eCite Digital Repository

Definition of a COPD self-management intervention: International Expert Group consensus


Effing, TW and Vercoulen, JH and Bourbeau, J and Trappenburg, J and Lenferink, A and Cafarella, P and Coultas, D and Meek, P and van der Valk, P and Bischoff, EW and Bucknall, C and Dewan, NA and Early, F and Fan, V and Frith, P and Janssen, DJ and Mitchell, K and Morgan, M and Nici, L and Patel, I and Walters, H and Rice, KL and Singh, S and Zuwallack, R and Benzo, R and Goldstein, R and Partridge, MR and van der Palen, J, Definition of a COPD self-management intervention: International Expert Group consensus, European Respiratory Journal, 48, (1) pp. 46-54. ISSN 0903-1936 (2016) [Refereed Article]

Copyright Statement

Copyright 2016 ERS

DOI: doi:10.1183/13993003.00025-2016


There is an urgent need for consensus on what defines a chronic obstructive pulmonary disease (COPD) self-management intervention. We aimed to obtain consensus regarding the conceptual definition of a COPD self-management intervention by engaging an international panel of COPD self-management experts using Delphi technique features and an additional group meeting.

In each consensus round the experts were asked to provide feedback on the proposed definition and to score their level of agreement (1=totally disagree; 5=totally agree). The information provided was used to modify the definition for the next consensus round. Thematic analysis was used for free text responses and descriptive statistics were used for agreement scores.

In total, 28 experts participated. The consensus round response rate varied randomly over the five rounds (ranging from 48% (n = 13) to 85% (n = 23)), and mean definition agreement scores increased from 3.8 (round 1) to 4.8 (round 5) with an increasing percentage of experts allocating the highest score of 5 (round 1: 14% (n = 3); round 5: 83% (n = 19)).

In this study we reached consensus regarding a conceptual definition of what should be a COPD self-management intervention, clarifying the requisites for such an intervention. Operationalisation of this conceptual definition in the near future will be an essential next step.

Item Details

Item Type:Refereed Article
Research Division:Biomedical and Clinical Sciences
Research Group:Clinical sciences
Research Field:Clinical sciences not elsewhere classified
Objective Division:Health
Objective Group:Clinical health
Objective Field:Clinical health not elsewhere classified
UTAS Author:Walters, H (Professor Haydn Walters)
ID Code:112855
Year Published:2016
Funding Support:National Health and Medical Research Council (1001062)
Web of Science® Times Cited:108
Deposited By:Medicine
Deposited On:2016-12-01
Last Modified:2022-08-25

Repository Staff Only: item control page