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

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@article{368e751e415d4f04acd673245a3a9ec2,
title = "Barriers and enablers of physical activity engagement for patients with COPD in primary care",
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.",
keywords = "COPD, social cognitive theory, Self Efficacy, Barriers, Enablers, Primary care",
author = "Maria-Christina Kosteli and Nicola Heneghan and Carolyn Roskell and Sarah Williams and Peymane Adab and Andrew Dickens and Alexandra Enocson and David Fitzmaurice and Catherine Jolly and Rachel Jordan and Sheila Greenfield and Jennifer Cumming",
year = "2017",
month = mar,
day = "28",
doi = "10.2147/COPD.S119806",
language = "English",
volume = "12",
pages = "1019--1031",
journal = "International journal of chronic obstructive pulmonary disease",
issn = "1176-9106",
publisher = "Dove Medical Press",

}

RIS

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

VL - 12

SP - 1019

EP - 1031

JO - International journal of chronic obstructive pulmonary disease

JF - International journal of chronic obstructive pulmonary disease

SN - 1176-9106

ER -