Portal de Periódicos da CAPES

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

2017; Dove Medical Press; Volume: Volume 12; Linguagem: Inglês

10.2147/copd.s119806

1178-2005

Maria‐Christina Kosteli, Nicola R Heneghan, Carolyn Roskell, Sarah E. Williams, Peymané Adab, Andy Dickens, Alexandra Enocson, David Fitzmaurice, Kate Jolly, Rachel Jordan, Sheila Greenfield, Jennifer Cumming,

Health and Wellbeing Research

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