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The Impact of Biofeedback on Self-Efficacy in Adults with Asthma: A Cross-Sectional Descriptive Survey

التفاصيل البيبلوغرافية
العنوان: The Impact of Biofeedback on Self-Efficacy in Adults with Asthma: A Cross-Sectional Descriptive Survey
المؤلفون: Walsh J, Moore Z, Mac Hale E, Greene G, Doyle F, Costello RW, Murray B
المصدر: Patient Preference and Adherence, Vol Volume 16, Pp 1469-1475 (2022)
بيانات النشر: Dove Medical Press, 2022.
سنة النشر: 2022
المجموعة: LCC:Medicine (General)
مصطلحات موضوعية: nursing education, patient education and self-management, Medicine (General), R5-920
الوصف: Joanne Walsh,1,2 Zena Moore,1 Elaine Mac Hale,2 Garrett Greene,2 Frank Doyle,3 Richard W Costello,2 Bridget Murray1 1School of Nursing and Midwifery, RCSI University of Medicine and Health Sciences, Dublin, Ireland; 2Clinical Research Centre, Beaumont Hospital and RCSI University of Medicine and Health Sciences, Dublin, Ireland; 3Department of Health Psychology, RCSI University of Medicine and Health Sciences, Dublin, IrelandCorrespondence: Richard W Costello, Clinical Research Centre, Beaumont Hospital and RCSI University of Medicine and Health Sciences, Dublin, Ireland, Tel +353 01-8093761, Email rcostello@rcsi.comPurpose: Educating patients to self-manage chronic diseases such as asthma is a key role for nurses. The success of this education is often limited by low patient self-efficacy. In this study, we hypothesized that the self-efficacy of patients could be enhanced if their education was based on biofeedback of their own self-management, following a nurse led educational intervention.Patients and Methods: Patients with severe and uncontrolled asthma from one centre who participated in an eight-month, nurse-led asthma education and dose adjustment Randomised Control Trial (RCT) were studied (NCT02307669). Inhaler adherence and technique of use were objectively assessed using a validated digital device. The data recorded on this device was used as the basis for the individualised biofeedback. The Asthma Self-efficacy Questionnaire was used to assess self-efficacy.Results: A total of 88 participants (44 in each group) completed the asthma self-efficacy questionnaire at the end of the study. The mean overall level of self-efficacy was high across both groups; 91 (8.7), with both biofeedback and standard care groups having similarly high levels of self-efficacy, biofeedback group: 89 (10) and standard care group 93 (6). Self-efficacy was not related to objective measures of adherence at either the start of the study, 68 (26), p=0.23, or the end of the study, 58 (32), p=0.62. It was also not related to peak expiratory flow (PEF) at the end of the study in either group (r2= 0.0245, p=0.14). Self-efficacy was related to asthma control test (ACT), 18 (5.5), p=0.0014 and quality-of-life measures; EuroQol (EQ5D3L) 6.4 (1.5) p=0.02.Conclusion: Repeated nurse-delivered education results in high levels of self-efficacy among patients with severe asthma. A high level of perceived self-efficacy should not be assumed to result in higher inhaler adherence.Keywords: nursing education, patient education and self-management
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1177-889X
79234593
Relation: https://www.dovepress.com/the-impact-of-biofeedback-on-self-efficacy-in-adults-with-asthma-a-cro-peer-reviewed-fulltext-article-PPA; https://doaj.org/toc/1177-889X
URL الوصول: https://doaj.org/article/7923459336184c44a13e3f75f99d4791
رقم الأكسشن: edsdoj.7923459336184c44a13e3f75f99d4791
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:1177889X
79234593