1. THE IMPACT OF SELF-MANAGEMENT EDUCATION ON OUTCOMES FOR PATIENTS WITH COPD Joy Gana-Inatimi (Supervisors: Prof MP Dey, Dr CJ Sutton, Mrs HC Stewart)

2. Content Background information on COPD and PR Self-Management Education My project Project Overview Preliminary findings Implications for Research Benefit(s) of Research

3. COPD and Smoking Data BODY COPY

4. TITLE BODY COPY Prevalence of Cigarette Smoking Men Women North East1723 North West2522 Yorkshire and the Humber 2425 East Midlands2019 West Midlands2119 East of England2018 London2118 South East2118 South West2122 All England2120 Distribution of COPD by Postcode

5. Prognosis COPD is currently not curable Effective management of COPD includes: 1.Smoking cessation 2.Medication management 3.Pulmonary rehabilitation (PR)

6. What is PR Individually tailored MDT programme of care: Physical training Disease education Nutritional Psychological Behavioural intervention Self-management strategies (NICE, 2010)

7. Aims of PR Reduce disability Improve quality of life Diminish health care burden Improve physical conditioning Increase independence Increase knowledge of lung condition Promote self-management (BTS, 2001 and CSP, 2003)

8. PR Evidence PR vs. conventional care Benefits of PR COPD Self-management

9. Project Overview Survey Study Retrospective Database Study Prospective Study - TBC

10. Survey Study Findings 27 PCTs provide PR in the North West 100% MDT and provided exercise and education Mainly community based 77.8% assessed self-management 25.9% used a COPD specific tool

11. Retrospective Study Findings – Baseline Characteristics (n=875) Mean age of 66 years Predominantly female (57.4%) 30% most socioeconomically deprived Non attenders were: 1.Younger 2.Still smoking 3.More socioeconomically deprived

12. Retrospective Study Findings – Clinical Outcomes

14. Weak correlation between changes in self- management knowledge and functional capacity &

15. Implications/Plans for Research Lit review of self-management strategies Design prospective study: 1.Informed by survey and database studies 2.Lit review affirmed education strategy

16. Benefits of Research Standardised data collection Quality assurance measures New block SLA Formalising Brief Interventions

17. Thank you for your time and Attention Any Questions?