Self-Management in Adults With Asthma or COPD

Participants receive a six-week home-based self-management education program with standardized exercise advice delivered through animated educational videos, shared via WhatsApp and accessible on their personal smartphones. They are instructed to watch the videos and perform the recommended exercises at least three times per week for six weeks. The videos cover respiratory disease education, correct inhaler technique, breathing exercises, airway clearance techniques, lower-extremity strengthening exercises, and nutritional recommendations. Participants receive weekly telephone calls to monitor adherence, encourage continuation of the program, address questions, and confirm access to the videos.

Home-based self-management education with standardized exercise advice delivered through animated educational videos. The educational content, frequency, duration, and exercise advice are identical to those of the brochure-based intervention; only the mode of delivery differs. The program does not include individual exercise testing or supervised exercise training.

Participants receive the same six-week home-based self-management education program with standardized exercise advice delivered through a printed brochure with illustrated instructions. They are instructed to perform the recommended exercises at least three times per week for six weeks. The brochure covers the same content as the videos: respiratory disease education, correct inhaler technique, breathing exercises, airway clearance techniques, lower-extremity strengthening exercises, and nutritional recommendations. Participants receive weekly telephone calls identical to those in the video group to monitor adherence, encourage continuation of the program, and address questions.

Home-based self-management education with standardized exercise advice delivered through a printed brochure with illustrated instructions. The educational content, frequency, duration, and exercise advice are identical to those of the video animation-based intervention; only the mode of delivery differs. The program does not include individual exercise testing or supervised exercise training.

Chronic Disease Self-Management Scale (CDSMS) total score, calculated as the sum of the four subscale scores (possible range 21-105) and assessed at baseline and week 6. Replace the current description of the score as the mean of the item scores (range 1-5), and state the scoring direction of the Self-Stigmatization subscale

Description: Self-stigmatization subscale of the Turkish version of the Chronic Disease Self-Management Scale. Items are rated on a 5-point scale (1 = never to 5 = always) and summed. Higher scores indicate greater self-stigma (worse outcome)..

Coping with stigma subscale of the Turkish version of the Chronic Disease Self-Management Scale. Items are rated on a 5-point scale (1 = never to 5 = always) and summed. Higher scores indicate better ability to cope with stigma.

Healthcare effectiveness subscale of the Turkish version of the Chronic Disease Self-Management Scale. Items are rated on a 5-point scale (1 = never to 5 = always) and summed. Higher scores indicate greater healthcare effectiveness

Treatment adherence subscale of the Turkish version of the Chronic Disease Self-Management Scale. Items are rated on a 5-point scale (1 = never to 5 = always) and summed. Higher scores indicate better treatment adherence.