Educational Impact of Pulmonary Rehabilitation: Lung Information Needs Questionnaire

TitleEducational Impact of Pulmonary Rehabilitation: Lung Information Needs Questionnaire
Publication TypeJournal Article
Year of Publication2008
AuthorsJones, RMC, Wang, X, Harding, S, Bott, J, Hyland, M
JournalRespiratory Medicine
Volume102
Issue10
Start Page1439
Abstract

INTRODUCTION: The Lung Information Needs Questionnaire (LINQ) assesses, from the patient's perspective, their need for education. This questionnaire yields a total score and scores in six domains: disease knowledge, medicine, self-management, smoking, exercise and diet. The aim of this study was to assess the sensitivity of the LINQ to change before and after pulmonary rehabilitation (PR). METHOD:PR programmes across the UK recruited 158 patients (male=94; 59%). The participants completed the LINQ and other measures as used by the individual sites pre- and post-PR, including the Shuttle Walking Test, Chronic Respiratory Disease Questionnaire, the Hospital Anxiety and Depression Scale. RESULTS: Data were analysed on 115 patients who completed data collection pre- and post-PR. The LINQ total scores, and subscales scores across all sites improved significantly with large effect sizes, except for the smoking domain as information needs about smoking were well met prior to PR. There were similar patterns of information needs at baseline and after PR in all sites. DISCUSSION: This study shows that the LINQ is a practical tool for detecting areas where patients need education and is sensitive to change after PR. The quality of the education component of PR can be assessed using the LINQ, which could be considered as a routinely collected outcome measure in PR. The LINQ may also be a useful tool for general practitioners to assess their patients' educational needs.

Practical Implications

The Lung Information Needs Questionnaire (LINQ) is a practical tool for detecting areas where patients need education
The LINQ can detect improvement in education before and after pulmonary rehabilitation.
LINQ could be considered as a routine in Pulmonary Rehabilitation, and as a tool for GPs to assess their patients’ educational needs.

Lay Summary

Chronic obstructive pulmonary disease (COPD) is a common, worsens over time and causes loss of strength and energy. As the disease advances patients suffer with increasing symptoms, worsening health status, disabilities and a sharp decline in mental and physical wellbeing. COPD is associated with reduced physical activity. Some sufferers of COPD may be blamed for their own disease because they smoked. As the disease advances patients suffer with increasing symptoms, disabilities and a spiralling decline in mental and physical wellbeing.
Pulmonary rehabilitation (PR) is a broad program which aims to improve the quality of life of people who have breathing problems by providing physical rehabilitation as well as educating COPD sufferers about their condition. The starting point of helping COPD patients is to give them information; one of the most effective ways to deliver this is through PR.
Decline in body function and physical activity caused by COPD can be reduced or improved by doing things such as increasing physical activity and engaging in PR. Health status may be improved by drug treatment and also PR. The Lung Information Needs Questionnaire (LINQ) looks at a patient’s need for education about their condition during PR programs. The aim of this study was to assess the LINQ in regards to patient change in physical condition before and after PR. PR programmes across the South West of England recruited 158 patients. The participants completed the LINQ and other questionnaires about their COPD.
Data were analysed on 115 patients who completed the LINQ before and after PR. The LINQ scores showed that knowledge about of COPD improved significantly following PR except for patient’s information about smoking as information about smoking was already well known by the patients.
This study shows that the LINQ is a practical tool for detecting areas where patients need education and can also detect improvement in education before and after pulmonary rehabilitation. LINQ could now be considered as a routine in PR. The LINQ may be a useful tool for GPs to assess their patients’ educational needs.

KeywordsEducational questionnaire
URLhttps://www.ncbi.nlm.nih.gov/pubmed/18676136