TY - JOUR
T1 - Changes in problematic activities of daily living in persons with COPD during 1 year of usual care
AU - Nakken, Nienke
AU - Janssen, Daisy J. A.
AU - Wouters, Emiel F. M.
AU - van den Bogaart, Esther H. A.
AU - Muris, Jean W. M.
AU - de Vries, Geeuwke J.
AU - Bootsma, Gerben P.
AU - Gronenschild, Michiel H. M.
AU - Delbressine, Jeannet M. L.
AU - van Vliet, Monique
AU - Spruit, Martijn A.
N1 - Funding Information:
This project was financially supported by the Lung Foundation Netherlands, Leusden, The Netherlands (grant No 3.4.12.024), and a research grant from Boehringer-Ingelheim, Netherlands. The authors are grateful to Dr. Ivy Timmermans for input of the data and to the occupational therapists of Ciro for sharing their expertise with the COPM. The authors are grateful to the doctors and nurses of the following collaborating hospitals and their departments of respiratory medicine for their participation in this study: Zuyderland, Heerlen/Kerkrade/Brunssum, the Netherlands; Zuyderland, Sittard-Geleen, the Netherlands; Elkerliek Hospital, Helmond, the Netherlands; and St. Anna Hospital, Geldrop, the Netherlands.
Funding Information:
This project was financially supported by the Lung Foundation Netherlands, Leusden, The Netherlands (grant No 3.4.12.024), and a research grant from Boehringer‐Ingelheim, Netherlands.
Publisher Copyright:
© 2020 Occupational Therapy Australia
PY - 2020/10
Y1 - 2020/10
N2 - Introduction Persons with chronic obstructive pulmonary disease (COPD) are often limited in performing their activities of daily living (ADLs). However, it remains unknown whether and to what extent problematic ADLs change over time and whether exacerbation-related hospitalisations affect problematic ADLs. Therefore, we investigated self-reported problematic ADLs of persons with COPD during 1 year of usual care (i.e. without a specific experimental intervention).Methods Stable persons with moderate to very severe COPD (n = 137) were included in this longitudinal study (registered in the Dutch Trial Register [NTR 3941]). Participants were visited at home at baseline and after 1 year. Participants with an exacerbation-related hospitalisation during follow-up were visited additionally within 2 weeks after hospital discharge. During all visits, participants' personalised problematic ADLs were assessed using the Canadian Occupational Performance Measure (COPM), and perceived performance and satisfaction of important problematic ADLs were rated on a 10-point scale.Results In total, 90% of the participants reported at least one new important problematic ADL after 1 year. In the subgroup of participants with an exacerbation-related hospitalisation (n = 31), 92% of the participants reported new problematic ADLs 2 weeks after discharge and 90% reported new problematic ADLs again after 1 year. Only the satisfaction score of problematic ADLs as mentioned during baseline improved after 1-year follow-up in all participants (p = .002) and in participants without an exacerbation-related hospitalisation (n = 106; p = .014).Conclusion Problematic ADLs changed during 1 year of usual care, which underlines the need for regular assessment of problematic ADLs and referral to treatment options like monodisciplinary occupational therapy and/or a comprehensive pulmonary rehabilitation programme.
AB - Introduction Persons with chronic obstructive pulmonary disease (COPD) are often limited in performing their activities of daily living (ADLs). However, it remains unknown whether and to what extent problematic ADLs change over time and whether exacerbation-related hospitalisations affect problematic ADLs. Therefore, we investigated self-reported problematic ADLs of persons with COPD during 1 year of usual care (i.e. without a specific experimental intervention).Methods Stable persons with moderate to very severe COPD (n = 137) were included in this longitudinal study (registered in the Dutch Trial Register [NTR 3941]). Participants were visited at home at baseline and after 1 year. Participants with an exacerbation-related hospitalisation during follow-up were visited additionally within 2 weeks after hospital discharge. During all visits, participants' personalised problematic ADLs were assessed using the Canadian Occupational Performance Measure (COPM), and perceived performance and satisfaction of important problematic ADLs were rated on a 10-point scale.Results In total, 90% of the participants reported at least one new important problematic ADL after 1 year. In the subgroup of participants with an exacerbation-related hospitalisation (n = 31), 92% of the participants reported new problematic ADLs 2 weeks after discharge and 90% reported new problematic ADLs again after 1 year. Only the satisfaction score of problematic ADLs as mentioned during baseline improved after 1-year follow-up in all participants (p = .002) and in participants without an exacerbation-related hospitalisation (n = 106; p = .014).Conclusion Problematic ADLs changed during 1 year of usual care, which underlines the need for regular assessment of problematic ADLs and referral to treatment options like monodisciplinary occupational therapy and/or a comprehensive pulmonary rehabilitation programme.
KW - activities of daily living
KW - chronic obstructive pulmonary disease
KW - disease exacerbation
KW - longitudinal studies
KW - occupational therapy
KW - OBSTRUCTIVE PULMONARY-DISEASE
KW - PHYSICAL-ACTIVITY
KW - EXACERBATION
KW - DEPENDENCY
KW - PATIENT
KW - LIFE
KW - PERFORMANCE
KW - EXPERIENCE
KW - QUALITY
U2 - 10.1111/1440-1630.12664
DO - 10.1111/1440-1630.12664
M3 - Article
C2 - 32323868
SN - 0045-0766
VL - 67
SP - 447
EP - 457
JO - Australian Occupational Therapy Journal
JF - Australian Occupational Therapy Journal
IS - 5
ER -