Self-management model based on information–motivation–behavioral skills model in patients with chronic obstructive pulmonary disease

Kyeung Eun Lim; Sung Reul Kim; Hye Young Kim; So Ri Kim; Yong Chul Lee

doi:10.1111/jan.15371

Self-management model based on information–motivation–behavioral skills model in patients with chronic obstructive pulmonary disease

Kyeung Eun Lim, Sung Reul Kim, Hye Young Kim, So Ri Kim, Yong Chul Lee

Research output: Contribution to journal › Article › peer-review

5 Citations (Scopus)

Abstract

Aim: To develop and test a predictive model of self-management based on the theory of the information–motivation–behavioural skills model and previous literature on self-management for patients with chronic obstructive pulmonary disease (COPD). Design: A descriptive, correlational, cross-sectional design was used. Methods: A convenience sample recruited 248 patients with COPD from the pulmonary medicine clinic in South Korea between July 2020 and June 2021. We used self-administrated, structured questionnaires for dyspnoea, health status, knowledge, attitude, social support, self-efficacy and self-management. Data were analysed using path analysis to test a self-management model for patients with COPD. Results: Gender, COPD self-management knowledge, social support and COPD self-efficacy had a direct effect on COPD self-management. Dyspnoea, Global Initiative for Chronic Obstructive Lung Disease stage, health status, COPD self-management attitude and social support had an indirect effect on self-management in patients with COPD. These variables explained 43.2% of the total variance for self-management in patients with COPD. Conclusions: When assessing self-management of COPD; demographic and clinical factors, knowledge, attitudes, social support and self-efficacy included in the information–motivation–behavioural skills model should be considered together.

Original language	English
Pages (from-to)	4092-4103
Number of pages	12
Journal	Journal of Advanced Nursing
Volume	78
Issue number	12
DOIs	https://doi.org/10.1111/jan.15371
Publication status	Published - 2022 Dec

Bibliographical note

Funding Information:
The standardized direct, indirect and total effects of the independent variables on COPD self‐management behaviour and SMC values are presented in Table 3 and Figure 2 . Gender (women) was directly associated with COPD self‐management; thus, H was supported. Dyspnoea was not directly associated with COPD self‐management and indirectly influenced COPD self‐management through COPD self‐efficacy; thus, H was partially supported. The GOLD stage was not directly associated with COPD self‐management and indirectly influenced COPD self‐management through COPD self‐efficacy; thus, H was partially supported. Health status was not directly associated with COPD self‐management and indirectly influenced COPD self‐management through COPD self‐efficacy; thus, H was partially supported. COPD self‐management knowledge was directly associated with COPD self‐management and did not indirectly influence COPD self‐management through COPD self‐efficacy; thus, H was partially supported. COPD self‐management attitude was not directly associated with COPD self‐management and indirectly influenced COPD self‐management through COPD self‐efficacy; thus, H was partially supported. Social support was directly associated with COPD self‐management and indirectly influenced COPD self‐management through COPD self‐efficacy; thus, H was supported. COPD self‐efficacy was directly associated with COPD self‐management; thus, H was supported. 1 2 3 4 5 6 7 8

Publisher Copyright:
© 2022 John Wiley & Sons Ltd.

Keywords

attitude
chronic obstructive pulmonary disease
dyspnoea
knowledge
motivation
nursing
path analysis
self-efficacy
self-management
social support

ASJC Scopus subject areas

General Nursing

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10.1111/jan.15371

Cite this

@article{7f3826667768461da2242855b49cac37,

title = "Self-management model based on information–motivation–behavioral skills model in patients with chronic obstructive pulmonary disease",

abstract = "Aim: To develop and test a predictive model of self-management based on the theory of the information–motivation–behavioural skills model and previous literature on self-management for patients with chronic obstructive pulmonary disease (COPD). Design: A descriptive, correlational, cross-sectional design was used. Methods: A convenience sample recruited 248 patients with COPD from the pulmonary medicine clinic in South Korea between July 2020 and June 2021. We used self-administrated, structured questionnaires for dyspnoea, health status, knowledge, attitude, social support, self-efficacy and self-management. Data were analysed using path analysis to test a self-management model for patients with COPD. Results: Gender, COPD self-management knowledge, social support and COPD self-efficacy had a direct effect on COPD self-management. Dyspnoea, Global Initiative for Chronic Obstructive Lung Disease stage, health status, COPD self-management attitude and social support had an indirect effect on self-management in patients with COPD. These variables explained 43.2% of the total variance for self-management in patients with COPD. Conclusions: When assessing self-management of COPD; demographic and clinical factors, knowledge, attitudes, social support and self-efficacy included in the information–motivation–behavioural skills model should be considered together.",

keywords = "attitude, chronic obstructive pulmonary disease, dyspnoea, knowledge, motivation, nursing, path analysis, self-efficacy, self-management, social support",

author = "Lim, {Kyeung Eun} and Kim, {Sung Reul} and Kim, {Hye Young} and Kim, {So Ri} and Lee, {Yong Chul}",

note = "Funding Information: The standardized direct, indirect and total effects of the independent variables on COPD self‐management behaviour and SMC values are presented in Table 3 and Figure 2 . Gender (women) was directly associated with COPD self‐management; thus, H was supported. Dyspnoea was not directly associated with COPD self‐management and indirectly influenced COPD self‐management through COPD self‐efficacy; thus, H was partially supported. The GOLD stage was not directly associated with COPD self‐management and indirectly influenced COPD self‐management through COPD self‐efficacy; thus, H was partially supported. Health status was not directly associated with COPD self‐management and indirectly influenced COPD self‐management through COPD self‐efficacy; thus, H was partially supported. COPD self‐management knowledge was directly associated with COPD self‐management and did not indirectly influence COPD self‐management through COPD self‐efficacy; thus, H was partially supported. COPD self‐management attitude was not directly associated with COPD self‐management and indirectly influenced COPD self‐management through COPD self‐efficacy; thus, H was partially supported. Social support was directly associated with COPD self‐management and indirectly influenced COPD self‐management through COPD self‐efficacy; thus, H was supported. COPD self‐efficacy was directly associated with COPD self‐management; thus, H was supported. 1 2 3 4 5 6 7 8 Publisher Copyright: {\textcopyright} 2022 John Wiley & Sons Ltd.",

year = "2022",

month = dec,

doi = "10.1111/jan.15371",

language = "English",

volume = "78",

pages = "4092--4103",

journal = "Journal of Advanced Nursing",

issn = "0309-2402",

publisher = "Wiley-Blackwell",

number = "12",

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T1 - Self-management model based on information–motivation–behavioral skills model in patients with chronic obstructive pulmonary disease

AU - Lim, Kyeung Eun

AU - Kim, Sung Reul

AU - Kim, Hye Young

AU - Kim, So Ri

AU - Lee, Yong Chul

N1 - Funding Information: The standardized direct, indirect and total effects of the independent variables on COPD self‐management behaviour and SMC values are presented in Table 3 and Figure 2 . Gender (women) was directly associated with COPD self‐management; thus, H was supported. Dyspnoea was not directly associated with COPD self‐management and indirectly influenced COPD self‐management through COPD self‐efficacy; thus, H was partially supported. The GOLD stage was not directly associated with COPD self‐management and indirectly influenced COPD self‐management through COPD self‐efficacy; thus, H was partially supported. Health status was not directly associated with COPD self‐management and indirectly influenced COPD self‐management through COPD self‐efficacy; thus, H was partially supported. COPD self‐management knowledge was directly associated with COPD self‐management and did not indirectly influence COPD self‐management through COPD self‐efficacy; thus, H was partially supported. COPD self‐management attitude was not directly associated with COPD self‐management and indirectly influenced COPD self‐management through COPD self‐efficacy; thus, H was partially supported. Social support was directly associated with COPD self‐management and indirectly influenced COPD self‐management through COPD self‐efficacy; thus, H was supported. COPD self‐efficacy was directly associated with COPD self‐management; thus, H was supported. 1 2 3 4 5 6 7 8 Publisher Copyright: © 2022 John Wiley & Sons Ltd.

PY - 2022/12

Y1 - 2022/12

N2 - Aim: To develop and test a predictive model of self-management based on the theory of the information–motivation–behavioural skills model and previous literature on self-management for patients with chronic obstructive pulmonary disease (COPD). Design: A descriptive, correlational, cross-sectional design was used. Methods: A convenience sample recruited 248 patients with COPD from the pulmonary medicine clinic in South Korea between July 2020 and June 2021. We used self-administrated, structured questionnaires for dyspnoea, health status, knowledge, attitude, social support, self-efficacy and self-management. Data were analysed using path analysis to test a self-management model for patients with COPD. Results: Gender, COPD self-management knowledge, social support and COPD self-efficacy had a direct effect on COPD self-management. Dyspnoea, Global Initiative for Chronic Obstructive Lung Disease stage, health status, COPD self-management attitude and social support had an indirect effect on self-management in patients with COPD. These variables explained 43.2% of the total variance for self-management in patients with COPD. Conclusions: When assessing self-management of COPD; demographic and clinical factors, knowledge, attitudes, social support and self-efficacy included in the information–motivation–behavioural skills model should be considered together.

AB - Aim: To develop and test a predictive model of self-management based on the theory of the information–motivation–behavioural skills model and previous literature on self-management for patients with chronic obstructive pulmonary disease (COPD). Design: A descriptive, correlational, cross-sectional design was used. Methods: A convenience sample recruited 248 patients with COPD from the pulmonary medicine clinic in South Korea between July 2020 and June 2021. We used self-administrated, structured questionnaires for dyspnoea, health status, knowledge, attitude, social support, self-efficacy and self-management. Data were analysed using path analysis to test a self-management model for patients with COPD. Results: Gender, COPD self-management knowledge, social support and COPD self-efficacy had a direct effect on COPD self-management. Dyspnoea, Global Initiative for Chronic Obstructive Lung Disease stage, health status, COPD self-management attitude and social support had an indirect effect on self-management in patients with COPD. These variables explained 43.2% of the total variance for self-management in patients with COPD. Conclusions: When assessing self-management of COPD; demographic and clinical factors, knowledge, attitudes, social support and self-efficacy included in the information–motivation–behavioural skills model should be considered together.

KW - attitude

KW - chronic obstructive pulmonary disease

KW - dyspnoea

KW - knowledge

KW - motivation

KW - nursing

KW - path analysis

KW - self-efficacy

KW - self-management

KW - social support

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SP - 4092

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JO - Journal of Advanced Nursing

JF - Journal of Advanced Nursing

IS - 12

ER -

Self-management model based on information–motivation–behavioral skills model in patients with chronic obstructive pulmonary disease

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

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