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Title: Self-management interventions for people with pulmonary fibrosis: a scoping review.
Austin Authors: Lee, Joanna Y T;Tikellis, Gabriella;Dowman, Leona M ;Jones, Arwel W;Hoffman, Mariana;Mellerick, Christie R;Malaguti, Carla;Khor, Yet H ;Holland, Anne E 
Affiliation: Respiratory Research@Alfred, Central Clinical School, Monash University, Melbourne, Australia.
Respiratory and Sleep Medicine
Institute for Breathing and Sleep
Department of Physiotherapy, Alfred Health, Melbourne, Australia.
Federal University of Juiz de Fora, Juiz de Fora, Brazil.
Department of Respiratory and Sleep Medicine, Alfred Health, Melbourne, Australia.
Issue Date: 31-Dec-2023
Date: 2023
Publication information: European Respiratory Review : an Official Journal of the European Respiratory Society 2023-12-31; 32(170)
Abstract: The most effective method for encouraging self-management in individuals with pulmonary fibrosis (PF) is unclear. This review aimed to identify common self-management components, the outcome measures used and the impact of these components in PF. A scoping review was conducted according to the Joanna Briggs Institute Manual for Evidence Synthesis using Medline, Embase, PsychInfo, CINAHL and the Cochrane Central Register of Controlled Trials. Eligible studies included those with educational, behavioural or support components aimed at facilitating self-management among adults with PF and employed quantitative and/or qualitative methods. 87 studies were included. Common self-management components included education (78%), managing physical symptoms (66%) and enhancing psychosocial wellbeing (54%). Components were predominantly delivered in a pulmonary rehabilitation setting (71%). No studies tested a PF-specific self-management package. Common outcome measures were 6-min walk distance (60%), St George's Respiratory Questionnaire (37%) and the Medical Research Council Dyspnoea scale (34%). Clinically significant improvements in these outcomes were seen in ≥50% of randomised controlled trials. Qualitative data highlighted the importance of healthcare professional and peer support and increased confidence in managing PF. Self-management components are commonly incorporated into pulmonary rehabilitation programmes rather than being offered as standalone packages. Future research should focus on testing PF-specific self-management packages and employ standardised outcome assessments that include self-efficacy and health-related behaviours.
DOI: 10.1183/16000617.0092-2023
ORCID: 0000-0003-2567-6990
Journal: European Respiratory Review : an Official Journal of the European Respiratory Society
PubMed URL: 37914193
ISSN: 1600-0617
Type: Journal Article
Subjects: Pulmonary Fibrosis/diagnosis
Pulmonary Fibrosis/therapy
Pulmonary Disease, Chronic Obstructive/rehabilitation
Self Care/methods
Appears in Collections:Journal articles

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