Sustaining physical activity in chronic obstructive pulmonary disease: a qualitative study of perspectives on a personalized community-based physical activity program.
Importance Sustaining pulmonary rehabilitation (PR) benefits in community-dwelling individuals with chronic obstructive pulmonary disease (COPD) is challenging. Objective The objective of this study was to explore the experiences of individuals with COPD participating in a PersonalIzed CommUnity-bas...
| Publicado en: | PTJ: Physical Therapy & Rehabilitation Journal Vol. 106; no. 6; pp. 1 - 16 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Jun2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=195378608&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 195378608 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15386724 MZW0 jtl: PTJ: Physical Therapy & Rehabilitation Journal issn: 15386724 maglogo: N pubinfo: dt: Jun2026 vid: 106 iid: 6 pid: 622 pub: Oxford University Press / USA artinfo: ui: 195378608 195378608 195378608 10.1093/ptj/pzag051 195378608 ppf: 1 ppct: 15 formats: tig: atl: Sustaining physical activity in chronic obstructive pulmonary disease: a qualitative study of perspectives on a personalized community-based physical activity program. aug: au: Rebelo, Patrícia Brooks, Dina Marques, Alda affil: INSIGHT—Piaget Research Center for Ecological Human Development & Jean Piaget Higher School of Health of Vila Nova de Gaia, V.N. Gaia, Porto, PortugalLab3R—Respiratory Research and Rehabilitation Laboratory, School of Health Sciences & iBiMED—Institute of Biomedicine; University of Aveiro, Agras do Crasto—Campus Universitário de Santiago, Edifício 30, 3810-193 Aveiro, Portugal sug: subj: Physical Activity Pulmonary Disease, Chronic Obstructive Rehabilitation Community Programs Rehabilitation, Pulmonary Human Qualitative Studies Health Behavior Convenience Sample Pretest-Posttest Design Conceptual Framework Semi-Structured Interview Scales Behavioral Changes Data Analysis Software Funding Source ab: Importance Sustaining pulmonary rehabilitation (PR) benefits in community-dwelling individuals with chronic obstructive pulmonary disease (COPD) is challenging. Objective The objective of this study was to explore the experiences of individuals with COPD participating in a PersonalIzed CommUnity-based Physical Activities program (PICk UP) and to identify which behavioral change techniques (BCTs) supported sustained physical activity (PA). Design This was a qualitative pre-post intervention study (NCT04223362|NCT04711057). Setting The study was conducted in a community setting. Participants This study recruited individuals with COPD assigned to the PICk UP intervention. Intervention Participants enrolled in a 6-month, post-PR, community-based program comprising gym, senior exercise classes, pool exercise classes, or Chi Kung. Main Outcome and Measures Participants' perspectives on impacts of the PICk UP program, motivators, facilitators, and barriers to adherence were collected through pre-post focus groups. Data were analyzed using deductive and inductive reflexive thematic analysis. The "capability, opportunity, motivation, behavior" framework was used to identify BCTs. Results Fifteen individuals with COPD participated (14 male, 70 [8] years, FEV1 57.1% [18.1%] predicted). Five main themes emerged, focusing on PA choice, barriers, facilitators, effects, and suggestions: (1) one size doesn't fit all; (2) organizational factors and system-level support enabling adherence; (3) it doesn't come easy; (4) a positive feedback cycle sustained physical, psychological, and social benefits; and (5) the more, the merrier. The PICk UP intervention supported PA through 13 BCTs, across 5 intervention types (education, persuasion, training, environmental restructuring, and enablement), collectively addressing all 6 components influencing behavior. Conclusions Individuals with COPD reported lasting PR benefits after the PICk UP and were willing to remain physically active. Participants emphasized the importance of diverse PA options and support from peers, health, and fitness professionals. Relevance To sustain PA beyond PR, interventions should prioritize intersectoral partnerships and embed ongoing social support. These findings underscore PICk UP's effectiveness, positioning it as a promising and replicable model for promoting long-term PA in individuals with COPD. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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