Use of the Behaviour Change Wheel to develop an intervention to promote physical activity following pulmonary rehabilitation in patients with COPD

Robinson, Hayley, Hill, E, Direito, A, Peel, J, Saunders, M, Ray, Mo and Jones, Arwel (2019) Use of the Behaviour Change Wheel to develop an intervention to promote physical activity following pulmonary rehabilitation in patients with COPD. Behavioural Science and Public Health Conference Edition 2019, 3 (2). ISSN UNSPECIFIED

Full content URL: https://www.bsphn.org.uk/364/Publication

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Use of the Behaviour Change Wheel to develop an intervention to promote physical activity following pulmonary rehabilitation in patients with COPD
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Abstract

Abstract
Background: Pulmonary rehabilitation is a programme of exercise and education that has benefits on breathlessness, exercise capacity and quality of life in COPD. However, these benefits do not necessarily translate to an increase in daily physical activity and long-term behaviour change. Previous interventions to promote physical activity following pulmonary rehabilitation have had limited efficacy.

Aim: This paper reports the systematic and comprehensive development of an intervention to promote physical activity following pulmonary rehabilitation for patients with COPD, using the Behaviour Change Wheel (BCW).
Methods: The eight steps outlined in the BCW were followed to develop an intervention, facilitated by stakeholder discussions to consider and evaluate the intervention’s affordability, practicability, effectiveness and cost-effectiveness, acceptability, side-effects and safety and equity (APEASE).

Results: The final intervention targeted patients’ capability, opportunity and motivation, incorporating four intervention functions delivered via four policy categories and thirteen Behaviour Change Techniques (BCTs). The final intervention included 12-month support through provision of a pedometer and step diary, and addition of patients to a WhatsApp group populated by fellow pulmonary rehabilitation graduates and a ‘WhatsApp leader’.

Conclusion: The BCW enabled a systematic and comprehensive development of a novel, multicomponent intervention to promote physical activity following a community pulmonary rehabilitation programme in patients with COPD.

Keywords:COPD, Physical activity, Intervention development, behaviour change
Subjects:A Medicine and Dentistry > A300 Clinical Medicine
C Biological Sciences > C841 Health Psychology
Divisions:College of Social Science > Lincoln Institute of Health
College of Social Science > School of Health & Social Care
ID Code:38089
Deposited On:28 Oct 2019 11:22

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