8 results on '"Selzler, Anne-Marie"'
Search Results
2. Implementation and maintenance of an enhanced pulmonary rehabilitation program in a single centre: An implementation study.
- Author
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van der Braak, Kim, Wald, Joshua, Tansey, Catherine M., Paes, Thais, Sedeno, Maria, Selzler, Anne-Marie, Stickland, Michael K., Bourbeau, Jean, and Janaudis-Ferreira, Tania
- Abstract
Background: Pulmonary rehabilitation (PR) has major benefits for patients with chronic obstructive pulmonary disease (COPD). An enhanced PR program was developed with a self-management education intervention. The objective of our study was to evaluate the implementation of the enhanced PR program into a single centre. Methods: Pre-post implementation study consisted of two evaluation periods: immediately after implementation and 18 months later. Guided by the RE-AIM framework, outcomes included: Reach, Effectiveness, Adoption, Implementation and Maintenance. Results: Reach: 70-75% of referred patients agreed to a PR program (n = 26). Effectiveness: Clinically important improvements occurred in some patients in functional exercise capacity (64% of the patients achieved clinical important difference in 6-min walk test in the first evaluation period and 44% in the second evaluation period), knowledge, functional status, and self-efficacy in both evaluation periods. Adoption: All healthcare professionals (HCPs) involved in PR (n = 8) participated. Implementation: Fidelity for the group education sessions ranged from 76 to 95% (first evaluation) and from 82 to 88% (second evaluation). Maintenance: The program was sustained over 18 months with minor changes. Patients and HCPs were highly satisfied with the program. Conclusions: The enhanced PR program was accepted by patients and HCPs and was implemented and maintained at a single expert center with good implementation fidelity. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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3. The Relationship between Physical Activity, Depression and Anxiety in People with COPD: A Systematic Review and Meta-analyses.
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Selzler, Anne-Marie, Ellerton, Cindy, Ellerton, Lauren, Habash, Razanne, Nekolaichuk, Erica, Goldstein, Roger, and Brooks, Dina
- Abstract
Depression and anxiety are related to physical activity among people with chronic obstructive pulmonary disease (COPD), although the strength and direction of the reported relationships are inconsistent. This study systematically synthesized the relationships between physical activity and i) depression and ii) anxiety in people with COPD. Physical activity measurement type (objective, self-report) was examined as a moderator of these relationships. A systematic search of physical activity and COPD was conducted from inception to February 2022 across 8 databases. Studies were included if they provided correlation coefficients for the relationship between measures of physical activity and depression or anxiety in people with COPD and were published in English. Two reviewers independently screened, reviewed and extracted data, with discrepancies resolved by a third reviewer. Across 13 studies, a small relationship was found between physical activity and depression, weighted r = −0.15, 95%CI [-0.21, −0.10], which was not moderated by physical activity measurement type. Across 8 studies, a negligible relationship was found between physical activity and anxiety, weighted r = −0.03, 95%CI [-0.11, 0.04], although this was moderated by physical activity measurement type, such that self-reported physical activity had a small negative relationship with anxiety (weighted r = −0.09, 95% CI [-0.15, −0.03]) and objectively measured physical activity had a small positive relationship (weighted r = 0.07, 95% CI [-0.13, 0.26]). In COPD, the bivariate association between physical activity and anxiety and depression are small. [ABSTRACT FROM AUTHOR]
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- 2023
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4. Reducing sedentary behavior in individuals with COPD: healthcare professionals' perspectives.
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Wshah, Adnan, Selzler, Anne-Marie, Ellerton, Lauren, Hill, Kylie, Brooks, Dina, and Goldstein, Roger
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SEDENTARY lifestyles , *PROFESSIONS , *COUNSELING , *SOCIAL support , *ATTITUDES of medical personnel , *RESEARCH methodology , *MOTIVATIONAL interviewing , *INTERVIEWING , *QUALITATIVE research , *PHYSICAL activity , *OBSTRUCTIVE lung diseases , *RESEARCH funding , *QUESTIONNAIRES , *SOUND recordings , *HEALTH behavior , *THEMATIC analysis , *CONTENT analysis , *JUDGMENT sampling , *GOAL (Psychology) - Abstract
Reducing sedentary behavior (SB) in individuals with chronic obstructive pulmonary disease (COPD) is being increasingly recognized as a novel health target. Understanding healthcare professionals (HCPs) behavior that influences a reduction in SB in this population could facilitate achieving this target. To explore the determinants of behavior related to HCPs targeting a reduction in SB in people with COPD. We used a qualitative semi-structured interview approach informed by the Theoretical Domains Framework (TDF). Sixteen HCPs were interviewed. Interview transcripts were mapped against the relevant TDF domain(s) and then higher order themes were generated. Directed content analysis resulted in mapping 949 quotes to the TDF domains with environmental context and resources being the most coded domain. Three higher order themes were identified: 1) HCPs need more knowledge on reducing SB; 2) Strategies suggested to include in pulmonary rehabilitation (PR) to reduce SB; and 3) Barriers to adding SB to PR. Domains of environmental context and resources, knowledge, social/professional role and identity, reinforcement, social influences, skills and beliefs about capabilities were relevant to the study population to reduce SB in people with COPD. Knowledge of SB varied across participants. This study provided information on potential behavioral targets for future interventions that involve HCPs and aim to reduce SB among people with COPD. [ABSTRACT FROM AUTHOR]
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- 2022
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5. The Relationship between Self-Efficacy, Functional Exercise Capacity and Physical Activity in People with COPD: A Systematic Review and Meta-Analyses.
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Selzler, Anne-Marie, Moore, Veronica, Habash, Razanne, Ellerton, Lauren, Lenton, Erica, Goldstein, Roger, and Brooks, Dina
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PHYSICAL activity , *EXERCISE , *SELF-efficacy , *OBSTRUCTIVE lung diseases , *META-analysis - Abstract
The purpose of this study was to investigate the strength of the relationships between self-efficacy and (i) functional exercise capacity and (ii) physical activity in chronic obstructive pulmonary disease (COPD), and whether self-efficacy assessment type (i.e., COPD symptoms, exercise-task, exercise-barrier, general, falls) and physical activity assessment type (i.e., self-report vs. objective) are moderators. A systematic search of COPD and self-efficacy concepts was conducted using eight databases from inception to 23 January 2019. Studies were included if they provided correlation coefficients of the relationship between self-efficacy and functional exercise capacity or physical activity, were conducted in adults diagnosed with COPD, and were published in English-language journals. A total of 14 correlation coefficients were included in the self-efficacy and functional exercise capacity meta-analysis, and 16 in the self-efficacy and physical activity meta-analysis. Data were screened, reviewed, and extracted independently by two reviewers, with discrepancies resolved by a third reviewer. Stronger self-efficacy was associated with better functional exercise capacity (weighted r = 0.38, 95%CI [0.25, 0.50]), and greater physical activity (weighted r = 0.25, 95%CI [0.17, 0.34]). Exercise-task self-efficacy had the strongest relationship to functional exercise capacity (weighted r = 0.64, 95% CI [0.51, 0.73]). For physical activity, the type of self-efficacy most strongly related was inconclusive. In COPD, self-efficacy has a relationship to functional exercise capacity and physical activity, the strength of which is influenced by the choice of self-efficacy measure. An understanding of these relationships will assist clinicians in selecting the self-efficacy measure most closely related to the outcome of interest. [ABSTRACT FROM AUTHOR]
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- 2020
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6. Self-efficacy and health-related quality of life in chronic obstructive pulmonary disease: A meta-analysis.
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Selzler, Anne-Marie, Habash, Razanne, Robson, Lisa, Lenton, Erica, Goldstein, Roger, and Brooks, Dina
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OBSTRUCTIVE lung diseases , *QUALITY of life , *SELF-efficacy , *META-analysis , *EXERCISE - Abstract
Objective: To determine the association between self-efficacy and health-related quality of life (HRQoL) in people with Chronic Obstructive Pulmonary Disease (COPD) and the moderating effect of self-efficacy type (exercise task, exercise barrier, COPD symptom, general) and HRQoL type (generic, COPD specific).Methods: Databases were searched systematically from inception to January 2019. Methodological quality was assessed, and a meta-analysis was conducted following PRISMA guidelines (PROSPERO protocol: CRD42018114846).Results: Across 31 coefficients, there was a positive relationship between self-efficacy and HRQoL (r = 0.38, 95 %CI [0.32, 0.45]). Exercise barrier self-efficacy had the strongest relationship to HRQoL (r = 0.42, 95 % CI [0.30, 0.52]), followed by COPD symptoms (r = 0.41, 95 % CI [0.33, 0.49]), exercise tasks (r = 0.40, 95 % CI [0.29, 0.50]), and general self-efficacy (r = 0.21, 95 % CI [0.14, 0.28]). Generic HRQoL had a similar relationship to self-efficacy (r = 0.38, 95 % CI [0.28, 0.47]) as COPD specific HRQoL (r = 0.38, 95 % CI [0.30, 0.46]).Conclusion: There is a moderate positive relationship between self-efficacy and HRQoL in COPD, with the relationship stronger for exercise and COPD symptoms than general self-efficacy. [ABSTRACT FROM AUTHOR]- Published
- 2020
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7. Determinants of Sedentary Behaviour in Individuals with COPD: A Qualitative Exploration Guided by the Theoretical Domains Framework.
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Wshah, Adnan, Selzler, Anne-Marie, Hill, Kylie, Brooks, Dina, and Goldstein, Roger
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MEDICAL personnel , *OBSTRUCTIVE lung diseases , *OCCUPATIONAL roles , *SOCIAL influence , *PROFESSIONAL identity - Abstract
In people with chronic obstructive pulmonary disease (COPD), there is increasing recognition that the prolonged accumulation of sedentary time (ST) is associated with adverse cardio-metabolic health outcomes. Nevertheless, changing this lifestyle, which has evolved over several decades, is likely to be challenging. This study reports the determinants, perceived by individuals with COPD, as being important for reducing ST. An in-depth understanding of this information is essential when planning an intervention to reduce ST. Fourteen individuals with COPD completed semi-structured one-on-one interviews, which were audio recorded and transcribed verbatim. Both the interview schedule and mapping of data items extracted from the interview transcripts were informed by the Theoretical Domains Framework (TDF). A total of 867 quotes were mapped to the 14 TDF domains. Seven of the fourteen domains were identified as being important determinants for reducing ST: knowledge, beliefs about consequences, beliefs about capabilities, environmental context and resources, social influences, social/professional role and identity, and behavioural regulation. There was a lack of knowledge regarding the meaning of sedentary behaviour. Participants' desire to be educated by knowledgeable health professionals in a formal programme was a dominant theme across multiple domains. The most frequently reported barriers to reducing ST related to the domains of social/professional role and identity and environmental context and resources, while the most frequently reported enablers were related to the domains pertaining to beliefs about consequences and social influences. Potential strategies to reduce ST among people with COPD include education and other determinants identified in this research. [ABSTRACT FROM AUTHOR]
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- 2020
- Full Text
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8. Self-efficacy in Patients with Chronic Obstructive Pulmonary Disease
- Author
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Selzler, Anne-Marie
- Subjects
- disease management, vicarious experience, modeling, pulmonary rehabilitation, self-efficacy, chronic obstructive pulmonary disease, physical activity, exercise
- Abstract
Abstract: Self-efficacy, defined as behaviour specific confidence, is a consistent correlate of physical activity and other health behaviours. In people with Chronic Obstructive Pulmonary Disease (COPD), self-efficacy has been found to be related to key clinical-health outcomes and is deemed an important contributor to disease self-management. The purpose of this dissertation was to (i) contribute to the understanding of how pulmonary rehabilitation (PR) and vicarious experiences (i.e., observing someone) impact self-efficacy types among patients with COPD, and (ii) examine the relationships of several different types of self-efficacy (i.e., task self-efficacy for exercise, coping self-efficacy for exercise, scheduling self-efficacy for exercise, coping self-efficacy for breathlessness, and walking self-efficacy) to clinical-health and behavioural outcomes: functional exercise capacity, health status, and physical activity. In study 1 (Chapter 2), self-efficacy increased as much or more with PR in COPD patients recently hospitalized for an acute exacerbation of COPD (AECOPD) compared to COPD patients without a recent AECOPD (stable COPD). Among the AECOPD patients, PR delivered within one month or between three and four months after an AECOPD did not impact the amount of improvement in self-efficacy observed. Study 1 also found that among both AECOPD and stable patients self-efficacy for walking was a superior predictor of all clinical-health and behavioural outcomes than self-efficacy for managing breathlessness. Additionally, the association between self-efficacy and physical activity was stronger among stable COPD patients compared to AECOPD patients at both pre- and post-PR. In Chapter 3, a two-part pilot study examined salient exercise-model characteristics to COPD patients and examined patient experiences with cardiopulmonary exercise tests (CPET). The results of this study informed the creation of the intervention evaluated in study 3 (Chapter 4), which examined the effects of coping and mastery model interventions on self-efficacy for walking and exercise (i.e., task self-efficacy for exercise, coping self-efficacy for exercise, scheduling self-efficacy for exercise, coping self-efficacy for breathlessness) in patients with COPD within the context of a CPET. Both the coping and mastery intervention conditions were found to enhance all types of self-efficacy, with the coping condition more strongly enhancing coping self-efficacy for exercise than the mastery condition. Coping self-efficacy for exercise was also the type of self-efficacy that was most strongly related to physical activity in patients with COPD the week following contact. The findings of this dissertation support the delivery of PR in both AECOPD and stable COPD patients and suggest that AECOPD and stable COPD patients may have different salient challenges/needs in PR which should be addressed accordingly. This dissertation highlights the role of self-efficacy within PR environments and provides insight into intervention content that may improve clinical-health and behavioural outcomes among people with COPD.
- Published
- 2018
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