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Implications for practice and research
Interactive teaching, based on self-regulation theory provided through on-site and telephone conversations with patients, is effective for judging the meaning of chronic obstructive pulmonary disease (COPD) symptoms and for indicating how to react timely to indications of exacerbations.
Using a self-regulation protocol in a clinical setting improves dyspnoea, symptom distress, pulmonary physical functioning and self-efficacy of COPD, and reduces unscheduled physician visits due to exacerbations.
While COPD is already a major health problem worldwide, its prevalence is on the rise. COPD causes high morbidity and mortality and represents a substantial economic and social burden throughout the world.1 …
Competing interests None.