A Qualitative Study of Factors Relating to Motivation in Pulmonary Rehabilitation

1. Background
Motivation is acknowledged as being important within pulmonary rehabilitation, yet there is very little research within this topic. Additionally there is no universal definition of motivation.
2. Aims
The purpose of the study was to gain insight into patient perceptions of the meaning of motivation and factors influencing it within the specific context of a pulmonary rehabilitation programme.
3. Methods
A qualitative, phenomenological approach was used. Patient focus groups and interviews were undertaken to generate data about their beliefs, attitudes and experiences related to motivation within the context of pulmonary rehabilitation. Content analysis was performed, and data was coded and categorised.
4.Results
Patients perceived motivation as consisting of essential elements, external influences and a behaviour element. Patients perceived an essentially motivated person as having a positive attitude, high self-esteem and self efficacy and as an independent person with a happy disposition. External influences included supportive healthcare professionals, the weather, and belief in effectiveness of rehabilitation. The data also showed that during pulmonary rehabilitation patients appear to experience a cycle of increasing motivation influenced by different elements at each stage. Patients perceived behaviour to be the manifestation of their motivational status.
5. Conclusions
The study has provided evidence that there is potential to manipulate motivation within pulmonary rehabilitation. The data will be valuable in future exploration of the use of cognitive behavioural interventions within programmes.