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The Impact of Care Delivered Through the Self-Management Promotion Model on Health Literacy Levels in Patients With Chronic Obstructive Pulmonary Disease: Quasi-Experimental Research

Source: PubMed Central Open Access, NCBI / U.S. National Library of Medicine

HLRP: Health Literacy Research and PracticeLast synced 6/9/2026Status: syncedPMID: 42258612 pmidDOI: 10.3928/24748307-20260310-02

Background: Chronic obstructive pulmonary disease (COPD) is one of the leading causes of death worldwide. Many patients with COPD lack the necessary skills to manage their condition independently, often due to insufficient health literacy. This deficiency leads to frequent re-hospitalizations and decreased quality of life. Implementing interventions to address these factors is essential, with the self-management promotion model being a particularly effective approach for chronic patients. Therefore, this study was designed to examine the impact of implementing care based on the self-management promotion model on health literacy levels among patients with COPD attending Shahrekord teaching hospitals in 2024. Objective: The aim of this study was to examine the impact of implementing care based on the self-management promotion model on health literacy levels among patients with chronic obstructive pulmonary disease attending Shahrekord teaching hospitals in 2024. Methods: This semiexperimental study involved 70 patients with COPD at educational hospital afield to Shahrekord University of Medical Sciences. Participants were selected gradually based on study criteria, and random assignment divided them into control and intervention groups, with 35 individuals in each group. In addition to routine care, the intervention group received a self-management enhancement program consisting of eight in-person and virtual sessions. Patients completed demographic questionnaires and health li

Abstract

Background: Chronic obstructive pulmonary disease (COPD) is one of the leading causes of death worldwide. Many patients with COPD lack the necessary skills to manage their condition independently, often due to insufficient health literacy. This deficiency leads to frequent re-hospitalizations and decreased quality of life. Implementing interventions to address these factors is essential, with the self-management promotion model being a particularly effective approach for chronic patients. Therefore, this study was designed to examine the impact of implementing care based on the self-management promotion model on health literacy levels among patients with COPD attending Shahrekord teaching hospitals in 2024. Objective: The aim of this study was to examine the impact of implementing care based on the self-management promotion model on health literacy levels among patients with chronic obstructive pulmonary disease attending Shahrekord teaching hospitals in 2024. Methods: This semiexperimental study involved 70 patients with COPD at educational hospital afield to Shahrekord University of Medical Sciences. Participants were selected gradually based on study criteria, and random assignment divided them into control and intervention groups, with 35 individuals in each group. In addition to routine care, the intervention group received a self-management enhancement program consisting of eight in-person and virtual sessions. Patients completed demographic questionnaires and health literacy assessments at the study's commencement, immediately postintervention, and 2 months later. Data analysis was conducted using SPSS 21 software. Key Results: The average age of participants was 57.19 ± 11.2 years. Three months' postintervention, a significant improvement in health literacy scores was noted in the intervention group (= .001), while no significant change was observed in the control group (= .183). Conclusion: The findings of this study demonstrate the effectiveness of the self-management promotion model intervention in enhancing health literacy among patients with COPD. Consequently, implementing this model is recommended as a valuable component of chronic patient empowerment programs. Additionally, the inclusion of patients' families was identified as a positive factor contributing to improved health literacy and self-care in this patient population.

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