Abstract：
OBJECTIVES:To explore determinants of behavior change maintenance of a physically active lifestyle in patients with chronic obstructive pulmonary disease (COPD) 8-11 months after completion of a 4-month outpatient pulmonary rehabilitation program. DESIGN:A qualitative descriptive study of semistructured interviews. SETTING:Pulmonary rehabilitation assessment center. PARTICIPANTS:Patients with COPD. MEASUREMENTS:Semistructured interviews until data saturation, coded by 2 independent researchers. Patients were classified as responder (maintenance or improvement) or nonresponder (relapse or decrease), based on 3 quantitative variables reflecting exercise capacity (Constant Work Rate Test), health-related quality of life (Short-Form health survey [SF-36]), and self-management abilities (Self-Management Ability Scale [SMAS-30/Version 2]). RESULTS:Mean (SD) forced expiratory volume in the first second (FEV1) among interviewees was 52.5% (14.4%) predicted and the mean age was 63.5 years (range: 45-78). The group consisted of 15 responders and 7 nonresponders. Physical limitations reduced competence to engage in an active lifestyle and responders appeared to experience higher levels of perceived competence. Social support was found important and the experienced understanding from fellow patients made exercising together enjoyable. Particularly, responders expressed autonomous motivation and said they exercised because of the benefits they gain from it. Unexpectedly, only responders also experienced controlled motivation. CONCLUSION:Perceived competence and autonomous motivation are important determinants for maintenance of an active lifestyle in patients with COPD. In contrast to common theoretical assumptions, a certain threshold level of controlled motivation may remain important in maintaining a physically active lifestyle after a pulmonary rehabilitation program.
journal_name
J Am Med Dir Assocjournal_title
Journal of the American Medical Directors Associationauthors
Stewart KF,Meis JJ,van de Bool C,Janssen DJ,Kremers SP,Schols AMdoi
10.1016/j.jamda.2014.05.003subject
Has Abstractpub_date
2014-09-01 00:00:00pages
655-64issue
9eissn
1525-8610issn
1538-9375pii
S1525-8610(14)00286-2journal_volume
15pub_type
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journal_title：Journal of the American Medical Directors Association
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journal_title：Journal of the American Medical Directors Association
pub_type： 临床试验,杂志文章
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abstract：OBJECTIVES:To quantify and characterize the chronic conditions of older Americans who live in nursing homes (NHs) but have minimal disability and might be able to live in less restrictive and less expensive settings. DESIGN:Secondary analysis of the 1999 National Nursing Home Survey. PARTICIPANTS:NH staff members fam...
journal_title：Journal of the American Medical Directors Association
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journal_title：Journal of the American Medical Directors Association
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journal_title：Journal of the American Medical Directors Association
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journal_title：Journal of the American Medical Directors Association
pub_type： 杂志文章
doi：10.1016/j.jamda.2012.04.007
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journal_title：Journal of the American Medical Directors Association
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journal_title：Journal of the American Medical Directors Association
pub_type： 杂志文章
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journal_title：Journal of the American Medical Directors Association
pub_type： 杂志文章,评审
doi：
更新日期：2004-09-01 00:00:00
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journal_title：Journal of the American Medical Directors Association
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.jamda.2014.12.005
更新日期：2015-03-01 00:00:00
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journal_title：Journal of the American Medical Directors Association
pub_type： 历史文章,杂志文章
doi：10.1016/j.jamda.2008.06.005
更新日期：2009-01-01 00:00:00
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journal_title：Journal of the American Medical Directors Association
pub_type： 杂志文章
doi：10.1016/j.jamda.2013.10.013
更新日期：2014-01-01 00:00:00
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journal_title：Journal of the American Medical Directors Association
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.jamda.2014.03.017
更新日期：2014-08-01 00:00:00
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journal_title：Journal of the American Medical Directors Association
pub_type： 杂志文章
doi：10.1016/j.jamda.2009.03.003
更新日期：2009-07-01 00:00:00
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journal_title：Journal of the American Medical Directors Association
pub_type： 杂志文章
doi：10.1016/j.jamda.2005.04.006
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journal_title：Journal of the American Medical Directors Association
pub_type： 临床试验,杂志文章
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journal_title：Journal of the American Medical Directors Association
pub_type： 杂志文章
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journal_title：Journal of the American Medical Directors Association
pub_type： 杂志文章
doi：10.1016/j.jamda.2008.10.015
更新日期：2009-05-01 00:00:00
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journal_title：Journal of the American Medical Directors Association
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journal_title：Journal of the American Medical Directors Association
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更新日期：2000-05-01 00:00:00
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journal_title：Journal of the American Medical Directors Association
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.jamda.2010.02.010
更新日期：2011-01-01 00:00:00
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journal_title：Journal of the American Medical Directors Association
pub_type： 杂志文章,多中心研究,随机对照试验
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更新日期：2016-08-01 00:00:00
abstract：:Community care provision for older Australians is growing in places and options, based on older people's preference to stay in their own homes, coupled with its cost efficiency compared to long-term residential care. Australia's aging population, cultural diversity, and dispersed population in rural and remote areas p...
journal_title：Journal of the American Medical Directors Association
pub_type： 杂志文章,评审
doi：10.1016/j.jamda.2007.11.010
更新日期：2008-02-01 00:00:00
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journal_title：Journal of the American Medical Directors Association
pub_type： 杂志文章
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更新日期：2020-09-01 00:00:00
abstract：OBJECTIVES:According to previous studies, 20% to 24% of deaths in the United States occur in nursing homes. This number is increasing. Overall vital statistics document that the leading causes of death in the United States remain cardiovascular/cerebrovascular and cancer, with Alzheimer's disease seventh as of 2004. Ho...
journal_title：Journal of the American Medical Directors Association
pub_type： 杂志文章
doi：10.1016/j.jamda.2008.04.011
更新日期：2008-10-01 00:00:00
