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Nyberg, Andre, DocentORCID iD iconorcid.org/0000-0003-2782-7959
Alternative names
Publications (10 of 68) Show all publications
Ekström, M., Sundh, J., Andersson, A., Angerås, O., Blomberg, A., Börjesson, M., . . . Carlhäll, C.-J. (2024). Exertional breathlessness related to medical conditions in middle-aged people: the population-based SCAPIS study of more than 25,000 men and women. Respiratory Research, 25(1), Article ID 127.
Open this publication in new window or tab >>Exertional breathlessness related to medical conditions in middle-aged people: the population-based SCAPIS study of more than 25,000 men and women
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2024 (English)In: Respiratory Research, ISSN 1465-9921, E-ISSN 1465-993X, Vol. 25, no 1, article id 127Article in journal (Refereed) Published
Abstract [en]

Background: Breathlessness is common in the population and can be related to a range of medical conditions. We aimed to evaluate the burden of breathlessness related to different medical conditions in a middle-aged population.

Methods: Cross-sectional analysis of the population-based Swedish CArdioPulmonary bioImage Study of adults aged 50–64 years. Breathlessness (modified Medical Research Council [mMRC] ≥ 2) was evaluated in relation to self-reported symptoms, stress, depression; physician-diagnosed conditions; measured body mass index (BMI), spirometry, venous haemoglobin concentration, coronary artery calcification and stenosis [computer tomography (CT) angiography], and pulmonary emphysema (high-resolution CT). For each condition, the prevalence and breathlessness population attributable fraction (PAF) were calculated, overall and by sex, smoking history, and presence/absence of self-reported cardiorespiratory disease.

Results: We included 25,948 people aged 57.5 ± [SD] 4.4; 51% women; 37% former and 12% current smokers; 43% overweight (BMI 25.0–29.9), 21% obese (BMI ≥ 30); 25% with respiratory disease, 14% depression, 9% cardiac disease, and 3% anemia. Breathlessness was present in 3.7%. Medical conditions most strongly related to the breathlessness prevalence were (PAF 95%CI): overweight and obesity (59.6–66.0%), stress (31.6–76.8%), respiratory disease (20.1–37.1%), depression (17.1–26.6%), cardiac disease (6.3–12.7%), anemia (0.8–3.3%), and peripheral arterial disease (0.3–0.8%). Stress was the main factor in women and current smokers.

Conclusion: Breathlessness mainly relates to overweight/obesity and stress and to a lesser extent to comorbidities like respiratory, depressive, and cardiac disorders among middle-aged people in a high-income setting—supporting the importance of lifestyle interventions to reduce the burden of breathlessness in the population.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2024
Keywords
Diseases, Dyspnea, Epidemiology, Obesity
National Category
Public Health, Global Health, Social Medicine and Epidemiology Respiratory Medicine and Allergy
Identifiers
urn:nbn:se:umu:diva-223242 (URN)10.1186/s12931-024-02766-6 (DOI)001186201900001 ()38493081 (PubMedID)2-s2.0-85187930690 (Scopus ID)
Funder
Swedish Heart Lung FoundationKnut and Alice Wallenberg FoundationSwedish Research Council, 2019–02081Swedish Research CouncilVinnovaUniversity of GothenburgKarolinska InstituteRegion StockholmLinköpings universitetLund UniversityUmeå UniversityUppsala University
Available from: 2024-04-18 Created: 2024-04-18 Last updated: 2024-04-18Bibliographically approved
Gloeckl, R., Pitta, F. & Nyberg, A. (2024). Optimising upper-limb exercise in patients with COPD: another step towards personalised pulmonary rehabilitation?. ERJ Open Research, 10(1), Article ID 01012-2023.
Open this publication in new window or tab >>Optimising upper-limb exercise in patients with COPD: another step towards personalised pulmonary rehabilitation?
2024 (English)In: ERJ Open Research, E-ISSN 2312-0541, Vol. 10, no 1, article id 01012-2023Article in journal, Editorial material (Other academic) Published
Place, publisher, year, edition, pages
European Respiratory Society, 2024
National Category
Physiotherapy
Identifiers
urn:nbn:se:umu:diva-221847 (URN)10.1183/23120541.01012-2023 (DOI)2-s2.0-85186181237 (Scopus ID)
Available from: 2024-03-12 Created: 2024-03-12 Last updated: 2024-03-22Bibliographically approved
Jakobsson, J., De Brandt, J., Hedlund, M., Rullander, A.-C. & Nyberg, A. (2023). Acute physiological effects of supramaximal high-intensity interval training in people with or without COPD. Paper presented at American College of Sports Medicine Annual Congress, Denver, USA, 30 May - 2 June, 2023.. Medicine & Science in Sports & Exercise, 55, 549-549
Open this publication in new window or tab >>Acute physiological effects of supramaximal high-intensity interval training in people with or without COPD
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2023 (English)In: Medicine & Science in Sports & Exercise, ISSN 0195-9131, E-ISSN 1530-0315, Vol. 55, p. 549-549Article in journal, Meeting abstract (Refereed) Published
Abstract [en]

High-intensity exercise is essential for optimal development of cardiorespiratory fitness and health. This is, however, challenging for most people with chronic obstructive pulmonary disease (COPD) due to ventilatory limitations, leading to exercise at lower intensities accompanied by suboptimal stress on the cardiovascular and muscular system.

PURPOSE: To compare the acute effects of a novel concept of short-duration supramaximal high-intensity interval training (HIIT) vs. moderate-intensity continuous training (MICT) in people with COPD and matched healthy controls (HC).

METHODS: Sixteen people with mild to severe COPD (75 ± 6 yr; 8 males; 73 ± 13 FEV1%pred; 119 ± 37 W max aerobic power [MAP]) and 14 HC (74 ± 5 yr; 8 males; 106 ± 14 FEV1%pred; 169 ± 38 W MAP) performed HIIT and MICT on a cycle ergometer in a randomized order. HIIT consisted of 10x6s sprints interspersed with 1-min recovery and was performed at two intensities: 60% of max mean power output for 6-sec (MPO6) and 80%MPO6, estimated from the Borg cycle strength test. MICT consisted of 20-min at 60% of MAP, derived from a cardiopulmonary exercise test. Cardiorespiratory parameters, blood lactate concentration, ratings of exertion/symptoms, and exercise modality preference were obtained.

RESULTS: Exercise characteristics and physiological data collected at the end of exercise are shown in Table 1. All HIIT sessions were completed, while 1 in 3 people with COPD did not complete MICT. The HIIT modality was preferred by 13/16 (COPD) and 12/14 (HC).

CONCLUSION: Short-duration supramaximal HIIT was feasible and enabled a 3.5-fold increase in exercise intensity vs. MICT in people with COPD and HC. Notably, despite the higher exercise intensities, the cardiorespiratory demand during HIIT was similar to MICT and clinically relevant reductions in symptoms were seen in favor of HIIT, in people with COPD. Also, >80% of participants preferred HIIT over MICT.

Place, publisher, year, edition, pages
Wolters Kluwer, 2023
National Category
Physiology
Research subject
Sports Medicine
Identifiers
urn:nbn:se:umu:diva-214793 (URN)10.1249/01.mss.0000984960.73546.4c (DOI)
Conference
American College of Sports Medicine Annual Congress, Denver, USA, 30 May - 2 June, 2023.
Funder
Swedish Heart Lung Foundation
Note

Supplement

Available from: 2023-09-29 Created: 2023-09-29 Last updated: 2024-03-22Bibliographically approved
Price, O. J., Paixão, C., Poddighe, D., Miranda, S., Silva, R., Silva, L., . . . Cruz, J. (2023). ERS international congress 2022: highlights from the allied respiratory professionals assembly. ERJ Open Research, 9(3), Article ID 00013-2023.
Open this publication in new window or tab >>ERS international congress 2022: highlights from the allied respiratory professionals assembly
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2023 (English)In: ERJ Open Research, E-ISSN 2312-0541, Vol. 9, no 3, article id 00013-2023Article in journal (Refereed) Published
Abstract [en]

In this article, we provide a brief overview of some of the outstanding sessions that were (co)organised by the Allied Respiratory Professionals Assembly during the 2022 European Respiratory Society International Congress, which was held in a hybrid format. Early Career Members from Assembly 9 summarised the content of the sessions, with the support of the Officers from the four Assembly groups: Respiratory Function Technologists and Scientists (Group 9.01); Physiotherapists (Group 9.02); Nurses (Group 9.03); and Psychologists and Behavioural Scientists (Group 9.04). The sessions covered the following topics: Recent advances in cardiopulmonary exercise and challenge testing; the role and new trends in physiotherapy, exercise and physical activity promotion interventions in chronic respiratory diseases; development of the international curriculum for respiratory nurses and nursing aspects in disease management; and treatment adherence, e-health interventions and post-coronavirus disease 2019 challenges. This Highlights article targets delegates who attended the Congress sessions, as well as those who were unable to attend, and provides valuable insight into the latest scientific data and emerging areas affecting the clinical practice of Allied Respiratory Professionals.

Place, publisher, year, edition, pages
European Respiratory Society (ERS), 2023
National Category
Respiratory Medicine and Allergy
Identifiers
urn:nbn:se:umu:diva-209565 (URN)10.1183/23120541.00013-2023 (DOI)000989622600003 ()2-s2.0-85160622828 (Scopus ID)
Available from: 2023-06-12 Created: 2023-06-12 Last updated: 2024-03-22Bibliographically approved
Nyberg, A., Sondell, A., Lundell, S., Marklund, S., Tistad, M. & Wadell, K. (2023). Experiences of using an electronic health tool among health care professionals involved in chronic obstructive pulmonary disease management: qualitative analysis. JMIR Human Factors, 10, Article ID e43269.
Open this publication in new window or tab >>Experiences of using an electronic health tool among health care professionals involved in chronic obstructive pulmonary disease management: qualitative analysis
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2023 (English)In: JMIR Human Factors, E-ISSN 2292-9495, Vol. 10, article id e43269Article in journal (Refereed) Published
Abstract [en]

Background: Chronic obstructive pulmonary disease (COPD) is one of the most common and deadliest chronic diseases of the 21st century. eHealth tools are seen as a promising way of supporting health care professionals in providing evidence-based COPD care, for example, by reinforcing information and interventions provided to the patients and providing easier access and support to the health care professional themselves. Still, knowledge is scarce on the experience of using eHealth tools from the perspective of the health care professional involved in COPD management.

Objective: The study explored the experiences of using an eHealth tool among health care professionals that worked with patients with COPD in their daily clinical practice.

Methods: This exploratory qualitative study is part of a process evaluation in a parallel group, controlled, pragmatic pilot trial. Semistructured interviews were performed with 10 health care professionals 3 and 12 months after getting access to an eHealth tool, the COPD Web. The COPD Web, developed using cocreation, is an interactive web-based platform that aims to help health care professionals provide health-promoting strategies. Data from the interviews were analyzed using qualitative content analysis with an inductive approach.

Results: The main results reflected health care professionals’ experiences in 3 categories: receiving competence support and adjusting practice, improving quality of care, and efforts required for implementation. These categories highlighted that using an eHealth tool such as the COPD Web was experienced to provide knowledge support for health care professionals that led to adaptation and facilitation of working procedures and person-centered care. Taken together, these changes were perceived to improve the quality of care through enhanced patient contact and encouragement of interprofessional collaboration. In addition, health care professionals expressed that patients using the COPD Web were better equipped to tackle their disease and adhered better to provided treatment, increasing their self-management ability. However, structural and external barriers bar the successful implementation of an eHealth tool in daily praxis.

Conclusions: This study is among the first to explore experiences of using an eHealth tool among health care professionals involved in COPD management. Our novel findings highlight that using an eHealth tool such as the COPD Web may improve the quality of care for patients with COPD (eg, by providing knowledge support for health care professionals and adapting and facilitating working procedures). Our results also indicate that an eHealth tool fosters collaborative interactions between patients and health care professionals, which explains why eHealth is a valuable means of encouraging well-informed and autonomous patients. However, structural and external barriers requiring time, support, and education must be addressed to ensure that an eHealth tool can be successfully implemented in daily praxis.

Place, publisher, year, edition, pages
JMIR Publications Inc., 2023
Keywords
care, chronic, clinical, COPD, eHealth, electronic, health care professionals, implementation, internet, management, primary care, pulmonary, support, tools, web based
National Category
Health Care Service and Management, Health Policy and Services and Health Economy Physiotherapy
Identifiers
urn:nbn:se:umu:diva-206748 (URN)10.2196/43269 (DOI)36995743 (PubMedID)2-s2.0-85151911915 (Scopus ID)
Available from: 2023-05-03 Created: 2023-05-03 Last updated: 2024-03-22Bibliographically approved
Nyberg, A., Lundell, S., Stenlund, T., Marklund, S. & Wadell, K. (2023). KOLwebben ökar kunskapen hos både personer med KOL och personal. Fysioterapi (1), 30-35
Open this publication in new window or tab >>KOLwebben ökar kunskapen hos både personer med KOL och personal
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2023 (Swedish)In: Fysioterapi, ISSN 1653-5804, no 1, p. 30-35Article, review/survey (Other (popular science, discussion, etc.)) Published
Abstract [sv]

I ett försök att minska gapet mellan rådande riktlinjer gällande icke-farmakologiska interventioner och den vård som erbjuds till personer med KOL har vi, tillsammans med användare, utvecklat och utvärderat KOLwebben. Användning av KOLwebben ledde till en kliniskt relevant ökad fysisk aktivitetsnivå och en ökad kunskap om egenvårdsstrategier hos personer med KOL. Hälso- och sjukvårdspersonal i regional primärvård och kommunal hemsjukvård rapporterade ökad kunskap om sjukdomen, behandlingsmetoder, arbetssätt och att verktyget är ett stöd i deras arbete. Initialt krävs dock extra resurser i form av tid och rutiner för att implementering ska ske. Ett digitalt stöd som KOLwebben kan rekommenderas till personer som är motiverade till att använda e-hälsoverktyg och som har en tillräcklig förmåga att ta till sig information om sin hälsa.

Place, publisher, year, edition, pages
Fysioterapeuterna, 2023
Keywords
COPD, e-health, chronic obstructive pulmonary disease, KOL, e-hälsa, kroniskt obstruktiv lungsjukdom
National Category
Physiotherapy
Research subject
physiotherapy
Identifiers
urn:nbn:se:umu:diva-222316 (URN)
Available from: 2024-03-13 Created: 2024-03-13 Last updated: 2024-03-22Bibliographically approved
Tanguay, S., Saey, D., Marklund, S., Nyberg, A., Gephine, S., Frykholm, E., . . . Maltais, F. (2023). Reference equations for quadriceps strength, endurance and power: a multicentre study. ERJ Open Research, 9(4), Article ID 00313-2023.
Open this publication in new window or tab >>Reference equations for quadriceps strength, endurance and power: a multicentre study
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2023 (English)In: ERJ Open Research, E-ISSN 2312-0541, Vol. 9, no 4, article id 00313-2023Article in journal (Refereed) Published
Abstract [en]

Introduction: The lack of reference values of lower-limb muscle function hinders the clinical recommendations of its measurement in patients with COPD. Therefore, this study aimed to develop reference equations to predict reference values for quadriceps strength, endurance and power and evaluate their construct validity in patients with COPD.

Methods: Quadriceps strength, endurance and power were assessed in 158 healthy individuals and 87 patients with COPD. In addition, patients with COPD performed a 6-min walk test (6MWT) and a 1-min sit-to-stand test (1STS). Multiple linear regressions were performed to develop reference equations. The proportion of patients with COPD with reduced quadriceps function was determined, and correlations between quadriceps strength, endurance and power expressed in percentage of predicted values and 6MWT and 1STS performance were used to document the construct validity of the reference equation.

Results: Except for quadriceps isometric endurance, the proposed reference equations explained 50-70% of the variance of the quadriceps properties in healthy individuals. All quadriceps properties were systematically reduced in a large proportion of patients with COPD compared to healthy individuals. Correlation coefficients between quadriceps properties expressed in percentage of predicted values and 6MWT and 1STS performance ranged between 0.28 and 0.49 (all p<0.05).

Conclusion: In healthy individuals, age, sex, height and body mass index explained 50-70% of the variance of quadriceps strength, endurance and power. When expressed in percentage of predicted values, these quadriceps properties correlated with 6MWT and 1STS performance, suggesting construct validity of the reference values in patients with COPD.

Place, publisher, year, edition, pages
European Respiratory Society, 2023
National Category
Physiotherapy
Research subject
physiotherapy
Identifiers
urn:nbn:se:umu:diva-204241 (URN)10.1183/23120541.00313-2023 (DOI)001055103800011 ()37650093 (PubMedID)2-s2.0-85171791271 (Scopus ID)
Note

Originally included in thesis in manuscript form.

Available from: 2023-01-31 Created: 2023-01-31 Last updated: 2024-03-22Bibliographically approved
Marklund, S., Sörlin, A., Stenlund, T., Wadell, K. & Nyberg, A. (2023). To act or not to act - a sense of control is important for people with chronic obstructive pulmonary disease to increase physical activity: grounded theory study. JMIR Formative Research, 7, Article ID e39969.
Open this publication in new window or tab >>To act or not to act - a sense of control is important for people with chronic obstructive pulmonary disease to increase physical activity: grounded theory study
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2023 (English)In: JMIR Formative Research, E-ISSN 2561-326X, Vol. 7, article id e39969Article in journal (Refereed) Published
Abstract [en]

Background: Among people with chronic obstructive pulmonary disease (COPD), low level of daily physical activity (PA) is the main risk factor for developing cardiovascular, metabolic, and musculoskeletal comorbidities. Increasing PA in people with COPD is complex as PA behavior itself is complex and multifaceted, including personal, physiological, and psychologicalelements as well as social and environmental factors. Although eHealth solutions such as web-based support or websites haveshown positive effects on PA in people with COPD, the results are inconclusive, and it is still unclear how eHealth solutionsmight be used to support positive changes in PA behavior in people with COPD.

Objective: This study aimed to explore the perceptions of increasing objective PA when using a web-based eHealth tool amongpeople with COPD.

Methods: This study was part of a pragmatic randomized controlled trial with in-depth interviews between the 3- and 12-month follow-ups. The methodology used was constructivist grounded theory. All sampling included participants from the randomized controlled trial intervention group, that is, participants who had access to the eHealth tool in question and agreed to be contacted for an in-depth interview. Inclusion of participants continued until data saturation was reached, resulting in an inclusion of 14 (n=8, 57% women) participants aged between 49 and 84 years and living in 8 municipalities in Middle and Northern Sweden. Two interviews were conducted face-to-face, and the remaining interviews were conducted via telephone. All interviews were recorded using a Dictaphone.

Results: The analysis resulted in 3 main categories: welcoming or not welcoming action, having or lacking resources, and lowering the threshold. The first 2 categories contain barriers and facilitators, whereas the third category contains only facilitators. The categories lead to the more latent theme Perceiving enough control to enable action, meaning that it seems that perceiving the right amount of control is essential to maintain or increase the level of PA when using an eHealth tool, among patients with COPD. However, the right amount of control seemed to depend on the individual (and context) in question.

Conclusions: The core category indicates that a need for a certain sense of control was interpreted as necessary for increasing the PA level as well as for using an eHealth tool to help increase the PA level. The eHealth tool seemed to strengthen or weaken the perception of control by either providing support or by being too demanding on the user. Perceptions varied depending onother environmental factors. The Fogg Behavior Model illustrated how motivational levels, ability levels, and functional triggers interact within our findings. Thus, this study provides further evidence for the importance of empowering the patients to boost their level of agency and their ability to improve PA levels.

Place, publisher, year, edition, pages
JMIR Publications, 2023
Keywords
physical activity, chronic obstructive pulmonary disease, COPD, eHealth, interview, eHealth tools, KOL, kroniskt obstruktiv lungsjukdom, fysisk aktivitet, eHälsa, intervju
National Category
Physiotherapy
Research subject
physiotherapy; Public health
Identifiers
urn:nbn:se:umu:diva-204180 (URN)10.2196/39969 (DOI)000998490100036 ()2-s2.0-85149129676 (Scopus ID)
Note

Originally included in thesis with title: "To Act, or Not to Act, a Sense of Control Is Important for People With Chronic Obstructive Pulmonary Disease to Increase Physical Activity: Grounded Theory Study"

Available from: 2023-01-30 Created: 2023-01-30 Last updated: 2024-03-22Bibliographically approved
Ekblom-Bak, E., Börjesson, M., Bergman, F., Bergström, G., Dahlin-Almevall, A., Drake, I., . . . Ekblom, Ö. (2022). Accelerometer derived physical activity patterns in 27.890 middle-aged adults: The SCAPIS cohort study. Scandinavian Journal of Medicine and Science in Sports, 32(5), 866-880
Open this publication in new window or tab >>Accelerometer derived physical activity patterns in 27.890 middle-aged adults: The SCAPIS cohort study
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2022 (English)In: Scandinavian Journal of Medicine and Science in Sports, ISSN 0905-7188, E-ISSN 1600-0838, Vol. 32, no 5, p. 866-880Article in journal (Refereed) Published
Abstract [en]

The present study aims to describe accelerometer-assessed physical activity (PA) patterns and fulfillment of PA recommendations in a large sample of middle-aged men and women, and to study differences between subgroups of socio-demographic, socio-economic, and lifestyle-related variables. A total of 27 890 (92.5% of total participants, 52% women, aged 50–64 years) middle-aged men and women with at least four days of valid hip-worn accelerometer data (Actigraph GT3X+, wGT3X+ and wGT3X-BT) from the Swedish CArdioPulmonary bioImage Study, SCAPIS, were included. In total, 54.5% of daily wear time was spent sedentary, 39.1% in low, 5.4% in moderate, and only 0.1% in vigorous PA. Male sex, higher education, low financial strain, born in Sweden, and sedentary/light working situation were related to higher sedentary time, but also higher levels of vigorous PA. High BMI and having multiple chronic diseases associated strongly with higher sedentary time and less time in all three PA intensities. All-year physically active commuters had an overall more active PA pattern. The proportion fulfilling current PA recommendations varied substantially (1.4% to 92.2%) depending on data handling procedures and definition used. Twenty-eight percent was defined as having an “at-risk” behavior, which included both high sedentary time and low vigorous PA. In this large population-based sample, a majority of time was spent sedentary and only a fraction in vigorous PA, with clinically important variations between subgroups. This study provides important reference material and emphasizes the importance of a comprehensive assessment of all aspects of the individual PA pattern in future research and clinical practice.

Place, publisher, year, edition, pages
John Wiley & Sons, 2022
Keywords
accelerometery, pattern, physical Activity, population-based, SCAPIS Study, sedentary
National Category
Sport and Fitness Sciences Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-192661 (URN)10.1111/sms.14131 (DOI)000752081700001 ()35080270 (PubMedID)2-s2.0-85124561197 (Scopus ID)
Funder
Swedish Heart Lung Foundation, 20180379Region Västra Götaland, ALFGBG‐720691VinnovaKnut and Alice Wallenberg FoundationRegion StockholmSwedish Research Council
Available from: 2022-02-21 Created: 2022-02-21 Last updated: 2024-03-22Bibliographically approved
Nyberg, A., Lundell, S., Pesola, U.-M., Audulv, Å. & Wadell, K. (2022). Evaluation of a Digital COPD Education Program for Healthcare Professionals in Long-Term Care: A Mixed Methods Study. The International Journal of Chronic Obstructive Pulmonary Disease, 17, 905-918
Open this publication in new window or tab >>Evaluation of a Digital COPD Education Program for Healthcare Professionals in Long-Term Care: A Mixed Methods Study
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2022 (English)In: The International Journal of Chronic Obstructive Pulmonary Disease, ISSN 1176-9106, E-ISSN 1178-2005, Vol. 17, p. 905-918Article in journal (Refereed) Published
Abstract [en]

Background: Lack of routines and competence among healthcare professionals have been reported as barriers to COPD management in long-term care. Online education could be used as a strategy to make COPD education more accessible.

Purpose: The aim of this study was to evaluate a digital COPD education program for healthcare professionals in long-term care regarding feasibility, knowledge and working procedures.

Methods: A randomized controlled feasibility trial with a convergent mixed methods design was conducted. Two municipalities in Sweden were randomized to intervention (n=20) or control (n=17). The intervention was a digital COPD education program accessible for three months. Data was collected through questionnaires on COPD-specific knowledge, conceptual knowledge, feasibility and usage of the COPD Web platform. Repeated individual interviews using a semi-structured interview guide was also performed. Quantitative and qualitative findings were merged using a mixed methods design.

Results: The digital COPD education program appears feasible based on the expressed satisfaction of the healthcare workers and their reports that it supported them in their work. Across questionnaires, objective COPD-specific knowledge increased by 14 to 16 percentage points in the intervention group compared to 0 to 6 percentage points in the control group (p=0.001). The objective increase in COPD-specific knowledge was also captured in the interviews, where a perceived increase in knowledge led to increased security and focus on COPD management. Few changes in working procedures were expressed, but participants felt that attention was raised regarding COPD and the importance of preventive healthcare services. In addition, increased knowledge of healthcare services provided by other involved professions was emphasized, leading to discussions with other professions in relation to COPD management. 

Conclusion: A digital COPD education program is feasible and can increase the COPD-specific knowledge of healthcare professionals in long-term care, leading to increased focus on COPD-related issues. More comprehensive measures, including organizational changes, might be needed to change working procedures.

Place, publisher, year, edition, pages
Dove press, 2022
Keywords
e-health, feasibility, work task, qualitative longitudinal research, questionnaire
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-194111 (URN)10.2147/copd.s353187 (DOI)000791768200005 ()35497374 (PubMedID)2-s2.0-85129780793 (Scopus ID)
Funder
Swedish Heart Lung Foundation, 20160505Konung Gustaf V:s och Drottning Victorias Frimurarestiftelse
Note

The abstract of this paper was presented at the European Respiratory Society Annual Conference 2021 as a poster presentation with interim findings. The poster’s abstract was published in “Poster Abstracts” in European Respiratory Journal 2021 58: PA758; DOI: 10.1183/13993003.congress-2021.PA758.

Available from: 2022-04-25 Created: 2022-04-25 Last updated: 2024-03-22Bibliographically approved
Projects
Measuring and improving muscle function in subjects with chronic obstructive pulmonary disease (COPD): Why is it important and how should it be done? [2016-01802_VR]; Umeå University
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-2782-7959

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