PT - JOURNAL ARTICLE AU - Amy Blakemore AU - Liz Baker AU - Manbinder Sidhu AU - Kate Jolly AU - Peter Coventry TI - A longitudinal qualitative study of nurse-led telephone health coaching for COPD AID - 10.1183/13993003.congress-2016.PA3957 DP - 2016 Sep 01 TA - European Respiratory Journal PG - PA3957 VI - 48 IP - suppl 60 4099 - http://erj.ersjournals.com/content/48/suppl_60/PA3957.short 4100 - http://erj.ersjournals.com/content/48/suppl_60/PA3957.full SO - Eur Respir J2016 Sep 01; 48 AB - Background: Telephone health coaching is a leading candidate intervention to promote behaviour change in COPD. However, little is known about its effectiveness for those with mild disease who may not prioritise behaviour change. We aimed to explore what motivated patients to engage with a nurse-led telephone health coaching intervention.Method: Semi structured in-depth interviews with 21 participants randomised to recieve telephone health coaching. COPD diagnosis confirmed by post bronchodilator spirometry and self-reported mild dyspnoea (MRC grades 1/2). Interviews approximately six and 12 months post randomisation. Interviews were transcribed then analysed using a framework approach.Results: Twenty one interviews were conducted; 20 (95%) completed follow up at six months. Most participants engaged in behaviour change that focused on increasing physical activity, often facilitated through the use of a pedometer. Participants' motivations signalled a commitment to protect future health but were articulated in the context of receiving positive feedback from the nurse. Few participants chose to set formal goals. They preferred a flexible approach that allowed them to make small adjustments to existing routines.Many participants maintained improvements at follow up. Those who did not cited contextual factors such as changes in health, social problems and seasonal changes in the weather as key barriers.Conclusions: Participants with mildly symptomatic COPD made and maintained behaviour change following telephone health coaching. A more tailored and individual approach may overcome barriers to goal setting while addressing social and environmental factors might help to support lasting behaviour change.