Improving physical activity, sedentary behaviour and sleep in COPD: Perspectives of people with COPD and experts via a Delphi approach

Hayley Lewthwaite (Corresponding Author), Tanja W. Effing, Anke Lenferink, Tim Olds, Marie T. Williams

Research output: Contribution to journalArticleAcademicpeer-review

16 Citations (Scopus)
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Background. Little is known about how to achieve enduring improvements in physical activity (PA), sedentary behaviour (SB) and sleep for people with chronic obstructive pulmonary disease (COPD). This study aimed to: (1) identify what people with COPD from South Australia and the Netherlands, and experts from COPD- and non-COPDspecific backgrounds considered important to improve behaviours; and (2) identify areas of dissonance between these different participant groups.
Methods. A four-round Delphi study was conducted, analysed separately for each
group. Free-text responses (Round 1) were collated into items within themes and rated for importance on a 9-point Likert scale (Rounds 2–3). Items meeting a priori criteria from each group were retained for rating by all groups in Round 4. Items and themes achieving a median Likert score of ≥7 and an interquartile range of ≤2 across all groups at Round 4 were judged important. Analysis of variance with Tukey’s post-hoc tested for statistical differences between groups for importance ratings.
Results. Seventy-three participants consented to participate in this study, of which 62 (85%) completed Round 4. In Round 4, 81 items (PA n = 54; SB n = 24; sleep n = 3) and 18 themes (PA n = 9; SB n = 7; sleep n = 2) were considered important across all groups concerning: (1) symptom/disease management, (2) targeting behavioural factors, and (3) less commonly, adapting the social/physical environments. There were few areas of dissonance between groups.
Conclusion. Our Delphi participants considered a multifactorial approach to be
important to improve PA, SB and sleep. Recognising and addressing factors considered important to recipients and providers of health care may provide a basis for developing behaviour-specific interventions leading to long-term behaviour change in people with COPD.
Original languageEnglish
Article numbere4604
Number of pages23
Volume 6
Issue number4
Publication statusPublished - 27 Apr 2018


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