Family-based psychosocial support and education as part of pulmonary rehabilitation in COPD: a randomized controlled trial
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10773/25099 |
Resumo: | BACKGROUND: Involving family as part of the patient's rehabilitation plan of care might enhance the management of COPD. The primary aim of this study was to investigate the impact of a family-based pulmonary rehabilitation (PR) program on patients and family members' coping strategies to manage COPD. METHODS: Family dyads (patient and family member) were randomly assigned to family-based (experimental) or conventional (control) PR. Patients from both groups underwent exercise training three times a week and psychosocial support and education once a week, during 12 weeks. Family members of the family-based PR attended the psychosocial support and education sessions together with patients. In the conventional PR, family members did not participate. Family coping and psychosocial adjustment to illness were assessed in patients and family members of both groups. Patients' exercise tolerance, functional balance, muscle strength, and health-related quality of life were also measured. All measures were collected pre/post-program. RESULTS: Forty-two dyads participated (patients: FEV1, 70.4% ±22.1% predicted). Patients (P = .048) and family members (P = .004) in the family-based PR had significantly greater improvements in family coping than the control group. Family members of the family-based PR had significantly greater changes in sexual relationships (P = .026) and in psychologic distress (P = .033) compared with the control group. Patients from both groups experienced significant improvements in exercise tolerance, functional balance, knee extensors strength, and health-related quality of life aft er intervention (P <.001). CONCLUSIONS: This research supports family-based PR programs to enhance coping and psychosocial adjustment to illness of the family system. |
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Family-based psychosocial support and education as part of pulmonary rehabilitation in COPD: a randomized controlled trialBACKGROUND: Involving family as part of the patient's rehabilitation plan of care might enhance the management of COPD. The primary aim of this study was to investigate the impact of a family-based pulmonary rehabilitation (PR) program on patients and family members' coping strategies to manage COPD. METHODS: Family dyads (patient and family member) were randomly assigned to family-based (experimental) or conventional (control) PR. Patients from both groups underwent exercise training three times a week and psychosocial support and education once a week, during 12 weeks. Family members of the family-based PR attended the psychosocial support and education sessions together with patients. In the conventional PR, family members did not participate. Family coping and psychosocial adjustment to illness were assessed in patients and family members of both groups. Patients' exercise tolerance, functional balance, muscle strength, and health-related quality of life were also measured. All measures were collected pre/post-program. RESULTS: Forty-two dyads participated (patients: FEV1, 70.4% ±22.1% predicted). Patients (P = .048) and family members (P = .004) in the family-based PR had significantly greater improvements in family coping than the control group. Family members of the family-based PR had significantly greater changes in sexual relationships (P = .026) and in psychologic distress (P = .033) compared with the control group. Patients from both groups experienced significant improvements in exercise tolerance, functional balance, knee extensors strength, and health-related quality of life aft er intervention (P <.001). CONCLUSIONS: This research supports family-based PR programs to enhance coping and psychosocial adjustment to illness of the family system.Elsevier2019-01-14T14:58:58Z2015-03-01T00:00:00Z2015-03info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10773/25099eng012-369210.1378/chest.14-1488Marques, AldaJácome, CristinaCruz, JoanaGabriel, RaquelBrooks, DinaFigueiredo, Danielainfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-02-22T11:48:44Zoai:ria.ua.pt:10773/25099Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:58:26.665673Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Family-based psychosocial support and education as part of pulmonary rehabilitation in COPD: a randomized controlled trial |
title |
Family-based psychosocial support and education as part of pulmonary rehabilitation in COPD: a randomized controlled trial |
spellingShingle |
Family-based psychosocial support and education as part of pulmonary rehabilitation in COPD: a randomized controlled trial Marques, Alda |
title_short |
Family-based psychosocial support and education as part of pulmonary rehabilitation in COPD: a randomized controlled trial |
title_full |
Family-based psychosocial support and education as part of pulmonary rehabilitation in COPD: a randomized controlled trial |
title_fullStr |
Family-based psychosocial support and education as part of pulmonary rehabilitation in COPD: a randomized controlled trial |
title_full_unstemmed |
Family-based psychosocial support and education as part of pulmonary rehabilitation in COPD: a randomized controlled trial |
title_sort |
Family-based psychosocial support and education as part of pulmonary rehabilitation in COPD: a randomized controlled trial |
author |
Marques, Alda |
author_facet |
Marques, Alda Jácome, Cristina Cruz, Joana Gabriel, Raquel Brooks, Dina Figueiredo, Daniela |
author_role |
author |
author2 |
Jácome, Cristina Cruz, Joana Gabriel, Raquel Brooks, Dina Figueiredo, Daniela |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Marques, Alda Jácome, Cristina Cruz, Joana Gabriel, Raquel Brooks, Dina Figueiredo, Daniela |
description |
BACKGROUND: Involving family as part of the patient's rehabilitation plan of care might enhance the management of COPD. The primary aim of this study was to investigate the impact of a family-based pulmonary rehabilitation (PR) program on patients and family members' coping strategies to manage COPD. METHODS: Family dyads (patient and family member) were randomly assigned to family-based (experimental) or conventional (control) PR. Patients from both groups underwent exercise training three times a week and psychosocial support and education once a week, during 12 weeks. Family members of the family-based PR attended the psychosocial support and education sessions together with patients. In the conventional PR, family members did not participate. Family coping and psychosocial adjustment to illness were assessed in patients and family members of both groups. Patients' exercise tolerance, functional balance, muscle strength, and health-related quality of life were also measured. All measures were collected pre/post-program. RESULTS: Forty-two dyads participated (patients: FEV1, 70.4% ±22.1% predicted). Patients (P = .048) and family members (P = .004) in the family-based PR had significantly greater improvements in family coping than the control group. Family members of the family-based PR had significantly greater changes in sexual relationships (P = .026) and in psychologic distress (P = .033) compared with the control group. Patients from both groups experienced significant improvements in exercise tolerance, functional balance, knee extensors strength, and health-related quality of life aft er intervention (P <.001). CONCLUSIONS: This research supports family-based PR programs to enhance coping and psychosocial adjustment to illness of the family system. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-03-01T00:00:00Z 2015-03 2019-01-14T14:58:58Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10773/25099 |
url |
http://hdl.handle.net/10773/25099 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
012-3692 10.1378/chest.14-1488 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Elsevier |
publisher.none.fl_str_mv |
Elsevier |
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reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799137638971604992 |