Background: Despite the advancements in chronic obstructive pulmonary disease (COPD) treatment, complications related to COPD exacerbation remain challenging. One associated factor is substance use/misuse among adults with COPD. Fewer studies, however, examined the prevalence and association between COPD and substance use and misuse. In addition, limited knowledge existed about the moderation effects of serious psychological distress and gender among adults with COPD and substance use/misuse. We aimed, therefore, to measure such prevalence, association, and moderation from nationally representative samples in the United States. Method: Data were drawn from the 2015–2019 National Survey on Drug Use and Health. Weighted logistic regressions were used to measure the associations of last-month tobacco (cigarettes, cigars, pipe, and smokeless tobacco products), other licit and illicit substance use (alcohol, marijuana, cocaine, crack, heroin, hallucinogens, and inhalants), and substance misuse (pain relievers, tranquilizers, stimulants, and sedatives) among adults with COPD. Serious psychological distress and gender were tested as moderators in the association between COPD and substance use/misuse. Results: The findings revealed that adults with COPD [_Weighted N = 53,115,718) revealed greater odds of cigarettes [adjusted odds ratio (aOR) = 2.48 (95%CI = 1.80–3.42)) and smokeless tobacco (aOR = 3.65 (95%CI = 1.75–7.65)). However, they were less likely to use alcohol (aOR = 0.61 (95%CI = 0.45–0.84)). Adults with COPD who had serious psychological distress were more likely to use pipe tobacco and alcohol; however, they were less likely to use hallucinogens and inhalants. Finally, males compared to females with COPD were less likely to use smokeless tobacco. Conclusion: Adults with COPD in the United States were more likely to use tobacco products and less likely to use alcohol. In addition, serious psychological distress and gender were moderators in associations between COPD and substance use but not in substance misuse. Future studies should longitudinally assess the factors that may contribute to the initiation and progression of substance use and misuse among adults with COPD.

Introduction: One of the commonest unmet needs reported from patients with interstitial lung disease (ILD) is education, with little published data available. Methods: An education program (EP) was developed by health care providers, patients and academics, along principles outlined by Holland et a (Patient Educ Couns,2019). Deployment was within a regional tailored pulmonary rehabilitation program (PRP). Sessions were provided to patients and carers in an interactive, informal community setting, within the Marie Curie Hospice. The EP focused on: diseases and management, anxiety and depression control, benefits of the PRP, nutrition, respiratory muscle training, palliative care, exacerbation prevention, maintenance of exercise following rehabilitation, cough and dyspnoea control, and oxygen therapy. The EP was successfully implemented in 28 patients (24 IPF, 4 other ILD) The PRP was reviewed and attended by a patient support group. At the end of the program, feedback was provided. Results: Feedback was positive. Patients liked the friendly, non-hospital environment and the small group setting. Summary and Conclusion: The EP was appreciated and liked by patients and carers. Objective assessment of our program led to a national award for excellence, increasing the profile of the mixed disciplinary team and PRP in patients with ILD. EP can be successfully deployed within real world PRP for people with ILD.