A systematic review of behaviour change techniques in pharmacist-delivered self-management interventions towards patients with chronic obstructive pulmonary disease

• Published in: Research in social and administrative pharmacy Vol. 19; no. 8; pp. 1131 - 1145
• Main Authors: Jamil, Nurdiana, Zainal, Zainol Akbar, Alias, Siti Hazlina, Chong, Li Yin, Hashim, Rosnani
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-08-2023
• Subjects: Behavior Therapy - methods; Behaviour change techniques; Chronic obstructive pulmonary disease; Humans; Learning; Patient education; Pharmacists; Pulmonary Disease, Chronic Obstructive - therapy; Self-Management; Self-management; Behaviour change techniques; Patient education; Chronic obstructive pulmonary disease; BCTT
• ISSN: 1551-7411; 1934-8150
• DOI: 10.1016/j.sapharm.2023.05.006

Self-management interventions often employ behaviour change techniques in order to produce desired target behaviours that are necessary for day-to-day living with a chronic disease. Despite the large number of self-management interventions for patients with chronic obstructive pulmonary disease (COPD), previously reported interventions have been typically delivered by healthcare providers other than the pharmacist.
This systematic review examined the components of pharmacists-delivered COPD self-management interventions according to an established taxonomy of behaviour change techniques (BCTs).
A systematic search was conducted on PubMed, ScienceDirect, OVID, and Google Scholar from January 2011 to December 2021 for studies of pharmacist-delivered self-management interventions in COPD patients.
A total of seventeen studies of intervention were eligible for inclusion in the narrative review. Interventions were educational and were delivered individually and face-to-face for the first session. Across studies, pharmacists spent an average of 35 min on the first meeting and had an average of 6 follow-up sessions. Recurrent BCTs in pharmacist interventions were “Information on the health consequence”, “Feedback on behaviour”, “Instruction on how to perform a behaviour”, “Demonstration of the behaviour” and “Behavioural practice/rehearsal”.
Pharmacists have provided interventions towards improving health behaviours, especially on adherence and usage of inhaler devices for patients with COPD. Future self-management interventions should be designed using the identified BCTs for the improvement of COPD self-management and disease outcomes.