8 results on '"Selzler, Anne-Marie"'
Search Results
2. The Relationship between Physical Activity, Depression and Anxiety in People with COPD: A Systematic Review and Meta-analyses.
- Author
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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]
- Published
- 2023
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3. An experimental assessment of the influence of exercise versus social implementation intentions on physical activity during and following pulmonary rehabilitation
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Rodgers, Wendy M., Selzler, Anne-Marie, Haennel, Robert G., Holm, Siri, Wong, Eric Y. L., and Stickland, Michael K.
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- 2014
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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. Evaluation of an Enhanced Pulmonary Rehabilitation Program: A Randomized Controlled Trial.
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Selzler, Anne-Marie, Jourdain, Tina, Wald, Joshua, Sedeno, Maria, Janaudis-Ferreira, Tania, Goldstein, Roger, Bourbeau, Jean, and Stickland, Michael K.
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RESPIRATORY diseases ,MEDICAL rehabilitation ,HEALTH outcome assessment ,PHYSICAL activity ,SELF-managed learning (Personnel management) ,RESEARCH ,EXERCISE tolerance ,RESEARCH methodology ,MEDICAL cooperation ,EVALUATION research ,SELF-efficacy ,COMPARATIVE studies ,RANDOMIZED controlled trials ,QUALITY of life ,OBSTRUCTIVE lung diseases ,EXERCISE - Abstract
Rationale: Pulmonary rehabilitation (PR) is the most effective strategy to improve health outcomes in people with chronic obstructive pulmonary disease (COPD), although it has had limited success in promoting sustained physical activity. PR with a strong focus on disease self-management may better facilitate long-term behavior change. Objectives: To compare a newly developed enhanced PR (EPR) program with a traditional PR program on outcome achievement. Methods: In this randomized parallel-group controlled trial, PR classes were block-randomized to EPR or traditional PR and were delivered over 16 sessions each. The EPR program incorporated new and updated "Living Well with COPD" education modules, which had a stronger focus on chronic disease self-management. Fidelity of the intervention for content and delivery was assessed. Physical activity, self-efficacy, exercise tolerance, and health-related quality of life (HRQoL) were collected before, after, and 6 months after PR. Healthcare visits were collected 2 years before PR and 1 year after. Mortality was recorded 1 year after PR. Results: Of the 207 patients with COPD enrolled, 108 received EPR and 99 received traditional PR. Physical activity (steps) and self-efficacy improved from before to after PR in both programs, with no differences between groups. These effects were not sustained at 6 months. Exercise tolerance and HRQoL improved from before to after PR with no between-group differences and were maintained at 6 months. Visits to primary care providers and respiratory specialists decreased in the EPR program relative to the traditional PR program. EPR was delivered as intended, and there was no meaningful cross-contamination between the two programs. Conclusions: Enhancing PR to have a greater emphasis on chronic disease self-management did not result in a superior improvement of physical activity and health outcomes compared with traditional PR except for reduced resource usage from primary and specialist physician visits in the EPR program.Clinical trial registered with ClinicalTrials.gov (NCT02917915). [ABSTRACT FROM AUTHOR]
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- 2021
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6. 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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7. Coping Versus Mastery Modeling Intervention to Enhance Self-efficacy for Exercise in Patients with COPD.
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Selzler, Anne-Marie, Rodgers, Wendy M., Berry, Tanya R., and Stickland, Michael K.
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OBSTRUCTIVE lung disease treatment , *PSYCHOLOGICAL adaptation , *ANALYSIS of variance , *AUDIOVISUAL materials , *CARDIOPULMONARY system , *COMMUNICATION , *EXERCISE tests , *LEARNING strategies , *OBSTRUCTIVE lung diseases , *MULTIVARIATE analysis , *RESPIRATION , *SELF-efficacy , *WALKING , *MULTIPLE regression analysis , *TASK performance , *SOCIAL learning theory , *RANDOMIZED controlled trials , *REPEATED measures design , *PHYSICAL activity - Abstract
The literature suggests self-efficacy is a determinant of physical activity and management of Chronic Obstructive Pulmonary Disease (COPD). The purpose of this study was to (1) test the effects of two vicarious experience interventions, coping versus mastery modeling, on self-efficacy in COPD patients performing a cardiopulmonary exercise test (CPET), and (2) determine the type of self-efficacy most strongly related to physical activity in COPD patients. After a baseline assessment of self-efficacy (task, coping for exercise, coping for breathing, scheduling, and walking) and potential moderators, 120 COPD patients watched a mastery model or coping model CPET video, or received usual care verbal instructions. Then, self-efficacy was assessed, followed by a CPET, and another assessment of self-efficacy. Fitbits tracked participants' step count the week following contact. Repeated measures MANOVAs assessed the intervention effects and multiple regressions assessed the contribution of self-efficacy subtypes to step count. All self-efficacy subtypes improved in the mastery and coping conditions, although greater improvement of self-efficacy for coping with exercise barriers was observed in the coping condition. Self-efficacy did not improve in the control condition and no moderators were identified. Self-efficacy for coping with exercise barriers was the self-efficacy subtype most strongly related to step count. This research suggests modeling is a useful intervention technique to enhance self-efficacy in COPD patients, although coping models may be more beneficial than mastery models for enhancing capability beliefs during complex tasks. Future interventions in COPD patients should target self-efficacy for coping with exercise barriers. [ABSTRACT FROM AUTHOR]
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- 2020
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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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