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Assessing Lifestyle Goal Setting in Patients with COPD.

Charlotte D C Born1, Rosanne J H C G Beijers1, Lieke E J van Iersel1

  • 1Department of Respiratory Medicine, NUTRIM Institute of Nutrition and Translational Research in Metabolism, Maastricht University Medical Centre+, Maastricht, the Netherlands.

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Summary

Most chronic obstructive pulmonary disease (COPD) patients are willing to set lifestyle goals, especially for physical activity (PA). However, current satisfaction and health barriers can limit engagement in behavior change for better COPD management.

Keywords:
behavior changechronic respiratory diseasecounselingnutritionphysical activity

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Area of Science:

  • Pulmonary Medicine
  • Behavioral Science
  • Health Psychology

Background:

  • Lifestyle modifications are crucial for managing chronic obstructive pulmonary disease (COPD).
  • Personalized counseling aims to support long-term behavior change in patients with COPD.
  • Understanding patient willingness to set lifestyle goals is key to tailoring effective interventions.

Purpose of the Study:

  • To investigate the willingness of COPD patients to set lifestyle goals during personalized counseling.
  • To examine goal focus, adjustments, reasons for unwillingness, and barriers/facilitators to goal setting.
  • To identify differences between patients who set goals and those who do not.

Main Methods:

  • A randomized controlled trial (NCT03807310) involved monthly lifestyle counseling calls over 12 months.
  • Motivational interviewing was used to guide discussions on diet and physical activity (PA).
  • Counseling notes and baseline data from 103 patients were analyzed to assess goal setting behaviors and influencing factors.

Main Results:

  • 71% of COPD patients were willing to set lifestyle goals, predominantly for PA.
  • Goal adjustments occurred due to achievement or health issues (PA) and prior failures (diet).
  • Unwillingness stemmed from satisfaction with current habits; facilitators included accountability and social support, while barriers were health complaints and low motivation.

Conclusions:

  • A majority of COPD patients are receptive to setting lifestyle goals, particularly for PA.
  • Patient satisfaction with current behaviors and health-related barriers significantly impact engagement in lifestyle changes.
  • Findings inform the design of interventions for sustainable lifestyle modification in COPD care.