Journal of the American Medical Directors Association
Original StudyMaintenance of a Physically Active Lifestyle After Pulmonary Rehabilitation in Patients With COPD: A Qualitative Study Toward Motivational Factors
Section snippets
Methods
A qualitative descriptive method was used to address the research question.
Results
Out of 22 interviewees, 14 were men and ages ranged from 45 to 78 years. Most patients were categorized as Global Initiative for Chronic Obstructive Lung Disease grade 2 (54.5%). The mean (SD) forced expiratory volume in the first second (FEV1) was 52.5% (14.4%) of the predicted value for a person of similar height, weight, and age (Table 3). Dividing patients based on the MCIDs yielded a group of 15 responders and 7 nonresponders. The mean values of each variable, as well as the average
Discussion
This study explored determinants that may be important for maintenance of lifestyle changes in patients with COPD after pulmonary rehabilitation. A feeling of perceived competence to be physically active, as well as exercising with fellow patients, seemed to facilitate exercise. Furthermore, a certain threshold level of controlled motivation in addition to autonomous motivation seemed to promote exercise adherence.
Conclusion
The current study has contributed to insights in successful behavior change maintenance after pulmonary rehabilitation. Perceived competence and relatedness may be of great importance in both an exercise setting as well as during activities of daily living. Furthermore, a certain threshold level of controlled motivation, in addition to autonomous motivation, may be important in ensuring the continuous engagement in physical activity by patients with COPD. These findings can be used to optimize
Acknowledgments
This study was financially supported by Nutricia Research and Lung Foundation Netherlands (3.4.09.003).
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The authors declare no conflicts of interest.