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Barriers and enablers of physical activity engagement for patients with COPD in primary care

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Kosteli, Maria-Christina, Heneghan, Nicola, Roskell, Carolyn, Williams, Sarah, Adab, Peymane, Dickens, Andrew, Enocson, Alexandra, Fitzmaurice, David A., Jolly, Kate, Jordan, Rachel, Greenfield, Sheila and Cumming, Jennifer (2017) Barriers and enablers of physical activity engagement for patients with COPD in primary care. International Journal of Chronic Obstructive Pulmonary Disease, 12 . pp. 1019-1031. doi:10.2147/COPD.S119806

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Official URL: http://dx.doi.org/10.2147/COPD.S119806

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Abstract

Background:

Given that physical activity (PA) has a positive impact on COPD symptoms and prognosis, this study examined the factors that both encourage and limit participation in PA for individuals with COPD in a primary care setting from the perspective of social cognitive theory.

Methods:

A purposive sample of 26 individuals with a range of COPD severity (age range: 50–89 years; males =15) were recruited from primary care to participate in one of four focus groups. Thematic analysis was undertaken to identify key concepts related to their self-efficacy beliefs.

Results:

Several barriers and enablers closely related to self-efficacy beliefs and symptom severity were identified. The main barriers were health related (fatigue, mobility problems, breathing issues caused by the weather), psychological (embarrassment, fear, frustration/disappointment), attitudinal (feeling in control of their condition, PA perception, older age perception), and motivational. The main enabling factors were related to motivation (autonomous or controlled), attitudes, self-regulation, and performance accomplishments.

Clinical implications:

When designing interventions for individuals with COPD, it is important to understand the patient-specific social cognitive influences on PA participation. This information can then inform individually tailored management planning.

Item Type: Journal Article
Subjects: G Geography. Anthropology. Recreation > GV Recreation Leisure
R Medicine > RA Public aspects of medicine
Divisions: Faculty of Medicine > Warwick Medical School > Health Sciences > Clinical Trials Unit
Faculty of Medicine > Warwick Medical School > Health Sciences
Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Lungs—Diseases, Obstructive -- Patients -- Exercise , Lungs—Diseases, Obstructive -- Psychological aspects
Journal or Publication Title: International Journal of Chronic Obstructive Pulmonary Disease
Publisher: Dove Medical Press
ISSN: 1178-2005
Official Date: 28 March 2017
Dates:
DateEvent
28 March 2017Available
21 November 2016Accepted
Volume: 12
Page Range: pp. 1019-1031
DOI: 10.2147/COPD.S119806
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
Grant Number RP-PG-0109-10061National Institute for Health Researchhttp://dx.doi.org/10.13039/501100000272
UNSPECIFIEDEconomic and Social Research Councilhttp://dx.doi.org/10.13039/501100000269

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