Self-management practice, associated factors and its relationship with health literacy and patient activation among multi-morbid COPD patients from rural Nepal
Abstract Background Chronic Obstructive Pulmonary Disease (COPD) is a progressive and debilitating condition that affects individuals’ quality of life. COPD self-management and supports provided by carers is key to the quality of life people living with COPD. Health literacy (HL) and Patient Activat...
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| Format: | Article |
| Language: | English |
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BMC
2020-03-01
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| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12889-020-8404-7 |
| _version_ | 1818259470628683776 |
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| author | Uday Narayan Yadav Jane Lloyd Hassan Hosseinzadeh Kedar Prasad Baral Narendra Bhatta Mark Fort Harris |
| author_facet | Uday Narayan Yadav Jane Lloyd Hassan Hosseinzadeh Kedar Prasad Baral Narendra Bhatta Mark Fort Harris |
| author_sort | Uday Narayan Yadav |
| collection | DOAJ |
| description | Abstract Background Chronic Obstructive Pulmonary Disease (COPD) is a progressive and debilitating condition that affects individuals’ quality of life. COPD self-management and supports provided by carers is key to the quality of life people living with COPD. Health literacy (HL) and Patient Activation (PA) are main drivers of self-management practices (SMPs). However, their contribution remains to be fully explored. This study aimed to examine the level of self-management practices, and the relationship with socio-demographic factors, HL and PA among multi-morbid COPD patients from rural Nepal. Methods This is a cross-sectional study conducted between July 2018 and January 2019. Patients completed a survey, including Self-management Practices questionnaire (SMPQ), five domains of the Health Literacy Questionnaire (HLQ), and Patient Activation Measure (PAM). The relationship between HL, PAM, and SMPs was examined using univariate statistics. Multivariable analysis was conducted to identify the factors associated with SMPs. Results A total of 238 patients responded to the study. The mean score of SMPQ was 45.31(SD = 9.00). The HLQ and PAM scores were positively correlated with the total score of SMPQ. Low level of SMPs were found to be positively associated with being uneducated (β = − 0.43, p = .001), having a low family income (β = − 5.22, p = .002), and, negatively associated with the presence of more than one co-morbidity (β = 3.58, p = 0.007) after controlling for other socio-demographic variables in the multivariable analysis. Conclusion The overall SMPs among this sample of Nepalese with COPD were low. Our findings highlight the need to implement a self-management intervention program involving patient activation and health literacy-focused activities for COPD, creating a support system for patients from low-income families and low education. |
| first_indexed | 2024-12-12T18:15:57Z |
| format | Article |
| id | doaj.art-7cc229d1f541417f9753ee97a8d1caf9 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-12T18:15:57Z |
| publishDate | 2020-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-7cc229d1f541417f9753ee97a8d1caf92022-12-22T00:16:15ZengBMCBMC Public Health1471-24582020-03-012011710.1186/s12889-020-8404-7Self-management practice, associated factors and its relationship with health literacy and patient activation among multi-morbid COPD patients from rural NepalUday Narayan Yadav0Jane Lloyd1Hassan Hosseinzadeh2Kedar Prasad Baral3Narendra Bhatta4Mark Fort Harris5Centre for Primary Health Care and Equity, UNSWCentre for Primary Health Care and Equity, UNSWThe University of WollongongSchool of Public Health, Patan Academy of Health SciencesDepartment of Pulmonary, Critical Care and Sleep Medicine, B.P. Koirala Institute of Health Sciences (BPKIHS)Centre for Primary Health Care and Equity, UNSWAbstract Background Chronic Obstructive Pulmonary Disease (COPD) is a progressive and debilitating condition that affects individuals’ quality of life. COPD self-management and supports provided by carers is key to the quality of life people living with COPD. Health literacy (HL) and Patient Activation (PA) are main drivers of self-management practices (SMPs). However, their contribution remains to be fully explored. This study aimed to examine the level of self-management practices, and the relationship with socio-demographic factors, HL and PA among multi-morbid COPD patients from rural Nepal. Methods This is a cross-sectional study conducted between July 2018 and January 2019. Patients completed a survey, including Self-management Practices questionnaire (SMPQ), five domains of the Health Literacy Questionnaire (HLQ), and Patient Activation Measure (PAM). The relationship between HL, PAM, and SMPs was examined using univariate statistics. Multivariable analysis was conducted to identify the factors associated with SMPs. Results A total of 238 patients responded to the study. The mean score of SMPQ was 45.31(SD = 9.00). The HLQ and PAM scores were positively correlated with the total score of SMPQ. Low level of SMPs were found to be positively associated with being uneducated (β = − 0.43, p = .001), having a low family income (β = − 5.22, p = .002), and, negatively associated with the presence of more than one co-morbidity (β = 3.58, p = 0.007) after controlling for other socio-demographic variables in the multivariable analysis. Conclusion The overall SMPs among this sample of Nepalese with COPD were low. Our findings highlight the need to implement a self-management intervention program involving patient activation and health literacy-focused activities for COPD, creating a support system for patients from low-income families and low education.http://link.springer.com/article/10.1186/s12889-020-8404-7Health literacyMulti-morbid Chronic Obstructive Pulmonary Disease (COPD)Patient activationSelf-management practices |
| spellingShingle | Uday Narayan Yadav Jane Lloyd Hassan Hosseinzadeh Kedar Prasad Baral Narendra Bhatta Mark Fort Harris Self-management practice, associated factors and its relationship with health literacy and patient activation among multi-morbid COPD patients from rural Nepal BMC Public Health Health literacy Multi-morbid Chronic Obstructive Pulmonary Disease (COPD) Patient activation Self-management practices |
| title | Self-management practice, associated factors and its relationship with health literacy and patient activation among multi-morbid COPD patients from rural Nepal |
| title_full | Self-management practice, associated factors and its relationship with health literacy and patient activation among multi-morbid COPD patients from rural Nepal |
| title_fullStr | Self-management practice, associated factors and its relationship with health literacy and patient activation among multi-morbid COPD patients from rural Nepal |
| title_full_unstemmed | Self-management practice, associated factors and its relationship with health literacy and patient activation among multi-morbid COPD patients from rural Nepal |
| title_short | Self-management practice, associated factors and its relationship with health literacy and patient activation among multi-morbid COPD patients from rural Nepal |
| title_sort | self management practice associated factors and its relationship with health literacy and patient activation among multi morbid copd patients from rural nepal |
| topic | Health literacy Multi-morbid Chronic Obstructive Pulmonary Disease (COPD) Patient activation Self-management practices |
| url | http://link.springer.com/article/10.1186/s12889-020-8404-7 |
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