Effect of Introducing Digital Multimedia Nursing on Improving With COPD (COPD)

Effect of Introducing Transtheory-based Digital Multimedia Nursing and Health Education Model on Improving the Self-Care of Older Adult Patients With Chronic Obstructive Pulmonary Disease

COPD is a progressive and irreversible lung disease characterized by persistent airflow limitation, dyspnea, chronic cough, and impaired daily functioning, often accompanied by comorbidities that reduce quality of life. Despite its high prevalence in Taiwan, COPD remains underdiagnosed and undertreated. This study aims to evaluate a transtheoretical model-based digital multimedia nursing education intervention for elderly patients with COPD. The intervention is designed to enhance disease knowledge, promote self-care behaviors, and improve self-management abilities, ultimately supporting better quality of life and daily functioning in this population.

Study Overview

• Status: Completed
• Conditions: COPD,Pulmonary Disease, Chronic Obstructive ,Pulmonary Disease, Chronic Obstructive
• Intervention / Treatment: Behavioral: E-book on Pulmonary Obstruction

Detailed Description

COPD is a chronic and progressive respiratory disease characterized by persistent airflow limitation and symptoms such as dyspnea, chronic cough, and sputum production. The disease significantly impairs daily functioning and quality of life, particularly among older adults. Despite its high prevalence, COPD remains underdiagnosed and inadequately managed in Taiwan.

To improve disease management, digital health education strategies may enhance patients' knowledge and self-care abilities. This study aims to evaluate the effectiveness of a transtheoretical model-based digital multimedia nursing education intervention in improving disease knowledge, self-management behaviors, and quality of life among elderly patients with COPD.

• Study Type: Interventional
• Enrollment (Actual): 51
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Taiwan
  • Taiwan
    • New Taipei City, Taiwan, Taiwan, 243
      • Taiwan

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

1. Patients diagnosed with pulmonary obstruction after evaluation by a physician.
2. Elderly people aged 60 years or above.
3. Those who are literate, have clear consciousness and can communicate in Chinese and Taiwanese.
4. Those who agree to participate in this research and sign the consent form.

Exclusion Criteria:

1. Patients with respiratory distress syndrome.
2. Those who use respirators.
3. Those who are unable to communicate due to cognitive impairment due to major mental illness or dementia.
4. Color blindness and visual impairment.
5. Those who do not have mobile phones or tablet computers at home and cannot obtain electronic equipment.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: E-book on Pulmonary Obstruction; A experimental design was adopted. Simple random sampling was performed to divide the subjects into the traditional teaching material-based intervention group and digital teaching material-based intervention group. A total of 51 patients with COPD and aged ≥60 years were recruited from the outpatient department of a hospital in northern Taiwan. The two groups respectively received health education through traditional paper teaching materials and digital multimedia teaching materials; 50-minute interventions were conducted once per week for 8 weeks, and measurements were taken before the interventio, 8 and 12 weeks after the intervention. Regarding the performance indicators, a paired t test and generalized estimating equation (GEE) were used to analyse differences in the COPD Assessment Test (CAT)、self-care efficiency scale for COPD and COPD knowledge scale.	Behavioral: E-book on Pulmonary Obstruction; The digital teaching intervention group used a computer-downloaded "E-book on Pulmonary Obstruction" for one-on-one teaching. The subjects were also taught how to use their mobile phones to download the "E-book on Pulmonary Obstruction" and how to read it, so that they could use it on their own after returning home. The intervention time for both groups was once a week for 50 minutes each time for a total of 8 weeks. The teaching content is divided into eight themes: (1) How much do you know about pulmonary obstruction? (2) Inhalation treatment for pulmonary obstruction - Introduction to inhalers? (3) Care for pulmonary obstruction - Breathing exercise techniques? (4) Activities and exercise training? (5) Self-management methods for acute pulmonary obstruction? (6) Lung rehabilitation for pulmonary obstruction? (7) Nutritional care for pulmonary obstruction? (8) Care for pulmonary obstruction - Smoking cessation?
No Intervention: The traditional teaching material-based group; The traditional teaching intervention group used the same health education content of the "E-book on Pulmonary Obstruction" printed into a paper manual for one-on-one teaching, and the same instructor provided health education guidance.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
COPD assessment test; CAT	The CAT is an 8-item questionnaire assessing the impact of COPD on health status and daily functioning. Higher scores indicate greater disease burden. This study evaluates the effectiveness of a digital multimedia nursing education intervention in improving disease knowledge, self-care, and self-management.	Baseline (Week 1), Week 8, and Week 12

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Knowledge of COPD Score	Assessed using a validated COPD knowledge questionnaire to evaluate participants' understanding of disease management and self-care principles.	Baseline (Week 1), Week 8, and Week 12
Self-Care Behavior Score	Measured using a self-care behavior scale adapted for COPD, evaluating adherence to recommended lifestyle and symptom management strategies.	Baseline (Week 1), Week 8, and Week 12

Collaborators and Investigators

• Sponsor: Fu Jen Catholic University Hospital

Publications and helpful links

General Publications

• Farmahini Farahani M, Purfarzad Z, Ghorbani M, Ghamari Zare Z, Ghorbani F. The impact of Multimedia Software Support on the Knowledge and Self-Care Behaviors of Patients with Type 2 Diabetes: a Randomized Clinical Trial. J Caring Sci. 2016 Jun 1;5(2):111-20. doi: 10.15171/jcs.2016.012. eCollection 2016.

Study record dates

Study Major Dates

• Study Start (Actual): May 11, 2020
• Primary Completion (Actual): August 11, 2021
• Study Completion (Actual): December 23, 2023

Study Registration Dates

• First Submitted: August 4, 2025
• First Submitted That Met QC Criteria: February 12, 2026
• First Posted (Actual): February 19, 2026

Study Record Updates

• Last Update Posted (Actual): February 19, 2026
• Last Update Submitted That Met QC Criteria: February 12, 2026
• Last Verified: August 1, 2025

More Information

Terms related to this study

• Keywords: COPD; self-management; elderly patients; digital multimedia
• Additional Relevant MeSH Terms: Pathologic Processes; Chronic Disease; Disease Attributes; Respiratory Tract Diseases; Lung Diseases; Lung Diseases, Obstructive; Pathological Conditions, Signs and Symptoms; Pulmonary Disease, Chronic Obstructive
• Other Study ID Numbers: FuJenCUH

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No