Article

Physical activity (PA) has been shown to improve symptoms in people with
chronic obstructive pulmonary disease (COPD).
Despite the high health and
financial costs, the uptake of management strategies, particularly participation
in PA and pulmonary rehabilitation (PR), are low. The review objective here was
to identify potential barriers and enablers, which people with COPD report being
associated with their participation in PA programs, including PR. METHODS: A
systematic search was undertaken to identify studies (published Jan 2000 to Aug
2011) reporting any barriers and enablers experienced by people with COPD
regarding participation in PA and PR. Methodological quality of the studies was
appraised using McMaster critical appraisal tools. A narrative summary of
findings was undertaken reporting on individual study characteristics, country of
origin, participants, and potential barriers and enablers. RESULTS: Eleven
studies (8 qualitative and 3 quantitative) met the inclusion criteria for this
systematic review. Several methodological issues (small sampling, poor
description of data collection and analysis, issues with generalizability of the
research findings) were common among included studies. Barriers identified
included changing health status, personal issues, lack of support, external
factors, ongoing smoking, and program-specific barriers. Enablers identified
included social support, professional support, personal drivers, personal
benefit, control of condition, specific goals, and program-specific enablers.
CONCLUSION: The findings from this review may assist health professionals,
patients, care givers and the wider community to develop effective strategies to
promote participation in PA and PR among people with COPD.

Langue : ANGLAIS

Tiré à part : OUI