University of Twente Student Theses


How could e-health be used to enhance the self-management of COPD patients?

Mackenbrock, D. (2016) How could e-health be used to enhance the self-management of COPD patients?

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Abstract:Objective: The objective of this research is to evaluate how COPD patients could be supported to develop onto a higher level of self-management by means of e-health technology. Background: Due to the high prevalence of chronic obstructive pulmonary disease (COPD) and the impairment of quality of life of COPD patients, the efficiency of healthcare and the patients’ autonomy and self-management skills gain more and more importance. Self-management interventions could be particularly useful for this target group. Method: This research is a secondary analysis of primary data. A directive content analysis has been executed. The data used, consisted of semi-structured interviews with ten Dutch COPD patients. The coding scheme has been established based on Ajzen’s Theory of Planned Behavior (1991) and Schermer’s Three Levels of Self-management (2009). The current levels of self-management of COPD patients and their attitudes, perceived subjective norm and perceived behavior control regarding self-management have been analyzed. Results: Most participants perform behavior of the first and second level of self-management. Nine out of ten participants hold negative attitudes regarding self-management. The attitude that is mentioned the most, is that the patients do not want a change in their current health care process. Regarding perceived behavior control, it can be said that one half of the participants report not having problems with using the inhalator correctly. The other half reports to have problems due to shortness of breath, cough, hastiness or forgetting the right instructions. Conclusion: The results of this analysis indicate that COPD patients perform self-management on a low level and that this might be influenced by the patients’ negative attitudes regarding self-management. Therefore, to be able to support COPD patients to develop onto a higher level of self-management, it seems to be important to address their negative attitudes in future e-health self-management interventions.
Item Type:Essay (Bachelor)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology BSc (56604)
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