Stakeholders' top 10 strategies to improve sedentary behaviour in severe asthma

Limited research exists on improving sedentary behaviour in people with severe asthma. We aimed to obtain key stakeholders' perspectives on what is important to reduce sedentary time in people with severe asthma. Adults with severe asthma (n=17) and their carers (n=3) attended focus groups using a nominal group technique. Participants volunteered strategies and voted on the priorities that were most important for optimising sedentary behaviour. The 10 strategies that were scored/weighted the highest are reported. Behaviour change techniques (BCTs) were identified. Participants with severe asthma were mostly female (71%) with a mean(SD) age of 69.9(8.7) and self-reported spending 7(3) hours of sedentary per day. Across 5 focus groups, 116 strategies were volunteered. Table 1 lists the top 10 ranked strategies. Out of 11 identified BCTs, prompts/cues was the most common. <table-wrap><object-id>erj;64/suppl_68/PA4117/T1</object-id><object-id>T1</object-id><object-id>t1</object-id><table><colgroup><col></col><col></col></colgroup><tbody><tr><td><bold>Strategy</bold></td><td><bold>Score (out of 10)</bold></td></tr><tr><td>Have a reminder or timer to minimise sedentary behaviour</td><td>8.3</td></tr><tr><td>Regular exercise, to replace sedentary behaviour</td><td>7.8</td></tr><tr><td>Walk as often as can, use fitness watch to achieve goals and as incentive for movement and sit less</td><td>7.4</td></tr><tr><td>Have a goal to walk a certain distance around the block/units, to progress - not to walk too far away (or where it is flat), in case you can’t get back</td><td>6.8</td></tr><tr><td>Be outdoors to engage in outdoor-related activities</td><td>6.5</td></tr><tr><td>Learning how to control breathlessness</td><td>6.5</td></tr><tr><td>Set a daily step target (10,000)</td><td>6.3</td></tr><tr><td>Having the assistance of family members or others to do activities</td><td>6.0</td></tr><tr><td>Walk around when on the phone</td><td>6.0</td></tr><tr><td>Make a routine to do things in the morning - get up and going</td><td>5.8</td></tr></tbody></table></table-wrap> These novel data provide important and acceptable strategies for designing a sedentary behaviour intervention for people with severe asthma.