Table 2. Summary of items important to all participant groups to improve physical activity, sedentary behaviour and sleep.
| Theme | Important items PA | Important items SB | Important items sleep |
|---|---|---|---|
| Non-specific | Be: Resilient; Compliant with medical care /medication; Accepting | – | – |
| Understand patient concerns /fears/expectations | Have self-motivation; Manage breathlessness /associated fear and expectations; Manage expectations around pain; Overcome fear of outdoors/infections | Manage breathlessness/associated fear; Motivation | – |
| Behaviour change/self-efficacy/ autonomy | Build confidence/skills to cope/change behaviour; Feel in control/empowered; Self-regulate activity; Persevere; Seek education; Create helpful thoughts; Follow action plan | Create positive thoughts; Have self-confidence with managing symptoms and behaviour change | – |
| Manage symptoms | Manage: Breathlessness; Fatigue. Provide appropriate drug treatment. | Manage: Breathlessness; Fatigue | – |
| Self-monitoring/goal setting | Self-monitoring/goal setting to increase LPA and daily activities; Positive feedback | Plan and create goals for daily activities | – |
| Education | Education on: AECOPD; How to be active/ what it means; Breathing exercises; Benefits LPA; Manage stress/anxiety | Education on: Benefit of daily activities/LPA; Consequences of being inactive; How to structure life to reduce SB; Mental health | – |
| Professional support | Provision of: Physician/advice encouragement/support; PR and maintenance programs; Exercise advice; F/U with multi-D support and assessment of PA; Self-management; Counselling/motivational interviewing | Provision of: Physician/advice encouragement/support; F/U AECOPD; Exercise plan; Supervised exercise program | – |
| Social support/interactions | Have supportive loved ones involved in care; Take part in social activities | Social interactions with friends/ family | – |
| Accessible/affordable exercise facilities | Free exercise programs; Community gym close to home | – | – |
| Increase physical activity/fitness | Engage in: Daily activities; Regular exercise; Improve fitness. | Improve fitness | – |
| Manage co-existing problems/ conditions | Manage: Pain; Cardiac conditions; Musculoskeletal conditions | Manage: Pain; Cardiac conditions; Musculoskeletal conditions | – |
| Modify/understand physical environment | Facilitative built environment, well- surfaced footpaths | – | – |
| Enjoyment | – | Social life; Hobbies; Scheduled activities | – |
| Modify/understand employment commitments | – | – | – |
| Increase/maintain daily activities | – | Be independent; Engage: ADL’s/daily activities including outdoor and indoor chores; LPA; Exercise | – |
| Understand cause/treat sleep problem | – | – | – |
| Manage anxiety/stress/worry | – | – | Manage anxiety/stress/worry/intrusive thoughts; Relax |
| Follow sleep hygiene principles | – | – | Know and follow sleep hygiene principles |
Notes.
- –
- no item within theme met criteria for ‘important with high group agreement’ across all participant groups
- AECOPD
- acute exacerbation of chronic obstructive pulmonary disease symptoms
- F/U
- follow-up
- multi-D
- multidisciplinary
- LPA
- light-intensity physical activity
- PA
- physical activity
- PR
- pulmonary rehabilitation
- SB
- sedentary behaviour