Academic Journal
Identifying priority challenges of older adults with COPD: A multiphase intervention refinement study.
| Τίτλος: | Identifying priority challenges of older adults with COPD: A multiphase intervention refinement study. |
|---|---|
| Συγγραφείς: | Iyer AS; Division of Pulmonary, Allergy, and Critical Care Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.; Division of Gerontology, Geriatrics, and Palliative Care, University of Alabama at Birmingham, Birmingham, Alabama, USA.; Center for Palliative and Supportive Care, Birmingham, Alabama, USA.; School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA.; Birmingham Veterans Affairs Medical Center, Birmingham, Alabama, USA., Wells RD; Center for Palliative and Supportive Care, Birmingham, Alabama, USA.; School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA., Bechthold AC; School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA., Armstrong M; Center for Palliative and Supportive Care, Birmingham, Alabama, USA.; School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA., O'Beirne R; Division of Continuing Medical Education, University of Alabama at Birmingham, Birmingham, Alabama, USA., Byun JY; School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA., Coffee-Dunning J; Center for Palliative and Supportive Care, Birmingham, Alabama, USA.; School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA., Odom JN; Center for Palliative and Supportive Care, Birmingham, Alabama, USA.; School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA., Buhr RG; Division of Pulmonary & Critical Care Medicine, University of California, Los Angeles, California, USA.; Department of Health Policy & Management, University of California, Los Angeles, California, USA.; Center for the Study of Healthcare Innovation, Implementation, and Policy, Greater Los Angeles VA Healthcare System, Los Angeles, California, USA., Suen AO; Division of Pulmonary, Critical Care, Allergy and Sleep Medicine, University of California, San Francisco, California, USA., Kotwal AA; Division of Geriatrics, Department of Medicine, University of California, San Francisco, California, USA.; Geriatrics, Palliative, and Extended Care Service Line, San Francisco Veterans Affairs Medical Center, San Francisco, California, USA., Witt LJ; Division of Pulmonary, Critical Care, Allergy and Sleep Medicine, University of California, San Francisco, California, USA.; Division of Geriatrics, Department of Medicine, University of California, San Francisco, California, USA., Brown CJ; Department of Internal Medicine, Louisiana State University Health Sciences Center, New Orleans, Louisiana, USA., Dransfield MT; Division of Pulmonary, Allergy, and Critical Care Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.; Birmingham Veterans Affairs Medical Center, Birmingham, Alabama, USA., Bakitas MA; Division of Gerontology, Geriatrics, and Palliative Care, University of Alabama at Birmingham, Birmingham, Alabama, USA.; Center for Palliative and Supportive Care, Birmingham, Alabama, USA.; School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA. |
| Πηγή: | Journal of the American Geriatrics Society [J Am Geriatr Soc] 2024 Nov; Vol. 72 (11), pp. 3346-3359. Date of Electronic Publication: 2024 Aug 31. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Blackwell Science Country of Publication: United States NLM ID: 7503062 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-5415 (Electronic) Linking ISSN: 00028614 NLM ISO Abbreviation: J Am Geriatr Soc Subsets: MEDLINE |
| Imprint Name(s): | Publication: Malden, MA : Blackwell Science Original Publication: New York [etc.] |
| Ιατρικοί όροι (MeSH): | Pulmonary Disease, Chronic Obstructive*/therapy , Pulmonary Disease, Chronic Obstructive*/nursing , Caregivers*/psychology, Humans ; Aged ; Male ; Female ; Aged, 80 and over |
| Περίληψη: | Background: Identifying priority challenges of older adults with chronic obstructive pulmonary disease (COPD) is critical to designing interventions aimed at improving their well-being and independence. Objective: To prioritize challenges of older adults with COPD and those who care for them to guide refinement of a telephonic nurse coach intervention for patients with COPD and their family caregivers (EPIC: Empowering People to Independence in COPD). Design: Multiphase study guided by Baltes Theory of Successful Aging and the 5Ms Framework: Phase 1: Nominal group technique (NGT), a structured process of prioritizing responses to a question through group consensus. Phase 2: Rapid qualitative analysis. Phase 3: Intervention mapping and refinement. Setting: Ambulatory, virtual. Participants: Older adults with COPD, family caregivers, clinic staff (nurses, respiratory therapists), clinicians (physicians, nurse practitioners), and health system leaders. Results: NGT sessions were conducted by constituency group with 37 participants (n = 7 patients, n = 6 family caregivers, n = 8 clinic staff, n = 9 clinicians, n = 7 health system leaders) (Phase 1). Participants generated 92 statements across five themes (Phase 2): (1) "Barriers to care", (2) "Family caregiver needs", (3) "Functional status and mobility issues", (4) "Illness understanding", and (5) "COPD care complexities". Supplemental oxygen challenges emerged as a critical problem, and prioritized challenges differed by group. Patients and clinic staff prioritized "Functional status and mobility issues", family caregivers prioritized "Family caregiver needs", and clinicians and health system leaders prioritized "COPD care complexities". Intervention mapping (Phase 3) guided EPIC refinement focused on meeting patient priorities of independence and mobility but accounting for all priorities. Conclusions: Diverse constituency groups identified priority challenges for older adults with COPD. Functional status and mobility issues, particularly related to supplemental oxygen, emerged as patient prioritized challenges. Implications: Patient-centered interventions for older adults with COPD must account for their prioritized functional and supplemental oxygen needs and explore diverse constituent perspectives to facilitate intervention enrichment. (© 2024 The American Geriatrics Society.) |
| References: | Front Public Health. 2019 Jun 18;7:158. (PMID: 31275915) BMC Rheumatol. 2019 Sep 05;3:36. (PMID: 31517249) Psychol Aging. 1999 Dec;14(4):700-2. (PMID: 10632156) J Pain Symptom Manage. 2023 Apr;65(4):335-347.e3. (PMID: 36496113) Aust Crit Care. 2024 Jan;37(1):158-165. (PMID: 37880060) J Hosp Med. 2012 May-Jun;7(5):416-20. (PMID: 22190453) Int J Chron Obstruct Pulmon Dis. 2018 Sep 04;13:2731-2738. (PMID: 30233163) J Palliat Med. 2014 Sep;17(9):995-1004. (PMID: 25072240) Implement Sci. 2019 Feb 1;14(1):11. (PMID: 30709368) J Rural Health. 2016 Sep;32(4):418-428. (PMID: 27509291) Ann Am Thorac Soc. 2018 Dec;15(12):1369-1381. (PMID: 30499721) JAMA. 2009 Aug 19;302(7):741-9. (PMID: 19690306) Ann Am Thorac Soc. 2023 Dec;20(12):1709-1717. (PMID: 37463307) Int J Qual Methods. 2023 Jan-Dec;22:. (PMID: 38463016) Am J Respir Crit Care Med. 2019 Feb 1;199(3):e5-e23. (PMID: 30707039) Lancet. 2017 Sep 2;390(10098):988-1002. (PMID: 28872031) Am J Med. 2020 Jul;133(7):817-824.e1. (PMID: 31883772) J Clin Oncol. 2015 May 1;33(13):1446-52. (PMID: 25800762) Am J Respir Crit Care Med. 2017 Feb 1;195(3):287-291. (PMID: 27626508) Disabil Rehabil. 2014;36(5):424-9. (PMID: 23701114) Am J Surg. 2023 Apr;225(4):660-666. (PMID: 37455798) PLoS One. 2018 Feb 22;13(2):e0193143. (PMID: 29470502) Palliat Support Care. 2009 Mar;7(1):75-86. (PMID: 19619377) COPD. 2021 Apr;18(2):133-146. (PMID: 33779454) J Am Soc Hypertens. 2017 Sep;11(9):573-580. (PMID: 28734798) J Am Geriatr Soc. 2022 Oct;70(10):2775-2785. (PMID: 36053842) Arch Intern Med. 2007 Mar 26;167(6):551-61. (PMID: 17389286) Cardiovasc Drugs Ther. 2017 Jun;31(3):303-309. (PMID: 28710589) Patient. 2016 Jun;9(3):271-9. (PMID: 26521057) JAMA Netw Open. 2020 Apr 1;3(4):e202583. (PMID: 32282044) J Palliat Med. 2020 Apr;23(4):513-526. (PMID: 31657654) Sarcoidosis Vasc Diffuse Lung Dis. 2023 Mar 28;40(1):e2023003. (PMID: 36975060) COPD. 2018 Oct;15(5):439-445. (PMID: 30822240) J Am Geriatr Soc. 2024 Apr;72(4):1004-1010. (PMID: 38495008) Ann Am Thorac Soc. 2018 Jan;15(1):24-32. (PMID: 29048941) J Palliat Med. 2004 Apr;7(2):363-72. (PMID: 15130218) Clin Psychol Sci. 2014 Jan 1;2(1):22-34. (PMID: 25821658) J Grad Med Educ. 2021 Oct;13(5):607-611. (PMID: 34721785) Am J Respir Crit Care Med. 2021 Mar 15;203(6):769-772. (PMID: 33211972) JAMA Intern Med. 2020 Jun 1;180(6):815-816. (PMID: 32338726) Qual Health Res. 2016 Nov;26(13):1753-1760. (PMID: 26613970) Qual Health Res. 2019 Jan;29(2):279-289. (PMID: 30175660) Am J Respir Crit Care Med. 2022 Sep 15;206(6):e44-e69. (PMID: 36112774) Ann Am Thorac Soc. 2019 Aug;16(8):1024-1033. (PMID: 31039003) Eur Respir J. 2023 Aug 17;62(2):. (PMID: 37290789) Lancet. 2020 Oct 17;396(10258):1204-1222. (PMID: 33069326) Contemp Clin Trials. 2024 May;140:107487. (PMID: 38458558) |
| Grant Information: | L30 HL134025 United States HL NHLBI NIH HHS; K76 AG064327 United States AG NIA NIH HHS; T32 HL007185 United States HL NHLBI NIH HHS; K76AG064327 United States AG NIA NIH HHS; John A. Hartford Foundation; T32 AG000212 United States AG NIA NIH HHS; American Federation for Aging Research; P30 AG044281 United States AG NIA NIH HHS |
| Contributed Indexing: | Keywords: COPD; caregiver; geriatrics; intervention development; intervention mapping; nominal group technique; palliative care; rapid qualitative analysis |
| Entry Date(s): | Date Created: 20240831 Date Completed: 20241108 Latest Revision: 20251102 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC11560595 |
| DOI: | 10.1111/jgs.19158 |
| PMID: | 39215557 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1532-5415 |
|---|---|
| DOI: | 10.1111/jgs.19158 |