Effect of Information-Motivation-Physical Activity Skills Program via Line Application on Quality of Life in Patients with Chronic Obstructive Pulmonary Disease

Authors

  • Kannika Phimpa Faculty of Nursing, Mahidol University
  • Doungrut Wattanakitkrileart Faculty of Nursing, Mahidol University
  • Warunee Phligbua Faculty of Nursing, Mahidol University

Keywords:

chronic obstructive pulmonary disease, IMB model, line application, physical activity, quality of life

Abstract

This randomized controlled trial study examined the effect of the information-motivation-physical activity skills program via Line application on quality of life in patients with chronic obstructive pulmonary disease. The participants were 58 patients with chronic obstructive pulmonary disease who aged 40 years or over and received medical care at the OPD of a tertiary level hospital in Bangkok. All participants were randomly assigned to the experimental (N = 29) and control groups (N = 29). The control group received usual care, while the experimental group received both usual care and information-motivation-physical activity skills program via Line application based on the IMB model for eight weeks. Data were analyzed using paired sample t-test, and Man-Whiney U test.
The results revealed that the participants were 91.38 % male with a mean age of 68.85 (SD = 10.08) years. There was no significant difference in personal data, illness and treatment data, and the mean scores for quality of life between both groups at baseline (p > .05). After receiving the program, the experimental group had a significantly better quality of life than before receiving the program (t = 7.08, p < .001), and better than the control group (z = -4.09, p < .001). Nurses should apply this program to promote better quality of life in patients with COPD.

References

World Health Organization. Chronic obstructive pulmonary disease (COPD). Geneva: WHO; 2022.

Global Initiative for Chronic Obstructive Lung Disease. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. Fontana: GOLD; 2021.

Department of Medical Services, Central Chest Institute of Thailand, Ministry of Public Health. Chronic obstructive pulmonary disease (COPD). Nonthaburi: Central Chest Institute of Thailand; 2019. (in Thai)

Cooper CB. Airflow obstruction and exercise. Respiratory Medicine. 2009;103(3): 325-34.

Troosters T, van der Molen T, Polkey M, Rabinovich RA, Vogiatzis I, Weisman I, et al. Improving physical activity in COPD: towards a new paradigm. Respiratory Research. 2013;14(1): 115. doi:10.1186/1465-9921-14-115.

Hanania NA, O’Donnell DE. Activity-related dyspnea in chronic obstructive pulmonary disease: Physical and psychological consequences, unmet needs, and future directions. International Journal of Chronic Obstructive Pulmonary Disease. 2019;14: 1127-38.

Kong CW, Wilkinson TMA. Predicting and preventing hospital readmission for exacerbations of COPD. European Respiratory Journal Open Research. 2020;6(2): 00325-2019. doi:10.1183/23120541.00325-2019.

Lim KE, Kim SR, Kim HK, Kim SR. Symptom clusters and quality of life in subjects with COPD. Respiratory Care. 2017;62(9): 1203-11.

Jones PW, Quirk FH, Baveystock CM. The St George’s Respiratory Questionnaire. Respiratory Medicine. 1991;85: 25-37.

Havlucu Y, Yorgancıoglu A, Sakar Coskun A, Celık P. Does one year change in quality of life predict the mortality in patients with chronic obstructive pulmonary disease?-prospective cohort study. Journal of Thoracic Disease. 2019;11(8): 3626-32.

Noonil N, Petsirasan R, Aekwarangkoon S. Health-related quality of life and related factors in Thais with stable COPD. Walailak Journalof Scienceand Technology.2019;16(12): 955-64.

Xiang X, Huang L, Fang Y, Cai S, Zhang M. Physical activity and chronic obstructive pulmonary disease: a scoping review. BioMedical Central Pulmonary Medicine. 2022;22(1): 301. doi:10.1186/s12890-022-02099-4.

Østergaard EB, Sritharan SS, Kristiansen AD, Thomsen PM, Løkke A. Barriers and motivational factors towards physical activity in daily life living with COPD - an interview based pilot study. European Clinical Respiratory Journal. 2018;5(1): 1484654. doi:10.1080/20018525.2018.1484654.

World Health Organization. Global status report on physical activity 2022. Geneva: WHO; 2022.

Albarrati AM, Gale NS, Munnery MM, Cockcroft JR, Shale DJ. Daily physical activity and related risk factors in COPD. BioMedical Central Pulmonary Medicine. 2020;20(1): 60. doi: 10.1186/s12890-020-1097-y.

Sievi NA, Brack T, Brutsche MH, Frey M, Irani S, Leuppi JD, et al. Physical activity declines in COPD while exercise capacity remains stable: a longitudinal study over 5 years. Respiratory Medicine. 2018;141: 1-6.

Witheethamsak P, Duangpaeng S. Predicting factors of physical activity among patients with chronic obstructive pulmonary disease. Journal of Nursing Division. 2017;44(4): 58-79. (in Thai)

Apiratanawong S, Deenan A, Deoisres W. Effects of the individualized physical activity program on quality of life among persons with chronic obstructive pulmonary disease. Journal of Boromarajonani College of Nursing, Bangkok. 2018;34(3): 55-64.

Duongpaeng S, Kamchaikittikul P, Witheethamsak P. The effectiveness of enhancement of daily physical activity program on physical fitness, symptom status, functional status, and quality of life among the people with chronic obstructive pulmonary disease [thesis]. Chonburi: Burapha University; 2018. (in Thai)

Tadsuan T, Wattanakitkrileart D, Sriprasong S. The effectiveness of COPD management program via smartphone applications on clinical status in patients with chronic obstructive pulmonary disease. Nursing Science Journal of Thailand. 2021;39(3): 17-32.

Fisher JD, Fisher WA. Changing AIDS-risk behavior. Psychological Bulletin. 1992;111(3): 455-74.

Tippala W, Wattanakitkrileart D, Pongthavornkamol K. The effects of education, motivation, and inhaler skills program through line application on clinical control in patients with chronic obstructive pulmonary disease. Nursing Science Journal of Thailand. 2022;40(1): 112-27. (in Thai)

White R, Walker P, Roberts S, Kalisky S, White P. Bristol COPD knowledge questionnaire (BCKQ): testing what we teach patients about COPD. Chronic Respiratory Disease. 2006;3(3): 123-31.

Jones PW, Harding G, Berry P, Wiklund I, Chen WH, Kline Leidy N. Development and first validation of the COPD Assessment Test. European Respiratory Journal. 2009;34(3): 648-54.

Zhou Z, Zhou A, Zhao Y, Duan J, Chen P. A comparison of the assessment of health status between CCQ and CAT in a Chinese COPD clinical population: a cross-sectional analysis. International Journal of Chronic Obstructive Pulmonary Disease. 2018;13: 1675-82.

Polhan B, Wattanakitkrileart D, Pongthavornkamol K. The effects of education and inhaler skills program through line application on symptom control among asthmatic patient. Journal of The Royal Thai Army Nurses. 2019;20(3): 93-103. (in Thai)

To KW, Lee IF, Choi KC, Cheung YTY, Yu DS. An information-motivation-behavioural-based model and adherence to inhalation therapy and other health outcomes in patients with chronic obstructive pulmonary disease: a pilot randomized controlled trial. International Journal of Nursing Practice. 2020; 26(2): e12799. doi:10.1111/ijn.12799.

Downloads

Published

01-09-2023

How to Cite

1.
Phimpa K, Wattanakitkrileart D, Phligbua W. Effect of Information-Motivation-Physical Activity Skills Program via Line Application on Quality of Life in Patients with Chronic Obstructive Pulmonary Disease. J Royal Thai Army Nurses [Internet]. 2023 Sep. 1 [cited 2024 May 6];24(2):299-307. Available from: https://he01.tci-thaijo.org/index.php/JRTAN/article/view/259890

Issue

Section

Research Articles