Evidence map›Paper›PMID 29867117›Full record

SynthesisNPJ primary care respiratory medicine2018

Facilitators and barriers to physical activity following pulmonary rehabilitation in COPD: a systematic review of qualitative studies.

Hayley Robinson, Veronika Williams, Ffion Curtis, Christopher Bridle, Arwel W Jones

3 registry-linked trialsAbstract readSystematic Review
In one paragraph

Synthesis in NPJ primary care respiratory medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 53 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04223362 nacompletednot on this mapstarted 2020, after this paper: background citation

PICk-UP: PersonalIsed CommUnity-based Physical Activities for Patients With Chronic Obstructive Pulmonary Disease

TypeinterventionalSponsorAveiro UniversityRan2020 to 2023Enrolled61ConditionsCOPDArmsCommunity-based physical activity programme, Pulmonary Rehabilitation
NCT04711057 nacompletednot on this mapstarted 2021, after this paper: background citation

CENTR(AR): Lungs Moving

TypeinterventionalSponsorAveiro UniversityRan2021 to 2023Enrolled80ConditionsChronic Respiratory Disease, Lung Diseases, Pulmonary Disease, Chronic Obstructive Pulmonary DiseaseArmsCommunity-based PA program, Pulmonary Rehabilitation
NCT05343949 naterminatednot on this mapstarted 2019, after this paper: background citation

Promoting Activity in Chronic Obstructive Pulmonary Disease (COPD): Optimising High Intensity Interval Training and Technologies, a Pilot Study

TypeinterventionalSponsorHull University Teaching Hospitals NHS TrustRan2019 to 2022Enrolled18ConditionsCOPDArmsHIIT exercise program ABC, HIIT exercise program CAB, HIIT exercise program BCA
3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Shared Experiences in Post-Rehabilitation COPD Care Management: A Qualitative Study From Patient and Care Manager Perspectives.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  8. Article
  9. Article
  10. Observational
  11. Observational
  12. Article
  13. Effectiveness of repeated pulmonary rehabilitation in patients with chronic obstructive pulmonary disease.Canadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie respiratoire : RCTR · 2026
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Hayley RobinsonLincoln Institute for Health, University of Lincoln, Lincoln, UK. hrobinson@lincoln.ac.uk.ORCID 0000-0001-9860-2568
Veronika WilliamsNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Ffion CurtisLincoln Institute for Health, University of Lincoln, Lincoln, UK.
Christopher BridleLincoln Institute for Health, University of Lincoln, Lincoln, UK.
Arwel W JonesLincoln Institute for Health, University of Lincoln, Lincoln, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pulmonary rehabilitation has short-term benefits on dyspnea, exercise capacity and quality of life in COPD, but evidence suggests these do not always translate to increased daily physical activity on a patient level. This is attributed to a limited understanding of the determinants of physical activity maintenance following pulmonary rehabilitation. This systematic review of qualitative research was conducted to understand COPD patients' perceived facilitators and barriers to physical activity following pulmonary rehabilitation. Electronic databases of published data, non-published data, and trial registers were searched to identify qualitative studies (interviews, focus groups) reporting the facilitators and barriers to physical activity following pulmonary rehabilitation for people with COPD. Thematic synthesis of qualitative data was adopted involving line-by-line coding of the findings of the included studies, development of descriptive themes, and generation of analytical themes. Fourteen studies including 167 COPD patients met the inclusion criteria. Seven sub-themes were identified as influential to physical activity following pulmonary rehabilitation. These included: intentions, self-efficacy, feedback of capabilities and improvements, relationship with health care professionals, peer interaction, opportunities following pulmonary rehabilitation and routine. These encapsulated the facilitators and barriers to physical activity following pulmonary rehabilitation and were identified as sub-themes within the three analytical themes, which were beliefs, social support, and the environment. The findings highlight the challenge of promoting physical activity following pulmonary rehabilitation in COPD and provide complementary evidence to aid evaluations of interventions already attempted in this area, but also adds insight into future development of interventions targeting physical activity maintenance in COPD.

Indexed as

Health StatusQualitative ResearchQuality of LifeExerciseExercise ToleranceHumansPulmonary Disease, Chronic Obstructive

Identifiers

PMID29867117
PMCPMC5986863

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.