Tanja W Effing 1 , Jan H Vercoulen 2 , Jean Bourbeau 3 , Jaap Trappenburg 4 , Anke Lenferink 5 , Paul Cafarella 6 , David Coultas 7 , Paula Meek 8 , Paul van der Valk 5 , Erik W M A Bischoff 9 , Christine Bucknall 10 , Naresh A Dewan 11 , Frances Early 12 , Vincent Fan 13 , Peter Frith 6 , Daisy J A Janssen 14 , Katy Mitchell 15 , Mike Morgan 16 , Linda Nici 17 , Irem Patel 18 , Haydn Walters 19 , Kathryn L Rice 20 , Sally Singh 15 , Richard Zuwallack 21 , Roberto Benzo 22 , Roger Goldstein 23 , Martyn R Partridge 24 , Job van der Palen 25
There is an urgent need for consensus on what defines a chronic obstructive pulmonary disease (COPD) self-management intervention. We aimed to obtain consensus regarding the conceptual definition of a COPD self-management intervention by engaging an international panel of COPD self-management experts using Delphi technique features and an additional group meeting.In each consensus round the experts were asked to provide feedback on the proposed definition and to score their level of agreement (1=totally disagree; 5=totally agree). The information provided was used to modify the definition for the next consensus round. Thematic analysis was used for free text responses and descriptive statistics were used for agreement scores.In total, 28 experts participated. The consensus round response rate varied randomly over the five rounds (ranging from 48% (n=13) to 85% (n=23)), and mean definition agreement scores increased from 3.8 (round 1) to 4.8 (round 5) with an increasing percentage of experts allocating the highest score of 5 (round 1: 14% (n=3); round 5: 83% (n=19)).In this study we reached consensus regarding a conceptual definition of what should be a COPD self-management intervention, clarifying the requisites for such an intervention. Operationalisation of this conceptual definition in the near future will be an essential next step.