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The development of a novel Wellness Assessment Instrument and its use in the assessment of wellness status in patients with chronic obstructive pulmonary disease

Ansari, K. A.; Keaney, N.; Farooqi, F.

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Authors

N. Keaney

F. Farooqi



Abstract

Aims:
Chronic obstructive pulmonary disease (COPD) is a chronic respiratory disorder that affects health outcomes on multiple levels including overall wellbeing. More specifically, factors such as spiritual wellbeing, and psychological, mental and motivational status which may be at least as important as others, have been rarely studied. This article reports the method of validating a new wellness assessment questionnaire and the status of several wellness domains in patients with COPD.

Methods:
The study consisted of two phases: first, the development of a new Wellness Questionnaire with the help of focus groups; second, the validation and use of the questionnaire in a cohort of patients with COPD. For focus groups, healthy people ⩾45 years of age with no known comorbidity as well as people with a clinical diagnosis of COPD were invited to participate in the study.

Results:
Thematic analysis of findings from focus groups and original cohort respondents highlighted some factors that appear to influence wellness status. Five domains were explored as potential markers of wellness in patients with COPD. Quantitative analysis with Spearman correlation demonstrated a significant correlation between Physical/Personal Wellness and other markers of COPD progression such as Global Initiative Obstructive Lung Disease (GOLD; 0.006), force expiratory volume in 1 s (FEV1%; 0.01), health-related quality of life (0.009), multidimensional BOD score and quartile (0.003 and 0.02).

Conclusion:
The findings suggest that a combination of personal, physical, emotional, mental and other psychological factors is responsible for negative COPD outcomes. While there is a need to validate this new wellness questionnaire in further research, it incorporates new markers of wellness that could benefit management of COPD.

Journal Article Type Review
Acceptance Date Oct 1, 2020
Online Publication Date Nov 4, 2020
Publication Date Jan 1, 2022
Deposit Date Feb 25, 2022
Publicly Available Date Feb 28, 2022
Journal Perspectives in Public Health
Print ISSN 1757-9139
Electronic ISSN 1757-9147
Publisher SAGE Publications
Peer Reviewed Peer Reviewed
Volume 142
Issue 1
Pages 32-41
DOI https://doi.org/10.1177/1757913920960787
Keywords Public Health, Environmental and Occupational Health
Public URL https://uwe-repository.worktribe.com/output/9066492

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