26 / 33
Page 57
conferenceseries
.com
Volume 08
Journal of Novel Physiotherapies
Rehabilitation Medicine 2018
May 18-19, 2018
May 18-19, 2018 Osaka, Japan
7
th
World Congress on
Physical Medicine and Rehabilitation
An exploration of healthcare-related locus of control in COPD patients attending group-based
pulmonary rehabilitation
David Edwards
Manchester Metropolitan University, UK
Background & Aim:
Pulmonary rehabilitation is of proven benefit in improving function and health-related quality of life in
patients with COPD. However, long-termmaintenance is poor. Though reasons for this are not fully understood, psychological
concepts such as Health Locus of Control (HLOC) may be of interest. This exploratory study aimed to investigate whether
HLOC can be altered through pulmonary rehabilitation.
Method:
A non-randomized controlled before/after design was used. Eligible participants with a diagnosis of COPD and
attending their first pulmonary rehabilitation program were invited to participate. The intervention consisted of standard
pulmonary rehabilitation care: A six-week course comprising twice-weekly group-based exercise and education sessions.
Participants completed the multidimensional health Locus of Control Form-C (MHLC-C) and standard assessments pre-
(baseline) and post the six-week program.
Result:
96 patients were invited to participate, 46 consented and 20 completed both pre-and-post study outcomes. Significant
improvement between pre- and post-tests were found for two MHLC-C dimensions (Internal: Mean increase=5.4, p=0.012 and
Doctors: Mean increase=2.1, p=0.016).
Conclusion:
Though limited by methodological issues, the results tentatively suggest that HLOC can be significantly altered
through group-based pulmonary rehabilitation, potentially through enhanced self-management and education strategies
empowering patients. Further investigation of these findings and the relationship with long-term maintenance is warranted.
david.edwards@mmu.ac.ukJ Nov Physiother 2018, Volume 8
DOI: 10.4172/2165-7025-C2-027