RT Journal Article
SR Electronic
T1 Using population insight studies to define effective prevention and identification interventions in COPD
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP p3762
VO 38
IS Suppl 55
A1 Matt Kearney
A1 Julia Crighton
A1 Kevin Holton
A1 Anne Moger
A1 Robert Winter
A1 Sue Hill
YR 2011
UL http://erj.ersjournals.com/content/38/Suppl_55/p3762.abstract
AB Background: In England over 3 million people are living with COPD. Only 835,000 are diagnosed usually at the more severe end of the disease spectrum. The national COPD programme highlighted the need for strategies both to prevent and identify COPD earlier in order to fundamentally change the disease burden and improve outcomes for people.Objectives: To establish optimum approaches to promote positive lung health behaviour and symptom recognition by individuals and populations at risk of COPD.Methods: An extensive literature review was undertaken together with stakeholder interviews to identify reasons for limited popular awareness of COPD and understand the impact of behaviour change interventions. Focus groups and interviews with informants in priority population segments were used to derive and test insights into effective approaches.Results: Behaviour change interventions in COPD are more effective if targeted on priority population segments. Collaboration with charities and commercial organisations can help to identify and engage people at risk. Behaviour change interventions should be tailored to the individual and the population segment. Measurement of lung age may increase likelihood of stopping smoking. For those who are healthy but at risk, messages should be positively framed around lung health. For those with symptoms, negative message framing around lung disease may be more effective in changing behavior.Conclusions: Interventions tailored to the individual and population segment are more likely to be effective in changing behaviour. The results of this segmentation and insight work have informed the approach in England to the prevention and early identification of COPD.