Obstructive Lung Diseases: COPD |

Perceived Barriers to Physical Activity in Patients at High Risk for COPD Exacerbations FREE TO VIEW

William Valenson, RRT; Ferdinand Valmonte, RRT; Olga Rodriguez, RCP; Editha Medina, RRT; Maida Lowrey, RRT; Seung Lew, RRT; Ana DeLeon, RCP; Julie Armstrong, RCP; Ellen Rippberger, MPH; Leah Maddock, MPH; Huong Nguyen, PhD
Author and Funding Information

Kaiser Permanente Southern California, Pasadena, CA

Copyright 2016, American College of Chest Physicians. All Rights Reserved.

Chest. 2016;150(4_S):892A. doi:10.1016/j.chest.2016.08.992
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SESSION TYPE: Original Investigation Poster Discussion

PRESENTED ON: Monday, October 24, 2016 at 12:00 PM - 01:30 PM

PURPOSE: Regular physical activity is associated with fewer exacerbations, hospitalizations and improved survival in patients with COPD. However, patients encounter a number of barriers to starting and sustaining a regular exercise program. The purpose of this abstract is to describe patients’ barriers as they commence a physical activity program as part of a large clinical trial.

METHODS: Data are drawn from patients at high risk for COPD exacerbations in a pragmatic randomized controlled trial testing the effectiveness of a 12-month home and community-based physical activity coaching intervention (Walk On!) compared to standard care patients. Patients randomized to receive Walk On! complete a baseline intake visit with a respiratory therapist (coach) that includes a comprehensive assessment of their functional capacity (six minute walk test), performance (step counts from the previous 7 days), and physical and psychological symptom burden. Using this information, the coach uses motivational interviewing techniques to understand patients’ goals and preferences to individualize the walking/exercise program. The visit concludes with patients identifying their top three anticipated barriers to increasing their physical activity and their strategies to overcome these barriers.

RESULTS: A total of 82 patients have enrolled in Walk On! with a mean age of 72 (9) with 57% females. Patients reported a number of anticipated barriers including shortness of breath (20%), weather (18%), pain (15%), other physical health issues (12%), lack of motivation (12%), being busy (6%), mental health (4%), other reasons (4%), not having an exercise partner (2%), built environment not being conducive to walking (2%), and difficulties with oxygen equipment (1%).

CONCLUSIONS: Patients at high risk for having a repeat COPD exacerbation identified shortness of breath, weather, pain, other physical health issues, and motivation as key barriers to becoming and staying physically active.

CLINICAL IMPLICATIONS: It is important that providers not only assess and advise patients with COPD to increase their activity levels but also, help patients identify personal barriers to physical activity at the outset and proactively engage them in problem solving to overcome these barriers.

DISCLOSURE: The following authors have nothing to disclose: William Valenson, Ferdinand Valmonte, Olga Rodriguez, Editha Medina, Maida Lowrey, Seung Lew, Ana DeLeon, Julie Armstrong, Ellen Rippberger, Leah Maddock, Huong Nguyen

No Product/Research Disclosure Information




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