title: Enhanced information regarding exercise training as treatment is needed. An interview study in patients with chronic obstructive pulmonary disease.
abstract: OBJECTIVE
  The purpose of this study is to describe thoughts and attitudes of patients with chronic obstructive pulmonary disease (COPD) when talking about exercise training as treatment.
  
  
  METHODS
  Semi-structured interviews were performed and analyzed with the grounded theory method. Four men and six women were interviewed (ages 66-84 years), with moderate to severe COPD, and no experience of organized exercise training as treatment for COPD.
  
  
  RESULTS
  The analysis resulted in one core category, unknown territory, and three categories, good for those who can, but not for me; fear of future; and mastering. Exercise training as treatment was perceived by the participants as something unknown. It was also described as important for others but not for them. Their perceptions were that they could not perform exercise training, and did not have the knowledge of what or how to perform exercise that was good for them.
  
  
  CONCLUSIONS
  Patients with COPD, with no previous experience of exercise training as treatment for their disease, describe exercise training as something unknown and unimportant for them. The results provide important knowledge for healthcare professionals regarding how to educate patients with COPD about the content and benefits of exercise training as treatment. Implications for Rehabilitation Exercise training is effective for patients with chronic obstructive pulmonary disease (COPD) with regard to dyspnea, physical capacity, health-related quality of life, and health care use. Patients with COPD perceive a lack of information regarding exercise training as treatment. The information and the presentation of exercise training as treatment might be of importance to get better adherence to this treatment.
authors.affiliation: Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University , Umeå , Sweden.
authors.forename: Petronella
authors.initials: P
authors.lastname: Nordvall Strömberg
authors.forename: Anncristine
authors.initials: A
authors.lastname: Fjellman-Wiklund
authors.forename: Karin
authors.initials: K
authors.lastname: Wadell
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005081:Exercise Therapy / Q000193:education / Q000379:methods*; D005239:Fear / Q000523:psychology*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D029424:Pulmonary Disease, Chronic Obstructive / Q000534:rehabilitation*; D011788:Quality of Life
keywords: Exercise therapy; lung disease; qualitative research; rehabilitation