A behaviour change intervention to reduce sedentary behaviour in chronic obstructive pulmonary disease: a qualitative...

Area of Science:

• Pulmonary rehabilitation
• Behaviour change interventions
• Chronic obstructive pulmonary disease (COPD) research

Background:

• Sedentary behaviour (SB) is prevalent in individuals with COPD.
• Reducing SB and increasing physical activity (PA) are crucial for managing COPD.
• Understanding patient experiences with behaviour change interventions is vital for optimizing treatment.

Purpose of the Study:

• To explore the experiences of individuals with COPD undergoing a behaviour change intervention aimed at reducing SB.
• To identify effective intervention components and barriers to reducing SB in COPD patients.
• To inform future strategies for promoting PA and reducing SB in this population.

Main Methods:

• Qualitative study utilizing semi-structured interviews.
• Participants were individuals with stable COPD on a waitlist for pulmonary rehabilitation.
• Intervention components and patient perspectives were analyzed using the COM-B framework.

Main Results:

• Verbal education on health consequences of SB, goal setting, and activity tracker feedback were perceived as most helpful.
• Participants preferred setting goals to increase PA over reducing SB.
• Physical limitations and the enjoyment of SB were identified as primary barriers to reducing sedentary time.

Conclusions:

• Components like goal setting, education, and self-monitoring show promise for reducing SB and increasing PA in COPD patients.
• Interventions should consider individual preferences, particularly the desire to increase PA.
• Addressing physical limitations and the enjoyment of SB is essential for successful behaviour change.