What are the patient reported facilitators and barriers to physical activity following pulmonary rehabilitation in chronic obstructive pulmonary disease (COPD)? A systematic review of qualitative research

Robinson, Hayley, Williams, Veronika, Bridle, Christopher and Jones, Arwel (2017) What are the patient reported facilitators and barriers to physical activity following pulmonary rehabilitation in chronic obstructive pulmonary disease (COPD)? A systematic review of qualitative research. In: Psychology Presence in the Midlands 2017, 13 Sept 2017, Derby.

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29150 BPS East Midlands Branch Conference 2017 - abstracts booklet.pdf - Abstract

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Item Type:Conference or Workshop contribution (Presentation)
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Abstract

Objectives/purpose:
This study aimed to determine and understand COPD patients’
perceived facilitators and barriers to physical activity after completion of
pulmonary rehabilitation. Pulmonary rehabilitation, a multidisciplinary
treatment for COPD incorporating exercise trail.
Design:
A systematic review of qualitative research.
Methods:
Electronic databases of published, (MEDLINE, Embase, Web of Science,
CINAHL, ASSIA, PsycINFO and SPORTDiscus), non-published data and
conference proceedings (DART Europe E theses, EThOS, Open Grey,
The New York Academy of Medicine, ProQuest Dissertations and
theses), and trial registers (ClinicalTrials.gov and Current Controlled
Trials) were searched to identify qualitative studies (interviews, focus
groups) including COPD patients following pulmonary rehabilitation.
Qualitative data relevant to the research question were synthesised
using an inductive, thematic approach.
Results:
14 studies (n= 12 published articles, n= 2 theses) including 167 COPD
patients (male = 92, female = 75) met the inclusion criteria. Analytical
themes were beliefs, motivation and social support, which encapsulated
the facilitators and barriers to physical activity following pulmonary
rehabilitation. Facilitators included positive intentions, support from
health care professionals (HCPs), positive feedback regarding health,
access and opportunities to attend physical activity maintenance groups,
peer and family interaction. Barriers included negative beliefs, lack of
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support from HCPs and peers, as well as practical issues surrounding
travel and home responsibilities following pulmonary rehabilitation.
Conclusions:
Our findings reflect the complexity of physical activity behaviour and
provide implications regarding the importance of continued social support
and feedback in the maintenance of physical activity. These factors
should be considered in the development of future interventions that
target physical activity following pulmonary rehabilitation in patients with
COPD.

Keywords:healthcare, systematic review, Exercise
Subjects:C Biological Sciences > C800 Psychology
Divisions:College of Social Science > School of Health & Social Care
Related URLs:
ID Code:29150
Deposited On:16 Oct 2017 14:47

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