Motivation to exercise at home was lacking for most, regardless of supportive tools available such as an exercise diary or DVD. I certainly wouldn’t do any exercises at home. I’m dead MK-2206 cost idle in that respect, it’s not a question really of time, it’s just difficult to get the motivation to do it at home so making myself go to the gym [maintenance session] once a week, at least I know that for that time I’m there, I’m doing all sorts of things which are helping me. Exercise

facility: The venue available for exercise was seen as a potential barrier to attendance. Several participants in Group B had not persisted with exercise at facilities suggested to them on completion of pulmonary rehabilitation, predominantly because they felt disconcerted by the environment and the fitter, healthier clientele referred to as ‘Popeyes or Prima Donnas’. The reason [I didn’t go] was because I looked in the gym and saw all this elaborate technical equipment … and the people who were using it. They go there to do their stuff. And if you don’t do your stuff, you’re standing out like a sore thumb. In contrast, many participants in Group A had accepted the opportunity to attend a maintenance session run in a public gym by pulmonary rehabilitation staff. They exercised alongside members of the public but under supervision

RG7420 and amongst fellow graduates from other local pulmonary rehabilitation courses. Initial feelings of intimidation and embarrassment were eased by the staff and peer group facilitating the transition. The first time I went, oh god, the noise … youngsterson the machine next door pounding away, and I thought for god’s sake, let me out of here! Electron transport chain Now, I have a different attitude, I’ve got to know the staff, I’ve got to know some people there. Similarly, participants in Group B were keen to attend a public facility if they could exercise alongside people with similar conditions. Some indicated a preference for a gym setting, others for a class environment but having access to a range of suitable and accessible community facilities was important. I [would]

quite like to have a go on the machines … provided the blokes with buttocks like bricks are not hanging around … It would be on a day when these people weren’t there. There would be lots of people like us. Staff encouragement and conviviality were highly regarded, exerting motivational influence within both pulmonary rehabilitation and maintenance exercise settings. You might for the first few weeks think I’ll do this, I’ll try that, but gradually… it slacks off and you do less. I think because you haven’t got the encouragement there. Confidence: In light of chronic and fluctuating medical problems, access to advice and reassurance from skilled staff was particularly valuable for enhancing confidence to exercise.