TY - JOUR
T1 - Barriers and enablers of physical activity engagement for patients with COPD in primary care
AU - Kosteli, Maria-Christina
AU - Heneghan, Nicola
AU - Roskell, Carolyn
AU - Williams, Sarah
AU - Adab, Peymane
AU - Dickens, Andrew
AU - Enocson, Alexandra
AU - Fitzmaurice, David
AU - Jolly, Catherine
AU - Jordan, Rachel
AU - Greenfield, Sheila
AU - Cumming, Jennifer
PY - 2017/3/28
Y1 - 2017/3/28
N2 - 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.
AB - 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.
KW - COPD
KW - social cognitive theory
KW - Self Efficacy
KW - Barriers
KW - Enablers
KW - Primary care
UR - http://www.scopus.com/inward/record.url?scp=85016613545&partnerID=8YFLogxK
U2 - 10.2147/COPD.S119806
DO - 10.2147/COPD.S119806
M3 - Article
AN - SCOPUS:85016613545
SN - 1176-9106
VL - 12
SP - 1019
EP - 1031
JO - International journal of chronic obstructive pulmonary disease
JF - International journal of chronic obstructive pulmonary disease
ER -