Community Participation by People with Chronic Obstructive Pulmonary Disease.

2021

Malaguti, Carla

Holland, Anne E

McDonald, Christine F

Mahal, Ajay

Alison, Jennifer A

Hill, Catherine J

Zanaboni, Paolo

O'Halloran, Paul

Bondarenko, Janet

Macdonald, Heather

Barker, Kathryn

Crute, Hayley

Mellerick, Christie

Wageck, Bruna

Boursinos, Helen

Lahham, Aroub

Nichols, Amanda

Czupryn, Pawel

Burge, Angela T

Cox, Narelle S

Chronic obstructive pulmonary disease

community participation

exercise

physical activity

pulmonary rehabilitation

Journal Article

0000-0002-6619-136X

0000-0003-2061-845X

0000-0001-6481-3391

0000-0001-5455-6467

0000-0002-6977-1028

10.1080/15412555.2021.1966761

Little is known regarding community participation in individuals with chronic obstructive pulmonary disease (COPD). The aim of this study was to explore community participation in individuals with COPD and to determine whether there is an association between community participation and activity-related outcome variables commonly collected during pulmonary rehabilitation assessment. We also sought to investigate which of these variables might influence community participation in people with COPD. Ninety-nine individuals with COPD were enrolled (67 ± 9 years, FEV1: 55 ± 22% predicted). We assessed community participation (Community Participation Indicator (CPI) and European Social Survey (ESS) for formal and informal community participation), daily physical activity levels (activity monitor), exercise capacity (6-minute walk test), breathlessness (Modified Medical Research Council, MMRC scale), self-efficacy (Pulmonary Rehabilitation Adapted Index of Self-Efficacy) and anxiety and depression (Hospital Anxiety and Depression Scale). Higher levels of community participation on the CPI were associated with older age and greater levels of physical activity (total, light and moderate-to-vigorous) (all rs = 0.30, p < 0.05). Older age and more moderate-to-vigorous physical activity independently predicted greater community participation measured by CPI. Higher levels of depression symptoms were associated with less formal and informal community participation on ESS (rs = -0.25). More formal community participation on ESS was weakly (rs = 0.2-0.3) associated with older age, better lung function, exercise capacity and self-efficacy, and less breathlessness. Self-efficacy, exercise capacity, and age independently predicted formal community participation in individuals with COPD. Strategies to optimize self-efficacy and improve exercise capacity may be useful to enhance community participation in people with COPD.

link

COPD 2021; 18(5): 533-540

COPD