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. 2025 Nov 11;26(1):357.
doi: 10.1186/s12875-025-03077-5.

Patient and provider perspectives of a self-management program for COPD in the context of multimorbidity: a qualitative study

Sameera Ansari  1   2   3 , Hassan Hosseinzadeh  4 , Sarah Dennis  5   6   7 , Teresa Sheng  8   9 , Mohana Kunasekaran  10 , Sadan Taher  9 , Nicholas Zwar  8   11
Affiliations

Patient and provider perspectives of a self-management program for COPD in the context of multimorbidity: a qualitative study

Sameera Ansari et al. BMC Prim Care. .

Abstract

Background: Chronic obstructive pulmonary disease (COPD) is often associated with comorbidities, which further complicates the impact of the disease. However, most self-management support for COPD do not account for patients' comorbidities. This study is the qualitative evaluation of a novel self-management program for people with COPD in the context of multimorbidity, delivered by practice nurses (PNs) in collaboration with general practitioners (GPs) in Sydney, Australia.

Methods: Semi-structured interviews were conducted with 12 patients, 10 PNs, and seven GPs. The interviews were thematically analysed using a constructivist approach, and further interpreted through the Normalisation Process Theory.

Results: Most patients accepted the program and perceived it as beneficial. Facilitators towards better activation were personalised care and the PNs' counselling approach during the program. Barriers to better health behaviour included personal challenges and comorbidities. Overall, the PNs and GPs found the program to be feasible and beneficial for participating patients. The PNs felt upskilled about COPD, and confident for delivering self-management support, following participation in the study. The main challenge faced by them were managing their existing workload alongside the education sessions.

Conclusions: The findings emphasise the need for tailored, self-management support for people with COPD and comorbidities, and upskilling of the PN's role in general practice.

Keywords: COPD; Implementation science; Multimorbidity; Patient activation; Primary care; Self-management.

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Conflict of interest statement

Declarations. Ethics approval and consent to participate: The study was approved by the Human Research Ethics Committee of UNSW Sydney (HREC14139). Written informed consent was obtained from the participants prior to each interview, and their permission was sought before commencement of the audio recordings. This research study was conducted in adherence with the Declaration of Helsinki. Consent for publication: Consent for publication was obtained from the participants at the time of providing written informed consent. Competing interests: The authors declare no competing interests.

References

    1. World Health Organization. The top 10 causes of death. 2024. https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death
    1. Australian Institute Health Welfare. Deaths in Australia. 2025. https://www.aihw.gov.au/reports/life-expectancy-deaths/deaths-in-austral...
    1. Fabbri LM, Celli BR, Agustí A, Criner GJ, Dransfield MT, Divo M, et al. COPD and multimorbidity: recognising and addressing a syndemic occurrence. Lancet Respir Med. 2023;11(11):1020–34. - PubMed
    1. Wileman V, Rowland V, Kelly M, Steed L, Sohanpal R, Pinnock H, et al. Implementing psychological interventions delivered by respiratory professionals for people with COPD. A stakeholder interview study. NPJ Prim Care Respir Med. 2023;33(1):35. - PMC - PubMed
    1. Ansari S, Hosseinzadeh H, Dennis S, Zwar N. Patients’ perspectives on the impact of a new COPD diagnosis in the face of multimorbidity: a qualitative study. NPJ Prim Care Respir Med. 2014;24(1):14036. - PMC - PubMed

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