A Detailed Description of Physical Activity Counseling Interventions to Support Physical Activity in People With Chronic Obstructive Pulmonary Disease

Tappan, Rachel S; Danilovich, Margaret; Yamamoto, E.; Cox, Narelle S

doi:10.1097/tgr.0000000000000339

Cited by 3 publications

(5 citation statements)

References 66 publications

(317 reference statements)

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“…Health behavior changes may be more likely to occur when they match the person’s personal goals and when the person is collaboratively engaged in determining the plan for change [ 22 ]. Previously published interventions do not fully address participants’ preferences related to activity type, focus of goals, and adherence strategies [ 14 ]. These limitations limit the participants’ ability to adapt the intervention, which may contribute to their limited long-term effectiveness.…”

Section: Discussionmentioning

confidence: 99%

“…The curriculum engages participants in setting individualized goals and plan for increasing PA to close the intention-behavior gap. In addition, this intervention allows participants to choose activities, goals, and plans that are most meaningful and feasible for them, which contrasts with other interventions that prescribe a single method of increasing PA (e.g., through walking activity) and goal setting (e.g., increasing daily step counts by a pre-set algorithm) [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

“…PA counseling is one intervention with promise for increasing unsupervised PA levels in people with chronic respiratory disease. In PA counseling, participants engage in counseling through a person-centered approach to implement motivational and volitional strategies to increase and maintain PA behavior [ 11 , 14 ]. Some PA counseling interventions delivered in combination with pulmonary rehabilitation do bring about small to moderate increases in short-term PA, but little long-term change [ 11 , 15 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

“…We hypothesize that effectiveness of PA counseling interventions for people with chronic respiratory disease can be further improved by incorporating more components of health behavior change. For instance, most previously developed interventions do not account for participants’ varying intention to increase PA behaviors, participants’ preferences regarding strategies and activities, participants’ struggles to translate their intentions into action (i.e., the intention-behavior gap), or planning for lapses in PA behavior [ 14 ]. In addition, we hypothesize that people who are intending to change their PA behaviors may benefit from different interventions than people who do not have this intention.…”

Section: Introductionmentioning

confidence: 99%

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Development of a physical activity counseling intervention for people with chronic respiratory disease based on the health action process approach

Tappan,

Ettinger,

Mahon

et al. 2023

Pilot Feasibility Stud

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Background Physical activity (PA) counseling holds promise for increasing PA levels in people with chronic respiratory disease, though little long-term change has been shown to date. Here, we describe the development of a Health Action Process Approach-based PA counseling intervention that aims to promote PA and exercise in people with chronic respiratory disease who are enrolled in pulmonary rehabilitation. Methods To collaborate in defining and refining the intervention, we convened a varied team of authors that included a panel of five stakeholder partners: three patients, one clinician, and one health behavior change researcher. We completed three steps in the intervention development process: (1) initial intervention creation, (2) iterative intervention refinement, and (3) assessment of intervention acceptability. In step 1, we created an initial draft of the PA counseling intervention based on the HAPA theoretical framework, previous evidence in people with chronic respiratory disease, and clinical experience. In step 2, we used qualitative methods of focus groups and interviews to further develop and refine the intervention. Fifteen meetings occurred with the five-member stakeholder partner panel (six focus groups with the three patient partners, four interviews with the clinician partner, and five interviews with the researcher partner) over 5 months to systematically elicit input and incorporate it into the intervention. In step 3, we measured the intervention acceptability using five-point Likert scale ratings. Results Intervention materials included the eligibility screen, participant workbook, and leader guide. We identified key themes in the input from the stakeholder partners and incorporated this input into the intervention content and methods. Ratings of the intervention by the stakeholder partners (n=5) were high with mean ratings ranging 4.0–5.0 on a five-point scale. Conclusions This development process successfully engaged an intervention development team with diverse perspectives and resulted in a PA counseling intervention for people with chronic respiratory disease. The intervention’s strong theoretical underpinning, person-centeredness, and the contributions from varied perspectives during intervention development position it well for future evaluations of feasibility, efficacy, and effectiveness.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Development of a physical activity counseling intervention for people with chronic respiratory disease based on the health action process approach

Tappan,

Ettinger,

Mahon

et al. 2023

Pilot Feasibility Stud

Self Cite

View full text Add to dashboard Cite

show abstract

“…Exercise training programmes, in the form of pulmonary rehabilitation, have typically failed to translate into improvements in sleep quality despite improvements in exercise and functional capacity and quality of life 9 . This suggests the person‐centred approach intrinsic to physical activity counselling, 10 together with the opportunity for communication, discussion and goal setting between the participant and clinician, may be key to the improvements in sleep, symptom control and activity behaviour change seen here. However, why the outcomes of activity counselling were so pronounced in this group requires further exploration.…”

mentioning

confidence: 90%