Long-Term Maintenance Strategies after Pulmonary Rehabilitation: Perspectives of People with Chronic Respiratory Diseases, Informal Carers, and Healthcare Professionals
Pulmonary rehabilitation (PR) is an effective intervention for people with chronic respiratory diseases (CRD); however, its effects fade after 6–12 months. Community-based strategies might be valuable to sustain PR benefits, but this has been little explored. People with CRD, informal carers, and he...
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MDPI AG
2022-01-01
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Series: | Healthcare |
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Online Access: | https://www.mdpi.com/2227-9032/10/1/119 |
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author | Sara Souto-Miranda Cláudia Dias Cristina Jácome Elsa Melo Alda Marques |
author_facet | Sara Souto-Miranda Cláudia Dias Cristina Jácome Elsa Melo Alda Marques |
author_sort | Sara Souto-Miranda |
collection | DOAJ |
description | Pulmonary rehabilitation (PR) is an effective intervention for people with chronic respiratory diseases (CRD); however, its effects fade after 6–12 months. Community-based strategies might be valuable to sustain PR benefits, but this has been little explored. People with CRD, informal carers, and healthcare professionals (HCPs) were recruited from pulmonology appointments of two local hospitals, two primary care centres, and one community institutional practice and through snowballing technique. Focus groups were conducted using a semi-structured guide. Data were thematically analysed. Twenty-nine people with CRD (24% female, median 69 years), 5 informal carers (100% female, median 69 years), and 16 HCPs (75% female, median 36 years) were included. Three themes were identified: “Maintaining an independent and active lifestyle” which revealed common strategies adopted by people with “intrinsic motivation and professional and peer support” as key elements to maintain benefits, and that “access to information and partnerships with city councils’ physical activities” were necessary future steps to sustain active lifestyles. This study suggests that motivation, and professional and peer support are key elements to maintaining the benefits of PR in people with CRD, and that different physical activity options (independent or group activities) considering peoples’ preferences, should be available through partnerships with the community, namely city councils. |
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format | Article |
id | doaj.art-036fee7fdbac40b2ba0020d5acd7f498 |
institution | Directory Open Access Journal |
issn | 2227-9032 |
language | English |
last_indexed | 2024-03-10T01:22:31Z |
publishDate | 2022-01-01 |
publisher | MDPI AG |
record_format | Article |
series | Healthcare |
spelling | doaj.art-036fee7fdbac40b2ba0020d5acd7f4982023-11-23T13:56:02ZengMDPI AGHealthcare2227-90322022-01-0110111910.3390/healthcare10010119Long-Term Maintenance Strategies after Pulmonary Rehabilitation: Perspectives of People with Chronic Respiratory Diseases, Informal Carers, and Healthcare ProfessionalsSara Souto-Miranda0Cláudia Dias1Cristina Jácome2Elsa Melo3Alda Marques4Lab3R—Respiratory Research and Rehabilitation Laboratory, School of Health Sciences (ESSUA), University of Aveiro, 3810-193 Aveiro, PortugalHome Care Department, Linde Healthcare, 1200-217 Lisbon, PortugalCenter for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto, 4200-450 Porto, PortugaliBiMED—Institute of Biomedicine, School of Health Sciences (ESSUA), University of Aveiro, 3810-193 Aveiro, PortugalLab3R—Respiratory Research and Rehabilitation Laboratory, School of Health Sciences (ESSUA), University of Aveiro, 3810-193 Aveiro, PortugalPulmonary rehabilitation (PR) is an effective intervention for people with chronic respiratory diseases (CRD); however, its effects fade after 6–12 months. Community-based strategies might be valuable to sustain PR benefits, but this has been little explored. People with CRD, informal carers, and healthcare professionals (HCPs) were recruited from pulmonology appointments of two local hospitals, two primary care centres, and one community institutional practice and through snowballing technique. Focus groups were conducted using a semi-structured guide. Data were thematically analysed. Twenty-nine people with CRD (24% female, median 69 years), 5 informal carers (100% female, median 69 years), and 16 HCPs (75% female, median 36 years) were included. Three themes were identified: “Maintaining an independent and active lifestyle” which revealed common strategies adopted by people with “intrinsic motivation and professional and peer support” as key elements to maintain benefits, and that “access to information and partnerships with city councils’ physical activities” were necessary future steps to sustain active lifestyles. This study suggests that motivation, and professional and peer support are key elements to maintaining the benefits of PR in people with CRD, and that different physical activity options (independent or group activities) considering peoples’ preferences, should be available through partnerships with the community, namely city councils.https://www.mdpi.com/2227-9032/10/1/119chronic respiratory diseasesmaintenance strategiespulmonary rehabilitationphysical activity |
spellingShingle | Sara Souto-Miranda Cláudia Dias Cristina Jácome Elsa Melo Alda Marques Long-Term Maintenance Strategies after Pulmonary Rehabilitation: Perspectives of People with Chronic Respiratory Diseases, Informal Carers, and Healthcare Professionals Healthcare chronic respiratory diseases maintenance strategies pulmonary rehabilitation physical activity |
title | Long-Term Maintenance Strategies after Pulmonary Rehabilitation: Perspectives of People with Chronic Respiratory Diseases, Informal Carers, and Healthcare Professionals |
title_full | Long-Term Maintenance Strategies after Pulmonary Rehabilitation: Perspectives of People with Chronic Respiratory Diseases, Informal Carers, and Healthcare Professionals |
title_fullStr | Long-Term Maintenance Strategies after Pulmonary Rehabilitation: Perspectives of People with Chronic Respiratory Diseases, Informal Carers, and Healthcare Professionals |
title_full_unstemmed | Long-Term Maintenance Strategies after Pulmonary Rehabilitation: Perspectives of People with Chronic Respiratory Diseases, Informal Carers, and Healthcare Professionals |
title_short | Long-Term Maintenance Strategies after Pulmonary Rehabilitation: Perspectives of People with Chronic Respiratory Diseases, Informal Carers, and Healthcare Professionals |
title_sort | long term maintenance strategies after pulmonary rehabilitation perspectives of people with chronic respiratory diseases informal carers and healthcare professionals |
topic | chronic respiratory diseases maintenance strategies pulmonary rehabilitation physical activity |
url | https://www.mdpi.com/2227-9032/10/1/119 |
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