The Influence of Pulmonary Rehabilitation and Counselling on Perceptions of Physical Activity in Individuals with COPD – A Qualitative Study
Mandy Scheermesser,1 Leah Reicherzer,1 Swantje Beyer,2 David Gisi,3 Spencer Rezek,3 Thomas Hess,2 Markus Wirz,1 Anne-Kathrin Rausch Osthoff1 1Zurich University of Applied Sciences (ZHAW), School of Health Professions, Institute for Physiotherapy, Winterthur, 8400, Switzerland; 2Cantonal Hospital Win...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2021-08-01
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| Series: | International Journal of COPD |
| Subjects: | |
| Online Access: | https://www.dovepress.com/the-influence-of-pulmonary-rehabilitation-and-counselling-on-perceptio-peer-reviewed-fulltext-article-COPD |
| _version_ | 1819137076673642496 |
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| author | Scheermesser M Reicherzer L Beyer S Gisi D Rezek S Hess T Wirz M Rausch Osthoff AK |
| author_facet | Scheermesser M Reicherzer L Beyer S Gisi D Rezek S Hess T Wirz M Rausch Osthoff AK |
| author_sort | Scheermesser M |
| collection | DOAJ |
| description | Mandy Scheermesser,1 Leah Reicherzer,1 Swantje Beyer,2 David Gisi,3 Spencer Rezek,3 Thomas Hess,2 Markus Wirz,1 Anne-Kathrin Rausch Osthoff1 1Zurich University of Applied Sciences (ZHAW), School of Health Professions, Institute for Physiotherapy, Winterthur, 8400, Switzerland; 2Cantonal Hospital Winterthur (KSW), Pneumology, Winterthur, 8401, Switzerland; 3Cantonal Hospital Winterthur, Institute of Physiotherapy, Winterthur, 8401, SwitzerlandCorrespondence: Mandy ScheermesserZurich University of Applied Sciences (ZHAW), School of Health Professions, Institute of Physiotherapy, Katharina-Sulzer-Platz 9, P.O. Box, 8401, Winterthur, SwitzerlandTel +41 58 934 63 49Fax +41 58 935 63 49Email mandy.scheermesser@zhaw.chObjective: 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 https://www.clinicaltrials.gov/ with the identifier NCT02455206 (27/05/2015), as well as on the Swiss National Trails Portal SNCTP000001426 (05/21/2015).Keywords: behavioral change, physical activity promotion, COPD, motivational interviewing, qualitative study |
| first_indexed | 2024-12-22T10:45:08Z |
| format | Article |
| id | doaj.art-6b19dd6fe6f44b5688c5c0a664ab3439 |
| institution | Directory Open Access Journal |
| issn | 1178-2005 |
| language | English |
| last_indexed | 2024-12-22T10:45:08Z |
| publishDate | 2021-08-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | International Journal of COPD |
| spelling | doaj.art-6b19dd6fe6f44b5688c5c0a664ab34392022-12-21T18:28:58ZengDove Medical PressInternational Journal of COPD1178-20052021-08-01Volume 162337235067867The Influence of Pulmonary Rehabilitation and Counselling on Perceptions of Physical Activity in Individuals with COPD – A Qualitative StudyScheermesser MReicherzer LBeyer SGisi DRezek SHess TWirz MRausch Osthoff AKMandy Scheermesser,1 Leah Reicherzer,1 Swantje Beyer,2 David Gisi,3 Spencer Rezek,3 Thomas Hess,2 Markus Wirz,1 Anne-Kathrin Rausch Osthoff1 1Zurich University of Applied Sciences (ZHAW), School of Health Professions, Institute for Physiotherapy, Winterthur, 8400, Switzerland; 2Cantonal Hospital Winterthur (KSW), Pneumology, Winterthur, 8401, Switzerland; 3Cantonal Hospital Winterthur, Institute of Physiotherapy, Winterthur, 8401, SwitzerlandCorrespondence: Mandy ScheermesserZurich University of Applied Sciences (ZHAW), School of Health Professions, Institute of Physiotherapy, Katharina-Sulzer-Platz 9, P.O. Box, 8401, Winterthur, SwitzerlandTel +41 58 934 63 49Fax +41 58 935 63 49Email mandy.scheermesser@zhaw.chObjective: 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 https://www.clinicaltrials.gov/ with the identifier NCT02455206 (27/05/2015), as well as on the Swiss National Trails Portal SNCTP000001426 (05/21/2015).Keywords: behavioral change, physical activity promotion, COPD, motivational interviewing, qualitative studyhttps://www.dovepress.com/the-influence-of-pulmonary-rehabilitation-and-counselling-on-perceptio-peer-reviewed-fulltext-article-COPDbehavioral changephysical activity promotioncopdmotivational interviewingqualitative study |
| spellingShingle | Scheermesser M Reicherzer L Beyer S Gisi D Rezek S Hess T Wirz M Rausch Osthoff AK The Influence of Pulmonary Rehabilitation and Counselling on Perceptions of Physical Activity in Individuals with COPD – A Qualitative Study International Journal of COPD behavioral change physical activity promotion copd motivational interviewing qualitative study |
| title | The Influence of Pulmonary Rehabilitation and Counselling on Perceptions of Physical Activity in Individuals with COPD – A Qualitative Study |
| title_full | The Influence of Pulmonary Rehabilitation and Counselling on Perceptions of Physical Activity in Individuals with COPD – A Qualitative Study |
| title_fullStr | The Influence of Pulmonary Rehabilitation and Counselling on Perceptions of Physical Activity in Individuals with COPD – A Qualitative Study |
| title_full_unstemmed | The Influence of Pulmonary Rehabilitation and Counselling on Perceptions of Physical Activity in Individuals with COPD – A Qualitative Study |
| title_short | The Influence of Pulmonary Rehabilitation and Counselling on Perceptions of Physical Activity in Individuals with COPD – A Qualitative Study |
| title_sort | influence of pulmonary rehabilitation and counselling on perceptions of physical activity in individuals with copd ndash a qualitative study |
| topic | behavioral change physical activity promotion copd motivational interviewing qualitative study |
| url | https://www.dovepress.com/the-influence-of-pulmonary-rehabilitation-and-counselling-on-perceptio-peer-reviewed-fulltext-article-COPD |
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