PT  - JOURNAL ARTICLE
AU  - Arwel Jones
AU  - Hayley Robinson
AU  - Mark Saunders
AU  - Amanda Brewster
AU  - Colin Ridyard
AU  - Murray Smith
AU  - Jenna Peel
AU  - Joel Shopland
AU  - Claire Wilson
AU  - Jan Swan
AU  - Susan Frizzell
AU  - Abi Dean
AU  - Mark Hinchliffe
AU  - Graham Law
AU  - Niroshan Siriwardena
TI  - Process evaluation of the British Lung Foundation Active Steps service
AID  - 10.1183/13993003.congress-2021.PA3915
DP  - 2021 Sep 05
TA  - European Respiratory Journal
PG  - PA3915
VI  - 58
IP  - suppl 65
4099  - http://erj.ersjournals.com/content/58/suppl_65/PA3915.short
4100  - http://erj.ersjournals.com/content/58/suppl_65/PA3915.full
SO  - Eur Respir J2021 Sep 05; 58
AB  - 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.FootnotesCite 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).