Supporting patients self-managing respiratory health: a qualitative study on the impact of the Breathe Easy voluntary group network

Ferhana Hashem, Rowena Merritt, Ferhana Hashem, Rowena Merritt

Abstract

Self-management strategies are designed to improve lung and respiratory health through structured self-management plans with regular practitioner reviews. Strategies have not, however, focused upon how patient support groups and advocacy networks can help with the management of these conditions; therefore, it is unknown what impact they may have on patient self-management. A qualitative study was designed to help understand what impact the British Lung Foundation's Breathe Easy (BE) groups have on patients managing their lung and respiratory conditions. A semistructured telephone interview schedule was developed to study the network. Topics covered included: perceptions about the BE groups; current referrals systems and integration pathways; benefits of attending the BE groups; and integration of the BE groups into the respiratory pathway. Key themes explored included: shared patient experience and peer support; patient self-management and self-education; attendance of healthcare professionals; and the impact of integrating BE groups into the respiratory pathway. BE networks were shown to support self-care initiatives for people attending the groups, and members expressed a social and educational benefit. BE networks were working with the local National Health Service to become an integral part of the respiratory pathway, yet there was evidence of resistance from the health service in incorporating the networks.

Conflict of interest statement

Conflict of interest: None declared.

Figures

FIGURE 1
FIGURE 1
A summary diagram of the impact of the British Lung Foundation’s (BLF) Breathe Easy (BE) voluntary group network. HCPs: healthcare professionals; GPs: general practitioners; NHS: National Health Service.

References

    1. Kruis AL, Smidt N, Assendelft WJ, et al. . Integrated disease management interventions for patients with chronic obstructive pulmonary disease. Cochrane Database Syst Rev 2013; CD009437.
    1. British Lung Foundation Lung disease in the UK – big picture statistics. Date last accessed: October 17, 2017.
    1. Reeves D, Blickem C, Vassilev I, et al. . The contribution of social networks to the health and self-management of patients with long-term conditions: a longitudinal study. PLoS One 2014; 9: e98340.
    1. Sadler E, Wolfe CDA, McKevitt C. Lay and health care professional understandings of self-management: a systematic review and narrative synthesis. SAGE Open Med 2014; 2: 2050312114544493.
    1. Gibson PG, Powell H, Wilson A, et al. . Self-management education and regular practitioner review for adults with asthma. Cochrane Database Syst Rev 2002; CD001117.
    1. Powell H, Gibson PG. Options for self-management education for adults with asthma. Cochrane Database Syst Rev 2002; CD004107.
    1. Walters JA, Turnock AC, Walters EH, et al. . Action plans with limited patient education only for exacerbations of chronic obstructive pulmonary disease. Cochrane Database Syst Rev 2010; CD005074.
    1. Zwerink M, Brusse-Keizer M, van der Valk PD, et al. . Self management for patients with chronic obstructive pulmonary disease. Cochrane Database Syst Rev 2014; CD002990.
    1. Merritt R, Pellat-Higgins T, Nizalova O, et al. . Evaluation of the benefits of the British Lung Foundation's Integrated Breathe Easy voluntary group network: findings from the outcome, impact and economic evaluation. Date last accessed: October 17, 2017. Date last updated: 2016.
    1. Moreira T. Understanding the role of patient organizations in health technology assessment. Health Expect 2015; 18: 3349–3357.
    1. Foster G, Taylor SJ, Eldridge S, et al. . Self-management education programmes by lay leaders for people with chronic conditions. Cochrane Database Syst Rev 2007; CD005108.
    1. Gatheral TL, Rushton A, Evans DJ, et al. . Personalised asthma action plans for adults with asthma. Cochrane Database Syst Rev 2017; CD011859.
    1. Toelle B, Ram FS. Written individualised management plans for asthma in children and adults. Cochrane Database Syst Rev 2011; CD002171.
    1. Roy A, Schultz TJ, Carson KV, et al. . Asthma self management education with either regular healthcare professional review or written action plans or both in adults. Cochrane Database Syst Rev 2011; CD009479.
    1. Howcroft M, Walters EH, Wood-Baker R, et al. . Action plans with brief patient education for exacerbations in chronic obstructive pulmonary disease. Cochrane Database Syst Rev 2016; CD005074.
    1. Patel I. Integrated respiratory care: what forms may it take and what are the benefits to patients? Breathe 2010; 6: 253–259.
    1. BTS Integrated Care Working Party Working definition of Integrated Care. Date last updated: January 2015.
    1. NHS Improvement Managing COPD as a Long Term Condition: Emerging Learning from the National Improvement Projects. Date last accessed: October 20, 2017.
    1. Guest G, Bunce A, Johnson L. How many interviews are enough? An experiment with data saturation and variability. Field Methods 2006; 18: 59–82.
    1. Ritchie J, Lewis J, McNaughton Nicholls C, et al. . Qualitative Research Practice: A Guide for Social Science Students and Researchers. London, NatCen, 2014.
    1. Pope C, Mays N, eds. Qualitative Research in Health Care. Oxford, Blackwell Publishing Ltd, 2006.
    1. Dye JF, Schatz IM, Sout N, et al. . The qualitative report constant comparison method: a kaleidoscope of data recommended APA citation constant comparison method: a kaleidoscope of data. Qual Rep 2000; 4: 1–10.
    1. Baxter P, Jack S. Qualitative case study methodology: study design and implementation for novice researchers. Qual Rep 2008; 13: 544–559.
    1. Bazeley P. Qualitative Data Analysis: Practical Strategies. London, SAGE Publications, 2013.
    1. Golafshani N. Understanding reliability and validity in qualitative research. Qual Rep 2003; 8: 597–606.
    1. Rogers A, Vassilev I, Sanders C, et al. . Social networks, work and network-based resources for the management of long-term conditions: a framework and study protocol for developing self-care support. Implement Sci 2011; 6: 56.
    1. Blickem C, Kennedy A, Jariwala P, et al. . Aligning everyday life priorities with people's self-management support networks: an exploration of the work and implementation of a needs-led telephone support system. BMC Health Serv Res 2014; 14: 262.
    1. Mossabir R, Morris R, Kennedy A, et al. . A scoping review to understand the effectiveness of linking schemes from healthcare providers to community resources to improve the health and well-being of people with long-term conditions. Health Soc Care Community 2015; 23: 467–484.
    1. Von Korff M, Gruman J, Schaefer J, et al. . Collaborative management of chronic illness. Ann Intern Med 1997; 127: 1097–1102.
    1. Bodenheimer T, Lorig K, Holman H, et al. . Patient self-management of chronic disease in primary care. JAMA 2002; 288: 2469–2475.
    1. Lyngsø AM, Godtfredsen NS, Frølich A. Interorganisational integration: healthcare professionals? Perspectives on barriers and facilitators within the Danish healthcare system. Int J Integr Care 2016; 16: 4.

Source: PubMed

3
Prenumerera