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Publication type: Article in scientific journal
Type of review: Peer review (publication)
Title: The influence of pulmonary rehabilitation and counselling on perceptions of physical activity in individuals with COPD : a qualitative study
Authors: Scheermesser, Mandy
Reicherzer, Leah
Beyer, Swantje
Gisi, David
Rezek, Spencer
Hess, Thomas
Wirz, Markus
Rausch Osthoff, Anne-Kathrin
et. al: No
DOI: 10.2147/COPD.S315130
Published in: International Journal of Chronic Obstructive Pulmonary Disease
Volume(Issue): 16
Page(s): 2337
Pages to: 2350
Issue Date: 14-Aug-2021
Publisher / Ed. Institution: Dove Medical
ISSN: 1178-2005
Language: English
Subjects: Behavioral change; Physical activity promotion; COPD; Motivational interviewing; Qualitative study
Subject (DDC): 615.82: Physical therapy
616: Internal medicine and diseases
Abstract: Objective: The aim of this study was to explore to what extent a combined counselling and pulmonary rehabilitation program (PR) influences the perception of physical activity (PA) and motivation for behavioral change in PA in individuals with COPD. The results of previous quantitative trial that investigated the effect of this combined treatment on daily PA were inconclusive. It is conjectured that a more targeted tailoring of the counselling and PR intervention could improve its effectiveness. Patients and Methods: Eighteen individuals with COPD (median age 69, 8 females) who had participated in the PneumoReha program were interviewed twice (following PR and at three-month follow-up). These interviews were transcribed and analyzed thematically. Based on the codes thus identified, three categories ‘perception of PA intensity’, ‘quality of motivation to perform PA’, and ‘strategies to cope with barriers’ were used to differentiate ‘types’ of participants. Results: Four different types of COPD individuals were distinguished. Study findings indicate that those individuals who participated in the PR program combined with embedded counselling tended to be more active and intrinsically motivated. Conclusion: A typology of four types of people with COPD was developed, characterized by their perception of activity, individual motivation and strategies for managing barriers. The patients’ physical activity level might be influenced by their concept of physical activity and the quality of motivation. Recognizing patients’ different activity behaviors is important for improving the quality of outpatient PR programs and developing tailored (according to each type) counselling interventions embedded in outpatient PR programs. Clinical Trial Registration: The study was registered on the website of with the identifier NCT02455206 (27/05/2015), as well as on the Swiss National Trails Portal SNCTP000001426 (05/21/2015).
Fulltext version: Published version
License (according to publishing contract): CC BY-NC 4.0: Attribution - Non commercial 4.0 International
Departement: School of Health Sciences
Organisational Unit: Institute of Physiotherapy (IPT)
Published as part of the ZHAW project: Effect of counselling during pulmonary rehabilitation on self-determined motivation towards physical activity in patients with Chronic Obstructive Pulmonary Disease
Appears in collections:Publikationen Gesundheit

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