Table 6 Knowledge, behaviours and advice associated with having a self-management plan and report of recent exacerbation

From: Self-management behaviour and support among primary care COPD patients: cross-sectional analysis of data from the Birmingham Chronic Obstructive Pulmonary Disease Cohort

 

Self-management plan in placea

Exacerbation in the last 6 months

Attendance at training courseb

 ORc (95% CI)

2.72 (1.81, 4.12)*

1.73 (1.13, 2.65)*

Attendance at support groupd

 ORc (95% CI)

6.28 (2.96, 13.35)*

2.47 (1.13, 5.38*)*

BCKQ score

 Mean differencec (95% CI)

4.87 (3.16, 6.58)*

4.39 (2.62, 6.15)*

Offered NRT by healthcare professionale

 ORc(95% CI)

1.40 (0.83, 2.38)

0.90 (0.53, 1.55)

Adherence to medicationsf

 ORc (95% CI)

3.10 (1.43, 6.72)*

2.73 (1.31, 5.69)*

Ever advised to carry out physical activity by health professional

 ORc (95% CI)

2.44 (1.78, 3.35)*

1.08 (0.78, 1.49)

CAT score

 Mean differencec(95% CI)

−0.53 (−1.61, 0.56)

2.89 (1.75, 4.02)*

  1. *p-value < 0.05
  2. a Self-management/personal care plan ever agreed with a health professional, i.e., <12 months or >12 months ago
  3. b Ever attended a training (e.g., Expert Patients Programme) course i.e., <12 months or >12 months ago
  4. c Adjusted for age, gender, smoking status, education, MRC dyspnoea score and co-morbidities
  5. d Ever attended a support (e.g., Breathe Easy) group i.e., regularly or occasionally
  6. e Health professional offering help to give up smoking (e.g., NRT or a referral to a smoking cessation clinic) within last 12 months regardless of smoking status
  7. f Adherence: trying to take inhalers or medicines exactly as instructed by a doctor or nurse