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

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4 Citations (Scopus)
33 Downloads (Pure)

Abstract

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
JournalPeerJ
Volume 6
Issue number4
DOIs
Publication statusPublished - 27 Apr 2018

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Pulmonary diseases
sleep
physical activity
respiratory tract diseases
Chronic Obstructive Pulmonary Disease
Sleep
Analysis of variance (ANOVA)
Health care
Delphi Technique
behavior change
health care workers
South Australia
Social Environment
signs and symptoms (animals and humans)
Disease Management
Netherlands
disease control
Health Personnel
analysis of variance
Analysis of Variance

Cite this

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title = "Improving physical activity, sedentary behaviour and sleep in COPD: Perspectives of people with COPD and experts via a Delphi approach",
abstract = "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 eachgroup. 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 beimportant 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.",
author = "Hayley Lewthwaite and Effing, {Tanja W.} and Anke Lenferink and Tim Olds and Williams, {Marie T.}",
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Improving physical activity, sedentary behaviour and sleep in COPD : Perspectives of people with COPD and experts via a Delphi approach. / Lewthwaite, Hayley (Corresponding Author); Effing, Tanja W.; Lenferink, Anke ; Olds, Tim; Williams, Marie T.

In: PeerJ, Vol. 6, No. 4, e4604, 27.04.2018.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Improving physical activity, sedentary behaviour and sleep in COPD

T2 - Perspectives of people with COPD and experts via a Delphi approach

AU - Lewthwaite, Hayley

AU - Effing, Tanja W.

AU - Lenferink, Anke

AU - Olds, Tim

AU - Williams, Marie T.

PY - 2018/4/27

Y1 - 2018/4/27

N2 - 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 eachgroup. 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 beimportant 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.

AB - 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 eachgroup. 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 beimportant 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.

U2 - 10.7717/peerj.4604

DO - 10.7717/peerj.4604

M3 - Article

VL - 6

JO - PeerJ

JF - PeerJ

SN - 2167-8359

IS - 4

M1 - e4604

ER -