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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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WRAP-barriers-enablers-physical-activity-engagement-patients-COPD-primary-care-Fitzmaurice-2017.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution 4.0. Download (977Kb) | Preview |
Official URL: http://dx.doi.org/10.2147/COPD.S119806
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 | |||||||||
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| Subjects: | G Geography. Anthropology. Recreation > GV Recreation Leisure R Medicine > RA Public aspects of medicine |
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| 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 |
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| 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: |
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| Date of first compliant deposit: | 23 November 2017 | |||||||||
| 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: |
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