Academic Journal
Self-management and COPD: a qualitative study to explore the perceived barriers and recommendations to improve COPD management using the Information-Motivation-Behavioral skills model.
| Title: | Self-management and COPD: a qualitative study to explore the perceived barriers and recommendations to improve COPD management using the Information-Motivation-Behavioral skills model. |
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| Authors: | Chen X; Nursing department, Chengdu Wenjiang District People's Hospital, Chengdu, China.; School of Nursing, Army Medical University, Chongqing, China., Wen N; Gastroenterology department, The People's Hospital of Yubei District of Chongqing, Chongqing, China., Liu J; School of Nursing, Army Medical University, Chongqing, China., He Y; School of Nursing, Army Medical University, Chongqing, China., Wei L; School of Nursing, Army Medical University, Chongqing, China., Zhang R; Cardiothoracic surgery department, Medical Center Hospital of Qionglai, Chengdu, China., Yang Y; School of Nursing, Army Medical University, Chongqing, China. yangyanni@tmmu.edu.cn. |
| Source: | NPJ primary care respiratory medicine [NPJ Prim Care Respir Med] 2025 Jul 26; Vol. 35 (1), pp. 34. Date of Electronic Publication: 2025 Jul 26. |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: Nature Publishing Group Country of Publication: England NLM ID: 101631999 Publication Model: Electronic Cited Medium: Internet ISSN: 2055-1010 (Electronic) Linking ISSN: 20551010 NLM ISO Abbreviation: NPJ Prim Care Respir Med Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: [London] : Nature Publishing Group, [2014]- |
| MeSH Terms: | Pulmonary Disease, Chronic Obstructive*/therapy , Pulmonary Disease, Chronic Obstructive*/psychology , Self-Management*/psychology , Motivation* , Health Knowledge, Attitudes, Practice* , Self Care*, Humans ; Male ; Female ; Qualitative Research ; Middle Aged ; Aged ; Interviews as Topic ; Information Motivation Behavioral Skills Model |
| Abstract: | To explore opportunities for improving care based on the experiences and perspectives of different types of COPD patients based on the Information-Motivation-Behavioral skills (IMB) model with poor self-management behaviors. We used ethnographic methods (over 1000 h of observations for 30 participants), and conducted 34 semi-structured interviews with different patient profiles. Data were transcribed verbatim and analysed using thematic analysis. According to the IMB model, we divided participants into three categories, namely low-information and low motivation group, high information but low motivation group and low-information but strong motivation group. The first group had limited opportunities to acquire knowledge and decreased memory capacity. Also, patients did not feel the seriousness of COPD, or thought that self-management was not important, which led to the lack of self-management knowledge and motivation for this group of patients. In the second group, patients were pessimistic about the cure of the disease because of too much information or too much attention to the details of knowledge, which was also the reason why patients were unwilling to implement self-management although they had mastered enough knowledge. The third patient profile, with strong motivation, would seek health information resources through various channels. Because of this, they could easily acquire incorrect or unscientific information, which would make the situation worse. This qualitative study suggested COPD patients exhibited distinct self-management experiences, barriers, and recommendations due to variations in information processing and motivational characteristics. Future research should tailor precise self-management strategies based on individual patient profiles. (© 2025. The Author(s).) |
| Competing Interests: | Competing interests: The authors declare no competing interests. Ethics approval: This study involves human participants and was approved by the Medical Ethical Committee of the Medical Center Hospital of Qionglai city approved the study (NO 202356). Participants gave informed consent to participate in the study before taking part. We confirmed that all methods were performed in accordance with the relevant guidelines and regulations, and all procedures were performed in accordance with the Declaration of Helsinki. |
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| Grant Information: | 20BRK039 National Social Science Funding Project |
| Entry Date(s): | Date Created: 20250727 Date Completed: 20250729 Latest Revision: 20250731 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC12297598 |
| DOI: | 10.1038/s41533-025-00443-9 |
| PMID: | 40715100 |
| Database: | MEDLINE |
| ISSN: | 2055-1010 |
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| DOI: | 10.1038/s41533-025-00443-9 |