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

^*Corresponding author for this work

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

16 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 Publishing Ltd",

number = "12",

}

TY - JOUR

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

UR - https://www.scopus.com/pages/publications/85134366744

U2 - 10.1111/jan.15371

DO - 10.1111/jan.15371

M3 - Article

C2 - 35855533

AN - SCOPUS:85134366744

SN - 0309-2402

VL - 78

SP - 4092

EP - 4103

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

Access to Document

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