Effect of health locus of control on physical activity in stable patients with chronic obstructive pulmonary diseases

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  • Egoshi Shojiro
    Department of Physical Therapy, Faculty of Health Science, Kyoto Tachibana University: 34 Oyakeyamada-cho, Yamashina-ku, Kyoto 607-8175, Japan Specified Nonprofit Corporation Hagakure Respiratory Care Network, Japan
  • Hayashi Shinichiro
    Department of Respiratory Medicine, Kohokai Takagi Hospital, Japan Department of Rehabilitation Medicine, Saga University Hospital, Japan Specified Nonprofit Corporation Hagakure Respiratory Care Network, Japan
  • Horie Jun
    Department of Physical Therapy, Faculty of Health Science, Kyoto Tachibana University: 34 Oyakeyamada-cho, Yamashina-ku, Kyoto 607-8175, Japan Specified Nonprofit Corporation Hagakure Respiratory Care Network, Japan
  • Shiranita Shuichi
    Choseido Watanabe Clinic, Japan Specified Nonprofit Corporation Hagakure Respiratory Care Network, Japan
  • Watanabe Hisashi
    Choseido Watanabe Clinic, Japan Specified Nonprofit Corporation Hagakure Respiratory Care Network, Japan
  • Kawaura Futoshi
    Department of Respiratory Medicine, Kohokai Takagi Hospital, Japan Specified Nonprofit Corporation Hagakure Respiratory Care Network, Japan
  • Takahashi Koichiro
    Division of Hematology, Respiratory Medicine, and Oncology, Department of Internal Medicine, Faculty of Medicine, Saga University, Japan Specified Nonprofit Corporation Hagakure Respiratory Care Network, Japan
  • Asami Toyoko
    Department of Rehabilitation Medicine, Saga University Hospital, Japan
  • Sueoka-Aragane Naoko
    Division of Hematology, Respiratory Medicine, and Oncology, Department of Internal Medicine, Faculty of Medicine, Saga University, Japan

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Abstract

<p> [Purpose] A strong correlation exists between low physical activity and the prognosis of patients with chronic obstructive pulmonary disease (COPD). The interaction between psychological factors and low physical activity remains unclear in patients with COPD. Here, we investigated the impact of the health locus of control (HLOC) on the response to an education program in patients with COPD. [Participants and Methods] We assessed the physical activities and HLOC in participants with COPD before and after a five-month education program. We assessed physical activity using the Japanese version of the International Physical Activity Questionnaire (IPAQ). We evaluated the HLOC using the Japanese version of the HLOC scales. We provided an identical educational program to all participants after the initial evaluation. [Results] The total activity and walking scores were significantly elevated after the intervention. We observed a significant negative correlation between the IPAQ Total score after the intervention and the supernatural HLOC. We also observed significant negative correlations between the IPAQ Vigorous score after the intervention and Family HLOC and Chance HLOC. [Conclusion] The response of patients with COPD to self-care educational programs was influenced by the HLOC.</p>

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