Improving physical activity, sedentary behaviour and sleep in COPD: Perspectives of people with COPD and experts via a Delphi approach
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(Published version)
Date
2018
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Lewthwaite, H.
Effing, T.W.
Lenferink, A.
Olds, T.
Williams, M.T.
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PeerJ, 2018; 2018(4, article no. e4604):1-23
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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-COPD- specific 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 nD54; SB nD24; sleep nD3) and 18 themes (PA n D 9; SB n D 7; sleep n D 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
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Copyright 2018 Lewthwaite et al. Distributed under Creative Commons CC-BY 4.0 (https://creativecommons.org/licenses/by/4.0/)