Living with COPD and its psychological effects on participating in community-based physical activity in Brazil: a qualitative study. Findings from the Breathe Well group

Physical activity (PA) improves dyspnoea, psychological wellbeing and quality of life (QoL) for people with COPD reducing their risk of exacerbation. However, engagement in PA is low especially amongst those with anxiety and depression, and PA programmes are limited in countries with limited resources such as Brazil. We explored perceptions of 21 people with COPD about the impact of their disease on taking part in community-based PA programmes in Sao Paulo, Brazil through semi-structured telephone interviews from October 2020 to April 2021. Discussions were audio-recorded, transcribed, and analysed using the Framework method. Five themes were identified: Knowledge about COPD and its management; Self-perception of life with COPD; Knowledge and experiences of depression and anxiety; Opinions on PA and repercussions of COVID-19. PA was considered to be important in bringing physical and mental health benefits but there were barriers in accessibility of formal PR programmes and therefore local community PA programmes were considered to be important. People with mental health conditions tended to view PA more negatively. COVID-19 had reduced PA opportunities, access to COPD treatment and social interaction, and was associated with more exacerbations and emotional suffering. In general, this study showed an urgent need to improve knowledge about COPD and its risk factors and management among both patients, the public and primary healthcare professionals. We provide important content for the formulation of public policies for the implementation of specific activity programmes for people with COPD in community spaces using local resources and intersectoral partnerships.

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Publication Details

Journal
npj Primary Care Respiratory Medicine
Published
2024-10-25
DOI
https://doi.org/10.1038/s41533-024-00386-7
Citations
5
Primary Topic
Chronic Obstructive Pulmonary Disease (COPD) Research
Type
article
Field-Weighted Citation Impact
2.09

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article

Living with COPD and its psychological effects on participating in community-based physical activity in Brazil: a qualitative study. Findings from the Breathe Well group

Vitor Bertoli Nascimento, Tamaz Maghlakelidze, Chun-ho Chi, Kate Jolly et al.
5 citations
npj Primary Care Respiratory Medicine
Chronic Obstructive Pulmonary Disease (COPD) Research
2.09
article

Living with COPD and its psychological effects on participating in community-based physical activity in Brazil: a qualitative study. Findings from the Breathe Well group

Vitor Bertoli Nascimento, Tamaz Maghlakelidze, Chun-ho Chi, Kate Jolly, Mariam Maglakelidze, Brendan Cooper, Rachel Adams, Kar Keung Cheng, Sonia Martins, Jaime Correia de Sousa, Alexandra Enocson, Sue Jowett, Katarina Stavrikj, Amanda Farley, Alice Margaret Turner, Peymané Adab, Alice Sitch, Elani Maria de Carvalho Rodrigues, Andy Dickens, Nichola Gale, Rafaël Stelmach, Rachel Jordan, Siân Williams
article en
5 citations

Abstract

Physical activity (PA) improves dyspnoea, psychological wellbeing and quality of life (QoL) for people with COPD reducing their risk of exacerbation. However, engagement in PA is low especially amongst those with anxiety and depression, and PA programmes are limited in countries with limited resources such as Brazil. We explored perceptions of 21 people with COPD about the impact of their disease on taking part in community-based PA programmes in Sao Paulo, Brazil through semi-structured telephone interviews from October 2020 to April 2021. Discussions were audio-recorded, transcribed, and analysed using the Framework method. Five themes were identified: Knowledge about COPD and its management; Self-perception of life with COPD; Knowledge and experiences of depression and anxiety; Opinions on PA and repercussions of COVID-19. PA was considered to be important in bringing physical and mental health benefits but there were barriers in accessibility of formal PR programmes and therefore local community PA programmes were considered to be important. People with mental health conditions tended to view PA more negatively. COVID-19 had reduced PA opportunities, access to COPD treatment and social interaction, and was associated with more exacerbations and emotional suffering. In general, this study showed an urgent need to improve knowledge about COPD and its risk factors and management among both patients, the public and primary healthcare professionals. We provide important content for the formulation of public policies for the implementation of specific activity programmes for people with COPD in community spaces using local resources and intersectoral partnerships.

npj Primary Care Respiratory MedicineVol. 34(1)
Tbilisi State University (GE), Peking University (CN), Queen Elizabeth Hospital Birmingham (GB), Observational & Pragmatic Research Institute (SG), Care International (CH), Peking University First Hospital (CN), Petre Shotadze Tbilisi Medical Academy (GE), Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (BR), NIHR Birmingham Biomedical Research Centre (GB), Universidade Federal do ABC (BR), Ss. Cyril and Methodius University in Skopje (MK), University of Birmingham (GB), University of Minho (PT)
Government of the United Kingdom, National Institute for Health and Care Research, Department of Health and Social Care
Openalex Percentile: Top 12%
Chronic Obstructive Pulmonary Disease (COPD) Research
2.09
DOIOpen Access PDFOpenAlex
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