Publications by authors named "E H Noortje Koolen"

Background: Self-management is key for reducing the burden of disease in chronical illness. However, applying self-management presupposes behavioral change. Sufficient knowledge, skills, confidence and motivation to make the needed behavior changes are important prerequisites.

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Background: Physical capacity (PC; "can do") and physical activity (PA; "do do") are prognostic indicators in COPD and can be used to subdivide patients with COPD into four exclusive subgroups (the so-called "can do, do do" quadrants). This concept may be useful to understand better the impact of PC and PA on all-cause mortality in patients with COPD.

Research Question: What is the 6-year all-cause mortality risk of the "can do, do do" quadrants of patients with COPD?

Study Design And Methods: This retrospective study used data from patients with COPD who underwent a comprehensive assessment at their first-ever outpatient consultation.

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Background.: Occupational therapy (OT) may be an important intervention in patients with COPD, but studies show conflicting results.

Purpose.

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Article Synopsis
  • The study examined the prevalence of nine treatable traits (TTs) in COPD patients at their first visit to a pulmonologist, focusing on how these traits appear together and their impact on health status.
  • Data from 402 patients were analyzed, with nine specific TTs identified; these include factors like smoking, fatigue, and depression.
  • Results showed an average of 3.9 TTs per patient, with significant correlations found between the number of TTs and poorer health outcomes, particularly regarding fatigue and dyspnoea.*
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Rationale: Integrated care models have the potential to improve outcomes for patients with COPD. We therefore designed the COPDnet integrated care model and implemented it in two hospitals and affiliated primary care regions in the Netherlands. The COPDnet model consists of a comprehensive diagnostic trajectory ran in secondary care followed by a non-pharmacological intervention program of both monodisciplinary and multidisciplinary components.

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