Natalie Schüz|Julia Walters|Helen Cameron-Tucker|Jenn Scott|Richard Wood?Baker|E Haydn Walters
Patient Anxiety and Depression Moderate the Effects of Increased Self-management Knowledge on Physical Activity: A Secondary Analysis of a Randomised Controlled Trial on Health-Mentoring in COPD
University of Tasmania|University of Tasmania|University of Tasmania|University of Tasmania|University of Tasmania|University of Tasmania
anxiety depression common comorbidities people chronic obstructive pulmonary disease copd comorbidities could potentially lead higher motivation learn selfmanagement could also inhibit patients translating knowledge appropriate selfmanagement behaviours paper explores moderating effects anxiety depression healthmentoring intervention focusing mechanisms change mediation182 copd patients participated rct anxiety depression assessed hospital anxiety depression scale hads selfmanagement knowledge partners health scale spontaneous physical activity using accelerometers measured baseline 6 12 months moderated mediation model tested interventions effect physical activity mediated via changes selfmanagement knowledge different levels anxiety depressionknowledge mediated effect intervention changes physical activity participants reporting low levels anxiety depression acted moderators increased knowledge led physical activity among participants reporting low anxiety depression less activity among highly anxious depressed participantsalthough healthmentoring interventions effective tool increase knowledge physical activity among copd patients essential take anxiety depression account increased knowledge may detrimental effects highly anxious depressed participants suggests patients elevated anxiety depression may need treated appropriately engaging chronic disease selfmanagement interventions