmed | The Impact of Biofeedback on Self-Efficacy in Adults with Asthma: A Cross-Sectional Descriptive Survey |
| title_short | The Impact of Biofeedback on Self-Efficacy in Adults with Asthma: A Cross-Sectional Descriptive Survey |
| title_sort | impact of biofeedback on self efficacy in adults with asthma a cross sectional descriptive survey |
| topic | nursing education patient education and self-management |
| url | https://www.dovepress.com/the-impact-of-biofeedback-on-self-efficacy-in-adults-with-asthma-a-cro-peer-reviewed-fulltext-article-PPA |
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