Iraj Poureslami|Susan Kwan|Stephen Lam|Nadia Khan|J. Mark FitzGerald
Assessing the effect of culturally specific audiovisual educational interventions on attaining self-management skills for chronic obstructive pulmonary disease in Mandarin- and Cantonese-speaking patients: a randomized controlled trial
University of British Columbia|Vancouver Coastal Health|Respiratory Clinical Trials|Burnaby Hospital|University of British Columbia|University of British Columbia|Providence Health Care|University of British Columbia|University of British Columbia|Vancouver Coastal Health|Lung Institute|Stornoway Diamond (Canada)
background patient education key component management chronic obstructive pulmonary disease copddelivering effective education ethnic groups copd challengethe objective study develop assess effectiveness culturally linguistically specific audiovisual educational materials supporting selfmanagement practices mandarinand cantonesespeaking patientsmethods educational materials developed using participatory approach patients involved development pilot test educational materials followed randomized controlled trial assigned 91 patients three intervention groups audiovisual educational interventions one control group pamphletthe patients recruited outpatient clinicsthe primary outcomes improved inhaler technique perceived selfefficacy manage copdthe secondary outcome improved patient understanding pulmonary rehabilitation proceduresresults subjects three intervention groups compared control subjects demonstrated postintervention improvements inhaler technique p0001preparedness manage copd exacerbation p001ability achieve goals managing copd p001 understanding pulmonary rehabilitation procedures p005conclusion culturally appropriate educational interventions designed specifically meet needs mandarin cantonese copd patients associated significantly better understanding selfmanagement practicesselfmanagement education led improved proper use medications ability manage copd exacerbations ability achieve goals managing copdclinical implication relatively simple culturally appropriate disease management education intervention improved inhaler techniques selfmanagement practicesfurther research needed assess effectiveness selfmanagement education behavioral change patient empowerment strategies