The Breath project (Project Number: 2022-1-PL01-KA220-HED-000089283) has been Co-funded by the European Union. Views and opinions expressed are however those of the author or authors only and do not necessarily reflect those of the European Union or the Foundation for the Development of the Education System. Neither the European Union nor the entity providing the grant can be held responsible for them.

Patient education for individuals with Interstitial Lung Disease: A scoping review

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Institution
Respiratory Medicine, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India
Institution Typology
University
Country
India
Description
The aim of this study was, using experience-based codesign (EBCD), to collaborate with people with interstitial lung disease (ILD), their carers/families and healthcare professionals, to codesign a remote PR programme ready for testing in a future study.
Disease
Interstitial lung disease
Activity level
Medium
Activity Typology
Rehabilitation section-based activities, Home-based activities
Motivation Tools
Not available

Innovation
This study on ILD educational practices is innovative in its comprehensive coverage of a wide range of topics tailored to ILD patients, including disease understanding, symptom management, psychological support, and end-of-life care. It also employs a multidisciplinary approach, involving various healthcare professionals such as nurses, pulmonologists, and physiotherapists, ensuring holistic and patient-centred care. Additionally, the use of diverse delivery methods, from face-to-face communication to web-based resources, enhances accessibility and effectiveness of patient education.


Evaluation System
Single Group Intervention Pre-Post Pilot Study:
PE Tools: Patient information brochures (web-based).
Contents: Basic education about airways, diagnosis, procedures, therapy, nutrition, complications, etc.
Outcomes: Self-efficacy, satisfaction, chILD-QOL (self-report and caregiver report).

Assessment
Educational Topics:
1. Pathophysiology of ILD: Explanation of the disease process.
2. Clinical Tests: Information about tests used for diagnosis and monitoring.
3. Managing Breathlessness/Dyspnoea: Techniques and interventions.
4. Managing Cough: Strategies to control chronic cough.
5. Managing Fatigue: Ways to combat fatigue.
6. Managing Flare-Ups: Recognising and managing exacerbations.
7. Prognosis: Understanding the course of the disease.
8. Managing Anxiety, Panic, and Depression: Psychological support and interventions.
9. Using Supplemental Oxygen: Instructions on when and how to use oxygen therapy.
10. Using Ambulatory and Nocturnal Oxygen: Guidance on portable and night-time oxygen use.
11. Regular Vaccination: Importance of vaccinations in preventing infections.
12. Managing Medications and Side Effects: Information on drug therapy and managing side effects.
13. Good Nutrition: Dietary advice for patients.
14. Managing Co-existing Medical Conditions: Addressing other health issues alongside ILD.
15. Accessing Home Care and Support: Resources for home care for patients and caretakers.
16. Smoking Cessation: Importance of quitting smoking.
17. Symptoms of Gastroesophageal Reflux Disorder: Identifying and managing GERD symptoms.
18. Adherence: Importance of following treatment plans.
19. End-of-life Care and Advanced Directives: Planning and understanding end-of-life care options.
20. Pulmonary Rehabilitation: Value and components of rehabilitation programs.
21. Importance of Exercises: Exercise routines for maintaining physical health.
22. ILD Specific Topics: Other disease-specific education.
23. Autonomy: Promoting patient independence.
References
Brighton LJ, Spain N, Gonzalez-Nieto J, et al. Remote pulmonary rehabilitation for interstitial lung disease: developing the model using experiencebased codesign. BMJ Open Respir Res 2024;11:e002061. doi:10.1136/ bmjresp-2023-002061

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Ricardo Sousa Mestre, Escola Superior de Saúde Atlântica - Portugal (PT)
Very interesting article.