Changes in personal control as a predictor of quality of life after pulmonary rehabilitation

R Arnold*, AV Ranchor, GH Koeter, MJL de Jongste, JB Wempe, NHT ten Hacken, [No Value] Otten, R Sanderman

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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Objective: Perceptions of mastery and self-efficacy may be related to better outcomes in pulmonary rehabilitation in patients with chronic obstructive pulmonary disease (COPD). This study examined (1) whether patients with COPD improved during a rehabilitation programme with respect to quality of life (QoL) and perceptions of self-efficacy and mastery, and (2) whether increased perceptions of mastery and self-efficacy contributed to a higher QoL after rehabilitation.

Methods: Thirty-nine consecutive CCPD patients (aged 60.5 +/- 9.0) were included from a rehabilitation centre and completed self-report questionnaires assessing symptoms, QoL, and perceptions of personal control.

Results: COPID patients improved during rehabilitation in overall QoL and self-efficacy, although no significant changes were found in QoL domains and mastery. Changes in self-efficacy during rehabilitation contributed to the explanation of the social and psychological functioning QoL domains.

Conclusion: Even in seriously impaired COPD patients in advanced stages of illness, positive changes in self-efficacy and overall well-being can be established during rehabilitation. Changes in self-efficacy were related to a better QoL, suggesting the importance of personal control in the adjustment to CCPD.

Practice implications: Focussing more explicitly on the enhancement of perceptions of personal control in CCPD patients may be an important aim of pulmonary rehabilitation. (c) 2005 Elsevier Ireland Ltd. All rights reserved.

Original languageEnglish
Pages (from-to)99-108
Number of pages10
JournalPatient Education and Counseling
Issue number1
Publication statusPublished - Apr-2006


  • chronic obstructive pulmonary disease
  • quality of life
  • health status
  • personal control
  • self-efficacy
  • COPD

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