EXPLORING THE VALUE OF A COMMUNITY-BASED PHYSICAL ACTIVITY INTERVENTION FOR COPD PATIENTS WITH VARYING NEEDS IN BRAZIL

Research Question:What are the barriers and enablers to physical activity (PA) and exercise programmes amongst Brazilian chronic obstructive pulmonary disease (COPD) patients with and without mood disorders? BackgroundAnxiety and depression are one of the common comorbidities which significantly impact on COPD patients’ quality of life, exacerbation frequency, hospitalisation and survival. Risks can be reduced with regular PA. Pulmonary rehabilitation is one of the most effective treatments for the management of COPD an outcome of which is increased PA which improves anxiety and depression. However engagement in PA and exercise programmes is poor. In Brazil, there are few (if any) such programmes and it is not clear how acceptable such programmes would be in Brazil. Methodology:Patients diagnosed with COPD in the Breathe Well 1 study and COPD patients from the Basic Health Units in São Paulo, Brazil will be invited to participate. Interested patients will be screened for anxiety and depression using PHQ-9 and GAD-7, COPD severity, and also age, gender, levels of PA and education. Three FGs will be conducted with COPD patients with anxiety and / or depression, and three with COPD patients without anxiety or depression. Each group will contain either newly diagnosed COPD patients, or those with established COPD, or a mixture. FGs will be audio recorded and transcribed. Themes will be identified using Framework Analysis.ResultsData collection has just commenced, and preliminary findings will be presented. Declaration of Interest The authors declare no conflicts of interest. This research was funded by the National Institute for Health Research (NIHR) NIHR global group on global COPD in primary care (project reference: 16/137/95) using UK aid from the UK Government to support global health research. The views expressed in this publication are those of the author(s) and not necessarily those of the NIHR or the UK Department of Health and Social Care. References and Clinical Trial Registry Information