Maria-Christina Kosteli 1 , Nicola R Heneghan 1 , Carolyn Roskell 1 , Sarah E Williams 1 , Peymane Adab 2 , Andrew P Dickens 2 , Alexandra Enocson 2 , David A Fitzmaurice 2 , Kate Jolly 2 , Rachel Jordan 2 , Sheila Greenfield 2 , Jennifer Cumming 1
28 March 2017
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.
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.
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.