Programme(s) to which this project applies:
Quality of life (QOL) impairment is a serious problem in chronic obstructive pulmonary disease (COPD) patients. COPD patients face limitations on their lifestyle and social interaction and pose a considerable burden on the patient, family, and society owing to a progressive decline in health status and high healthcare utilisation. Self-management is a protracted process and one's engagement has been proposed to mediate self-efficacy of self-management. However, patient adherence to COPD self-management (medication and non-drug therapy) is suboptimal.
To examine the effectiveness of smartphone-based self-management support program (3S-C) on improving quality of life and related outcomes;
To assess program acceptability, intervention credibility, satisfaction with care, health care resource utilisation,
To identify patients' facilitators and barriers of self-management, and
To explore the mechanisms of the impacts of 3S-C on improving quality of life.
A 2-group randomised controlled trial on COPD patients with process and outcome evaluation will be conducted at 4-month and 12-month follow-ups. The mixed-effects model analysis will be conducted to examine the effectiveness of 3S-C with subjective and objective measurements by intention-to-treat analysis and sensitivity analysis. Program acceptability and feasibility, intervention adherence and credibility, and health utilisation will be assessed. The facilitators and barriers of exercise adherence and the possible mechanisms of the impacts of 3S-C on quality of life and related outcomes will be analysed.
The 3S-C can improve patient's quality of life, increase self-care self-efficacy, and reduce the health service burden from COPD.
Dr YKA Lai, School of NursingDr Agnes Lai is an Assistant Professor at the School of Nursing of the University of Hong Kong. Dr Lai received her BN, DN, and PhD from The University of Hong Kong and MSc (Epidemiology and Biostatistics) from the Chinese University of Hong Kong. She is a registered nurse in HK and the USA, a fellow of the Hong Kong Academy of Nursing, a registered polysomnographic technologist, a cancer exercise specialist, and a certified zentangle trainer. She also is a council member of the Hong Kong Respiratory Nursing Association and a committee member of the CNE/CPD Education Committee at the Hong Kong Thoracic Society. Her research interest areas are two-fold, including clinical and preventive medicine. She has broad experience in conducting trials on various chronic diseases (sleep apnea, lung cancer, diabetes, cardiovascular diseases, and insomnia), self-management education programs, mental health and quality of life. She also conducted various capacity-building train-the-trainer workshops for teachers, social workers, and lay health promoters, empowering them to implement a series of large-scale community-based projects to integrate physical activity and healthy eating habits into daily life. She has conducted various epidemiology studies to update lung function and grip strength reference values for adults and large-scale health promotion activities in Hong Kong. Dr Lai also received various funding from major funding bodies and international and local awards and scholarships. Her achievement is recognized by the Excellence Research Award from Food and Health Bureau, HKSAR, Hong Kong.
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