Just a short intro about this project and my findings : 

Chronic obstructive pulmonary disease (COPD) is a major global cause of morbidity and mortality, with a substantial burden in India. Delayed help-seeking during symptom worsening may contribute to poorer outcomes, and health literacy may influence whether patients recognise danger symptoms and seek timely care. This single-centre cross-sectional retrospective questionnaire-based study included 100 patients attending a government TB and Chest specialist centre in Telangana, Hyderabad. Chi-square tests were used to assess categorical associations, with Cramér’s V reported as effect size, and Spearman’s correlation used where ordinal relationships were explored. Danger-symptom knowledge was strongly associated with urgent-help knowledge. However, urgent-help knowledge was not significantly associated with symptom-to-help delay, and delay was not significantly associated with recovery status. These findings suggest that knowledge alone may be insufficient to explain timely help-seeking. Future work should test practical interventions, such as action planning, clinician coaching, and improved access support, in larger multi-site and cross-country studies.