Title |
Barriers and enablers of physical activity engagement for patients with COPD in primary care
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Published in |
International Journal of Chronic Obstructive Pulmonary Disease, March 2017
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DOI | 10.2147/copd.s119806 |
Pubmed ID | |
Authors |
Maria-Christina Kosteli, Nicola R Heneghan, Carolyn Roskell, Sarah E Williams, Peymane Adab, Andrew P Dickens, Alexandra Enocson, David A Fitzmaurice, Kate Jolly, Rachel Jordan, Sheila Greenfield, Jennifer Cumming |
Abstract |
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. 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. 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. 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. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 5 | 42% |
Spain | 1 | 8% |
Uruguay | 1 | 8% |
Australia | 1 | 8% |
Canada | 1 | 8% |
Unknown | 3 | 25% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 7 | 58% |
Scientists | 3 | 25% |
Practitioners (doctors, other healthcare professionals) | 2 | 17% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 236 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 42 | 18% |
Student > Master | 38 | 16% |
Student > Ph. D. Student | 24 | 10% |
Researcher | 18 | 8% |
Student > Doctoral Student | 13 | 6% |
Other | 25 | 11% |
Unknown | 76 | 32% |
Readers by discipline | Count | As % |
---|---|---|
Nursing and Health Professions | 51 | 22% |
Medicine and Dentistry | 44 | 19% |
Sports and Recreations | 19 | 8% |
Psychology | 12 | 5% |
Social Sciences | 7 | 3% |
Other | 19 | 8% |
Unknown | 84 | 36% |