Definition of a COPD self-management intervention: International expert group consensus

Tanja W. Effing, Jan H. Vercoulen, Jean Bourbeau, Jaap Trappenburg, Anke Lenferink, Paul Cafarella, David Coultas, Paula Meek, Paul Van Der Valk, Erik W M A Bischoff, Christine Bucknall, Naresh A. Dewan, Frances Early, Vincent Fan, Peter Frith, Daisy J A Janssen, Katy Mitchell, Mike Morgan, Linda Nici, Irem PatelHaydn Walters, Kathryn L. Rice, Sally Singh, Richard Zuwallack, Roberto Benzo, Roger Goldstein, Martyn R. Partridge, Job Van Der Palen

Research output: Contribution to journalArticlepeer-review

121 Scopus citations


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 selfmanagement 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.

Original languageEnglish (US)
Pages (from-to)46-54
Number of pages9
JournalEuropean Respiratory Journal
Issue number1
StatePublished - Jul 1 2016

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