Details

Autor(en) / Beteiligte

• Michalovic, Emilie

Titel

Participation in Daily and Social Activities in Individuals Living with COPD: The Role of Peer Support and Physical Activity

Ort / Verlag

ProQuest Dissertations Publishing

Erscheinungsjahr

2021

Link zum Volltext

Quelle

Sociological Abstracts

Beschreibungen/Notizen

• Individuals living with chronic obstructive pulmonary disease (COPD) have a high burden of disease, which impairs their participation in daily and social activities (Disler et al., 2014). To help manage the burden of disease, they are encouraged to participate in regular physical activity (PA; O’Donnell et al., 2007). However, most individuals living with COPD are not meeting PA recommendations (Watz et al., 2009) and indicate that PA programs for individuals with COPD fail to capitalize on social interactions (Marques et al., 2013; Thorpe et al., 2012). Peers can create supportive interactions in PA settings (Poureslami et al., 2017). The overall purpose of this dissertation was to develop and preliminary test a PA and peer support intervention to promote participation in daily and social activities for individuals living with COPD. The first manuscript identified the daily and social activities of individuals living with COPD and their satisfaction with their participation. The survey results indicated that individuals with COPD wanted to increase their participation in PA and movement-related activities (e.g., climbing up a hill). The primary barrier to participation was breathlessness, whereas, the primary facilitator to participation was incorporating activity into your routine. The second manuscript was a scoping review of peer support in COPD. It identified that most peer support research with individuals living with COPD was either an intervention or an informal peer support experience. The review provided three recommendations for future research: i) peer support should be defined with consistent terminology, ii) peer support interactions should be evaluated, and iii) peer support research should be grounded in theory, such as self-determination theory. The first two manuscripts highlighted a need to design PA interventions to promote participation in daily and social activities and to understand the roles of peers in these interventions. Thus, the third manuscript was a qualitative exploration of the PA experiences of individuals living with COPD and presented their views on a PA and peer support intervention to promote participation in daily and social activities. Individuals living with COPD were interested in participation-based programming and suggested peer support be incorporated in a group setting. They suggested the future program be tailored to their needs, provide education, and be physically and socially accessible. Informed by the three previous studies, the fourth manuscript aimed to develop a PA and peer support intervention to promote participation in daily and social activities for individuals living with COPD. This mixed-methods proof-of-concept study aimed to determine the feasibility of the 8-week online intervention. Based on a priori feasibility metrics, the intervention was feasible, meeting adherence, engagement, and activity participation criteria. Participants achieved clinical improvements in their activity participation and meaningful improvements in functional capacity.Through post-intervention interviews, participants highlighted that the intervention: supported their basic psychological needs of autonomy, relatedness, and competence, provided appropriate exercises that promoted participation in daily and social activities, and the peer support component allowed them to form connections and shared understanding. In sum, this doctoral research demonstrated the need to examine participation in daily and social activities for individuals living with COPD. It addressed a need for increased PA and social interaction opportunities in this population. This dissertation discusses a novel behavioural intervention for increasing participation in daily and social activities for individuals living with COPD and provides steps for future development of participation-based programing