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Process evaluation of the British Lung Foundation Active Steps service

Arwel Jones, Hayley Robinson, Mark Saunders, Amanda Brewster, Colin Ridyard, Murray Smith, Jenna Peel, Joel Shopland, Claire Wilson, Jan Swan, Susan Frizzell, Abi Dean, Mark Hinchliffe, Graham Law, Niroshan Siriwardena
European Respiratory Journal 2021 58: PA3915; DOI: 10.1183/13993003.congress-2021.PA3915
Arwel Jones
1Monash University, Melbourne, Australia
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  • For correspondence: arwel.jones@monash.edu
Hayley Robinson
2University of Lincoln, Lincoln, United Kingdom
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Mark Saunders
2University of Lincoln, Lincoln, United Kingdom
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Amanda Brewster
2University of Lincoln, Lincoln, United Kingdom
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Colin Ridyard
2University of Lincoln, Lincoln, United Kingdom
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Murray Smith
2University of Lincoln, Lincoln, United Kingdom
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Jenna Peel
3British Lung Foundation, London, United Kingdom
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Joel Shopland
3British Lung Foundation, London, United Kingdom
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Claire Wilson
3British Lung Foundation, London, United Kingdom
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Jan Swan
3British Lung Foundation, London, United Kingdom
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Susan Frizzell
3British Lung Foundation, London, United Kingdom
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Abi Dean
3British Lung Foundation, London, United Kingdom
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Mark Hinchliffe
3British Lung Foundation, London, United Kingdom
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Graham Law
2University of Lincoln, Lincoln, United Kingdom
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Niroshan Siriwardena
2University of Lincoln, Lincoln, United Kingdom
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Abstract

Background: Active Steps, guided by the Behaviour Change Wheel, was developed to support inactive adults with lung conditions.

Aim: To conduct a mixed-methods process evaluation of Active Steps.

Methods: Active Steps comprised of 1:1 telephone health coaching, printed and digital resources for 12 months to increase physical activity. Implementation data (reach, dose and fidelity) were collected and summarised. Paired t tests were used to assess changes (mean, 95% CI) in mechanisms of impact (Capability, Opportunity, Motivation-Behaviour and Sport England self-efficacy scales) at 12 months. Interviews were completed with service users (n=10), service withdrawals (n=8) and British Lung Foundation (BLF) staff (n=10) and analysed thematically.

Results: Of those screened (n=553), 30% (n=166) were eligible for the service and consented for the evaluation. Service users were mostly Female (71%), White (95%), with COPD (67%). 88% (n=883) of intervention calls were completed. The number and duration of intervention calls (mean±SD) were 6 (±4) and 31 minutes (±7) respectively. There were statistically significant (p<0.05) increases in self-efficacy (0.6,0.2–1.0), physical capability (0.6,0.2–1.0), overcoming barriers (0.8,0.4-1.2), making plans (0.8,0.5–1.1) and daily routine (1.1,0.6–1.5). Interviews revealed facilitators (e.g. staff training) and barriers (e.g. health coach workload) to implementation as well as positive (e.g. encouragement, goals) and negative (e.g. ill health, facility access) factors influencing physical activity.

Conclusion: Active Steps was delivered as intended to support physical activity, but further consideration of staff workload and integration with local services may improve implementation.

  • Physical activity
  • Chronic diseases
  • Behavioral science

Footnotes

Cite this article as: European Respiratory Journal 2021; 58: Suppl. 65, PA3915.

This abstract was presented at the 2021 ERS International Congress, in session “Prediction of exacerbations in patients with COPD”.

This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).

  • Copyright ©the authors 2021
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Process evaluation of the British Lung Foundation Active Steps service
Arwel Jones, Hayley Robinson, Mark Saunders, Amanda Brewster, Colin Ridyard, Murray Smith, Jenna Peel, Joel Shopland, Claire Wilson, Jan Swan, Susan Frizzell, Abi Dean, Mark Hinchliffe, Graham Law, Niroshan Siriwardena
European Respiratory Journal Sep 2021, 58 (suppl 65) PA3915; DOI: 10.1183/13993003.congress-2021.PA3915

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Process evaluation of the British Lung Foundation Active Steps service
Arwel Jones, Hayley Robinson, Mark Saunders, Amanda Brewster, Colin Ridyard, Murray Smith, Jenna Peel, Joel Shopland, Claire Wilson, Jan Swan, Susan Frizzell, Abi Dean, Mark Hinchliffe, Graham Law, Niroshan Siriwardena
European Respiratory Journal Sep 2021, 58 (suppl 65) PA3915; DOI: 10.1183/13993003.congress-2021.PA3915
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