Journal
INTERNATIONAL JOURNAL OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE
Volume 12, Issue -, Pages -Publisher
DOVE MEDICAL PRESS LTD
DOI: 10.2147/COPD.S119806
Keywords
COPD; social cognitive theory; self-efficacy; barriers; enablers; primary care
Categories
Funding
- National Institute for Health Research
- Economic and Social Research Council (ESRC)
- National Institute for Health Research (NIHR) under its Programme Grants for Applied Research Programme [RP-PG-0109-10061]
- National Institutes of Health Research (NIHR) [RP-PG-0109-10061] Funding Source: National Institutes of Health Research (NIHR)
- Economic and Social Research Council [1304011] Funding Source: researchfish
- National Institute for Health Research [RP-PG-0109-10061] Funding Source: researchfish
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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.
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