Living with COPD and its psychological effects on participating in community-based physical activity in Brazil: a qualitative study. Findings from the Breathe Well group.

Autor: Martins SM; Center for Public Health Studies (CESCO) at the University Center of the ABC Medical School, São Paulo, Brazil., Adams R; Health Services Management Centre, School of Social Policy and Society, University of Birmingham, Birmingham, UK. r.l.adams@bham.ac.uk., Rodrigues EM; Center for Public Health Studies (CESCO) at the University Center of the ABC Medical School, São Paulo, Brazil., Stelmach R; Respiratory Division, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil., Adab P; Department of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Birmingham, UK., Chi C; Department of General Practice, Peking University First Hospital, Beijing, China., Cheng KK; Department of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Birmingham, UK., Cooper BG; Lung Function & Sleep, Queen Elizabeth Hospital, Birmingham, UK., Correia-de-Sousa J; International Primary Care Respiratory Group, Larbert, Scotland.; Life and Health Sciences Research Institute (ICVS), School of Medicine, PT Government Associate Laboratory, ICVS/3B's, University of Minho, Braga/Guimarães, Portugal., Dickens AP; Department of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Birmingham, UK.; Observational and Pragmatic Research Institute, Midview City, Singapore., Enocson A; Department of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Birmingham, UK., Farley A; Department of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Birmingham, UK., Gale N; Health Services Management Centre, School of Social Policy and Society, University of Birmingham, Birmingham, UK., Jolly K; Department of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Birmingham, UK., Jordan RE; Department of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Birmingham, UK., Jowett S; Department of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Birmingham, UK., Maglakelidze M; Petre Shotadze Tbilisi Medical Academy, Tbilisi, Georgia., Maghlakelidze T; Ivane Javakhishvili Tbilisi State University, Tbilisi, Georgia., Sitch A; Department of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Birmingham, UK.; National Institute for Health and Care Research (NIHR), Birmingham Biomedical Research Centre, Birmingham, UK., Stavrikj K; Center for Family Medicine, Faculty of Medicine, Ss.Cyril and Methodius University in Skopje, Skopje, Republic of North Macedonia., Turner AM; Department of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Birmingham, UK., Williams S; International Primary Care Respiratory Group, Larbert, Scotland., Nascimento VB; Center for Public Health Studies (CESCO) at the University Center of the ABC Medical School, São Paulo, Brazil.
Jazyk: angličtina
Zdroj: NPJ primary care respiratory medicine [NPJ Prim Care Respir Med] 2024 Oct 25; Vol. 34 (1), pp. 33. Date of Electronic Publication: 2024 Oct 25.
DOI: 10.1038/s41533-024-00386-7
Abstrakt: Physical activity (PA) improves dyspnoea, psychological wellbeing and quality of life (QoL) for people with COPD reducing their risk of exacerbation. However, engagement in PA is low especially amongst those with anxiety and depression, and PA programmes are limited in countries with limited resources such as Brazil. We explored perceptions of 21 people with COPD about the impact of their disease on taking part in community-based PA programmes in Sao Paulo, Brazil through semi-structured telephone interviews from October 2020 to April 2021. Discussions were audio-recorded, transcribed, and analysed using the Framework method. Five themes were identified: Knowledge about COPD and its management; Self-perception of life with COPD; Knowledge and experiences of depression and anxiety; Opinions on PA and repercussions of COVID-19. PA was considered to be important in bringing physical and mental health benefits but there were barriers in accessibility of formal PR programmes and therefore local community PA programmes were considered to be important. People with mental health conditions tended to view PA more negatively. COVID-19 had reduced PA opportunities, access to COPD treatment and social interaction, and was associated with more exacerbations and emotional suffering. In general, this study showed an urgent need to improve knowledge about COPD and its risk factors and management among both patients, the public and primary healthcare professionals. We provide important content for the formulation of public policies for the implementation of specific activity programmes for people with COPD in community spaces using local resources and intersectoral partnerships.
(© 2024. The Author(s).)
Databáze: MEDLINE
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