The Effectiveness of a Lung Health Promotion Program Based on the 5A Self Management Support Model.

Primary outcomes

1. 6-minute walk distance

   Time frame: 8 weeks

   The six-minute walk test (6MWT) is an exercise test used to evaluate walking endurance and aerobic capacity. This test measures the distance the patient can walk quickly on a flat, hard surface in a 6-minute period.

   It is reported that the distance walked for six minutes varies between 400-700m in normal individuals.

   The distance the person is expected to walk during the test is calculated based on age, gender, height and body mass index. It is accepted that the distance recorded in the test provides information about the person's exercise capacity during daily living activities.

2. forced vital capacity (FVC)

   Time frame: 8 weeks

   FVC-Forced vital capacity; the total volume of air that can be exhaled during a maximal forced expiration effort.

3. forced expiratory volume in one second (FEV1)

   Time frame: 8 weeks

   FEV1-Forced expiratory volume in one second; the volume of air exhaled in the first second under force after a maximal inhalation.

4. FEV1/FVC ratio

   Time frame: 8 weeks

   FEV1/ FVC ratio-The percentage of the FVC expired in one second.

5. Physical Activity Scale for the Elderly (PASE)

   Time frame: 8 weeks

   The PASE was developed for the purpose of evaluating the components of physical activities involving leisure time, work-related activities, and the household.

   The PASE is a self-reported questionnaire that consists of 12 questions regarding the frequency and duration of leisure time activity, household activity, and work-related activity during the previous 7-day period.

   The questions are scored differently. Participation in leisure time and strengthening activities are scored as never, seldom (1 or 2 days per week), sometimes (3 or 4 days per week), and often (5-7 days per week). Duration of these activities is scored as less than 1 h, 1-2 h, 2-4 h, and more than 4 h.

   The overall PASE score ranges from 0 to 400 or more and high scores show better physical activity levels.

6. health status perception

   Time frame: 8 weeks

   To determine their perception of health status, participants are asked to evaluate their general health status over the past 15 days using a visual analog scale.

   Accordingly, the participant marks an integer score from 0 to 10 according to the following five categories: 0 = terrible, 1- 3 = poor, 4-6 = fair, 7-9 = good, and 10 = excellent.

7. sleep quality

   Time frame: 8 weeks

   The single-item sleep quality scale (SQS) is a practical measurement tool that can effectively measure sleep quality in the clinical setting.

   A visual analog scale is used to rate the individual's overall sleep quality over the past seven days.

   In this way, the participant marks an integer score from 0 to 10 according to the following five categories: 0 = terrible, 1- 3 = poor, 4-6 = fair, 7-9 = good, and 10 = excellent.

   When rating their sleep quality, participants are asked to consider the following key components of sleep quality: how many hours they slept, how easily they fell asleep, how often they woke up during the night (other than to go to the toilet), how often they woke up early in the morning, and how restful their sleep was.