A Randomized Clinical Trial of an Activity and Exercise Adherence Intervention in Chronic Pulmonary Disease

Steele, Bonnie G.; Belza, Basia; Cain, Kevin C.; Coppersmith, Jeff; Lakshminarayan, S.; Howard, JoEllen; Haselkorn, Jodie K.

doi:10.1016/j.apmr.2007.11.003

Cited by 137 publications

(137 citation statements)

References 40 publications

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“…13,38,39 Nevertheless, there have been mixed results as to whether these improvements are associated with increased PA in the home environment aft er the supervised program ends. 13,[40][41][42] We propose that our intervention can complement conventional pulmonary rehabilitation programs and facilitate the PA essential to COPD self-management programs. 43 In addition, our study signifi cantly extends the modalities potentially used to deliver telehealthcare in COPD to include the Internet.…”

Section: Discussionmentioning

confidence: 99%

An Internet-Mediated Pedometer-Based Program Improves Health-Related Quality-of-Life Domains and Daily Step Counts in COPD

Moy

Collins

Martínez

et al. 2015

Chest

129

225

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Section: Discussionmentioning

confidence: 99%

An Internet-Mediated Pedometer-Based Program Improves Health-Related Quality-of-Life Domains and Daily Step Counts in COPD

Moy

Collins

Martínez

et al. 2015

Chest

129

225

View full text Add to dashboard Cite

show abstract

“…5,9,11 Nevertheless, recent literature has acknowledged that PA is already reduced in early COPD grades, 6,24 and PR is now considered a standard of care for all patients, including those at earlier grades. 3 The fact that feedback was only given on specific time points may have limited participants' PA improvements.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

“…However, the effective contribution of activity monitors to increase PA levels of patients with COPD is still unclear, with the few existing studies showing conflicting results. [9][10][11] Differences in the devices used, PA monitoring protocols and interventions may explain, in part, these discrepancies, but patients' compliance with PA monitoring and their experience with the activity monitors may have contributed as well. These aspects are key elements to ensure feasibility of interventions involving PA monitoring and feedback; however, they have been understudied in COPD research.…”

Section: Introductionmentioning

confidence: 99%

Impact of feedback on physical activity levels of individuals with chronic obstructive pulmonary disease during pulmonary rehabilitation

2014

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This study aimed at investigating whether providing feedback on physical activity (PA) levels to patients with chronic obstructive pulmonary disease (COPD) is feasible and enhances daily PA during pulmonary rehabilitation (PR). Patients with COPD participated in a 12-week PR program. Daily PA was measured using activity monitors on weeks 1, 7, and 12, and feedback was given in the following weeks on the number of steps, time spent in sedentary, light, and moderate-to-vigorous intensity activities, and time spent standing, sitting, and lying. Compliance with PA monitoring was collected. Two focus groups were conducted to obtain patients' perspectives on the use of activity monitors and on the feedback given. Differences in PA data were also assessed. Sixteen patients (65.63 + 10.57 years; forced expiratory volume in one second (FEV 1 ) 70.31 + 22.74% predicted) completed the study. From those, only eleven participants used the activity monitors during all monitoring days. Participants identified several problems regarding the use of activity monitors and monitoring duration. Daily steps ( p ¼ 0.026) and standing time ( p ¼ 0.030) were improved from week 1 to week 7; however, the former declined from week 7 to week 12. Findings suggest that using feedback to improve PA during PR is feasible and results in improved daily steps and standing time on week 7. The subsequent decline suggests that additional strategies may be needed to stimulate/maintain PA improvements. Further research with more robust designs is needed to investigate the impact of feedback on patients' daily PA.

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“…), intensity and type of exercises, educational, psychological and behavioural components, oxygen supplementation, what outcomes to measure and total duration [3][4][5][6][7] . However, there still remain unanswered questions including what are the best sites for delivery of a PRP, whether nutritional supplementation should be offered during PRP, what are optimal target populations and what post-rehabilitation maintenance strategies reduce the declines seen in nearly all settings [7][8][9] . Other important concerns relate to variable attendance and high drop-out rates in PRPs 10,11 .…”

Section: Introductionmentioning

confidence: 99%

Twice versus three-times weekly pulmonary rehabilitation in a real-life clinical setting

et al. 2014

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Our aim was to compare a less intensive but longer pulmonary Aim rehabilitation programme (PRP) against a more intensive but shorter PRP.: We carried out an observational, cohort study in a real-life clinical Methods setting in patients primarily with chronic obstructive pulmonary disease (COPD). We compared standard outcomes in patients who were receiving 18 sessions of PRP delivered twice weekly over 9 weeks (Group 1) against similar patients receiving an identical PRP delivered three times weekly over 6 weeks (Group 2). Outcome measures were the St. George's Respiratory Questionnaire (SGRQ), the Incremental Shuttle Walk Test (ISWT) and the number of hospital bed-days pre-and post-PRP.: Both groups showed statistically significant and clinically important Results improvements post-PRP. The largest effects were seen immediately post-PRP and waned over the following 12 months. Group 1 showed a larger improvement in ISWT immediately post-PRP (Group 1, +92 m Group 2 versus +64 m ( =0.001), but there were no differences between groups at 6 ( =0.67) p p or 12 months (p=0.96). There were no differences in SGRQ between groups immediately post-PRP ( =0.09) or at 12 months ( =0.78). There were no p p differences between groups in the number of hospital days 12 months prior to PRP versus 12 months post-PRP ( =0.18). p : Twice weekly outpatient, multidisciplinary PRP over 9 weeks is as Conclusion effective as three times weekly PRP over 6 weeks.

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A Randomized Clinical Trial of an Activity and Exercise Adherence Intervention in Chronic Pulmonary Disease

Cited by 137 publications

References 40 publications

An Internet-Mediated Pedometer-Based Program Improves Health-Related Quality-of-Life Domains and Daily Step Counts in COPD

An Internet-Mediated Pedometer-Based Program Improves Health-Related Quality-of-Life Domains and Daily Step Counts in COPD

Impact of feedback on physical activity levels of individuals with chronic obstructive pulmonary disease during pulmonary rehabilitation

Twice versus three-times weekly pulmonary rehabilitation in a real-life clinical setting

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