| Autor: |
Bashir M. Matata, Samantha Pilsworth, Adrian W. Midgley, Linda Jones, Nicola Pott, D Wat, Adrian Mcgonigle, Max Bettany, Lyndsey Wigelsworth, Andrew Levy |
| Rok vydání: |
2018 |
| Předmět: |
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| Zdroj: |
Raising the bar: effective pulmonary rehabilitation. |
| DOI: |
10.1136/thorax-2018-212555.257 |
| Popis: |
Objectives COPD is a debilitating lung condition that affects lives in the UK. One of the main aims of pulmonary rehabilitation (PR) is to improve the quality of life for patients who have been diagnosed with COPD. The challenge for PR is that many patients do not complete or engage with the programme. Healthcare professionals delivering PR believe that patients who are working together as part of a group (intervention) may better attend and engage with PR. An intervention underpinned by social identity theory through group goal setting was developed to be delivered by trained rehabilitation staff. It is believed that this encourages patients to interact and support each other and work as a team during PR in order to achieve mutually agreed goals. However, there is an absence of research evidence to guide such desired changes to current practice. Methods 84 patients enrolled in an 8 week PR programme and were recruited into pilot randomised trial to provide feasibility information on whether PR sessions based on a social identity theory intervention were acceptable to patients and would improve health-related quality of life. In depth analysis of patient’s perception of the social identity theory intervention was undertaken through focus group interviews to explore issues such as acceptability. Interviews were transcribed verbatim. Results Inductive thematic analysis revealed that there was a positive social and motivational experience associated with the social identity theory intervention. The intervention promoted bonding, togetherness, friendship and support. In addition, the interviews indicated that patients understood the objectives of the intervention which they associated with enjoyment, pride, learning from others, greater persistence and engagement with staff. Staff were of the opinion that the intervention was easy to implement with an exception of the need to delay the starting dates for patients in order to accrue sufficient group numbers. Conclusions The preliminary findings lend support for the development of a group-based identity intervention for creating a rehabilitation environment that was socially and motivationally inclusive. Findings suggest that group identity can help COPD patients collectively comply with exercise prescription during PR and could help promote sustainable exercise engagement. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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