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

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 purpos...

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Detalles Bibliográficos
Autores principales: Kosteli, Maria-Christina, Heneghan, Nicola R, Roskell, Carolyn, Williams, Sarah E, Adab, Peymane, Dickens, Andrew P, Enocson, Alexandra, Fitzmaurice, David A, Jolly, Kate, Jordan, Rachel, Greenfield, Sheila, Cumming, Jennifer
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5378459/
https://www.ncbi.nlm.nih.gov/pubmed/28405162
http://dx.doi.org/10.2147/COPD.S119806
Descripción
Sumario: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.