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Title: Community Participation by People with Chronic Obstructive Pulmonary Disease.
Austin Authors: 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 
Affiliation: Department of Clinical Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway..
Allied Health Research and Education Unit, Sydney Local Health District, Sydney, Australia
Department of Physiotherapy, Austin Health, Melbourne, Australia
School of Psychology and Public Health, La Trobe University, Melbourne, Australia
Community Rehabilitation, Wimmera Health Care Group, Horsham Victoria, Australia
Community Based Rehabilitation, Western Health, Melbourne, Australia
Physiotherapy, BSc, Nhill Victoria, Australia
Norwegian Centre for E-health Research, University Hospital of North Norway, Tromsø, Norway
Allergy, Clinical Immunology, and Respiratory Medicine, Monash University, Melbourne, Australia
Federal University of Juiz de Fora, Juiz de Fora, Brazil..
Institute for Breathing and Sleep
Department of Physiotherapy, Alfred Health, Melbourne, Australia
Physiotherapy, Wimmera Health Care Group, Horsham Victoria, Australia
Respiratory and Sleep Medicine
Faculty of Medicine, University of Melbourne, Melbourne, Australia
Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia
Faculty of Medicine and Health, University of Sydney, Sydney, Australia
Issue Date: 2021 2021-08-23
Publication information: COPD 2021; 18(5): 533-540
Abstract: 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.
DOI: 10.1080/15412555.2021.1966761
ORCID: 0000-0002-6619-136X
Journal: COPD
PubMed URL: 34424802
Type: Journal Article
Subjects: Chronic obstructive pulmonary disease
community participation
physical activity
pulmonary rehabilitation
Appears in Collections:Journal articles

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