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

Moy, Marilyn L.; Collins, Riley J.; Martínez, Carlos H.; Kadri, Reema; Roman, Pia; Holleman, Robert G.; Kim, Hyungjin Myra; Nguyen, Huong Q.; Cohen, Miriam; Goodrich, David E.; Giardino, Nicholas D.; Richardson, Caroline R.

doi:10.1378/chest.14-1466

Cited by 129 publications

(240 citation statements)

References 48 publications

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“…Adherence with the step counter was excellent, in line with previous studies [4,7,10,11]. By contrast, adherence with the smartphone tasks was lower.…”

Section: Fidelitysupporting

confidence: 90%

“…During a 4 months, internet-based PA telecoaching program, veterans with COPD logged into the website and uploaded their daily step counts for 5.7 days per month which decreased to 3.0 days per month over a follow-up of 12 months [4,17]. Of note, the web portal in this trial was not intended for daily use with a recommended frequency of 4 logins per month.…”

Section: Fidelitymentioning

confidence: 99%

“…It offers the possibility of coaching patients from a distance in an automated or semi-automated way, reducing the burden of face-to-face interactions for patients and health care providers. Telecoaching has shown to be effective in enhancing PA in some studies [4,5,6], but not in others [7]. The present mixed methods study was conducted as a planned part of a multicenter PA telecoaching trial (MrPAPP study), which had a positive outcome [5].…”

Section: Introductionmentioning

confidence: 96%

“…While the adherence with step counters is known to be relatively good in short-term coaching trials involving patients with COPD [4,10,11], adherence with smartphone applications in coaching trials has been less intensively studied. 2) Patient satisfaction and perceived usefulness of the different components of the PA telecoaching intervention.…”

Section: Introductionmentioning

confidence: 99%

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Smartphone-Based Physical Activity Telecoaching in Chronic Obstructive Pulmonary Disease: Mixed-Methods Study on Patient Experiences and Lessons for Implementation (Preprint)

Loeckx¹,

Rabinovich²,

Demeyer³

et al. 2018

Preprint

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BACKGROUND Telecoaching approaches can enhance physical activity (PA) in patients with chronic obstructive pulmonary disease (COPD). However, their effectiveness is likely to be influenced by intervention-specific characteristics. OBJECTIVE This study aimed to assess the acceptability, actual usage, and feasibility of a complex PA telecoaching intervention from both patient and coach perspectives and link these to the effectiveness of the intervention. METHODS We conducted a mixed-methods study based on the completers of the intervention group (N=159) included in an (effective) 12-week PA telecoaching intervention. This semiautomated telecoaching intervention consisted of a step counter and a smartphone app. Data from a project-tailored questionnaire (quantitative data) were combined with data from patient interviews and a coach focus group (qualitative data) to investigate patient and coach acceptability, actual usage, and feasibility of the intervention. The degree of actual usage of the smartphone and step counter was also derived from app data. Both actual usage and perception of feasibility were linked to objectively measured change in PA. RESULTS The intervention was well accepted and perceived as feasible by all coaches present in the focus group as well by patients, with 89.3% (142/159) of patients indicating that they enjoyed taking part. Only a minority of patients (8.2%; 13/159) reported that they found it difficult to use the smartphone. Actual usage of the step counter was excellent, with patients wearing it for a median (25th-75th percentiles) of 6.3 (5.8-6.8) days per week, which did not change over time (P=.98). The smartphone interface was used less frequently and actual usage of all daily tasks decreased significantly over time (P<.001). Patients needing more contact time had a smaller increase in PA, with mean (SD) of +193 (SD 2375) steps per day, +907 (SD 2306) steps per day, and +1489 (SD 2310) steps per day in high, medium, and low contact time groups, respectively; P for-trend=.01. The overall actual usage of the different components of the intervention was not associated with change in step count in the total group (P=.63). CONCLUSIONS The 12-week semiautomated PA telecoaching intervention was well accepted and feasible for patients with COPD and their coaches. The actual usage of the step counter was excellent, whereas actual usage of the smartphone tasks was lower and decreased over time. Patients who required more contact experienced less PA benefits. CLINICALTRIAL ClinicalTrials.gov NCT02158065; http://clinicaltrials.gov/ct2/show/NCT02158065 (Archived by WebCite at http://www.webcitation.org/73bsaudy9)

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“…Adherence with the step counter was excellent, in line with previous studies [4,7,10,11]. By contrast, adherence with the smartphone tasks was lower.…”

Section: Fidelitysupporting

confidence: 90%

Section: Fidelitymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Smartphone-Based Physical Activity Telecoaching in Chronic Obstructive Pulmonary Disease: Mixed-Methods Study on Patient Experiences and Lessons for Implementation (Preprint)

Loeckx¹,

Rabinovich²,

Demeyer³

et al. 2018

Preprint

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show abstract

“…As the authors rightfully point out, it should be interpreted as evidence that the intervention does not enhance the already known benefits of the pulmonary rehabilitation program. The use of pedometers in COPD has been associated, not unexpectedly, with increase in daily step counts (11) and with positive effect on some measurements of quality of life or disease impact (12). Unfortunately, part of the benefits could vanish in the long term (13).…”

mentioning

confidence: 99%

Adding Pedometers to Pulmonary Rehabilitation Did Not Result in Greater Physical Activity. An Important Answer, but What Was the Question?

Martínez

2017

Am J Respir Crit Care Med

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Effect of Physical Activity Coaching on Acute Care and Survival Among Patients With Chronic Obstructive Pulmonary Disease

et al. 2019

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Key Points Question What is the real-world effectiveness of a 12-month community-based physical activity (PA) coaching intervention on reducing all-cause acute care use and death in patients with a history of a chronic obstructive pulmonary disease (COPD) exacerbation? Findings In this multisite, randomized clinical trial that included a population-based sample of 2707 patients with COPD, 321 of 1358 patients participated in the PA coaching intervention and increased PA significantly, but there were no significant differences in the all-cause primary outcome (compostite measure of all-cause hospitalizations, observation stays, emergency department visits, and death) at 12 months. Meaning Most patients with a COPD exacerbation did not engage in PA, and the limited PA did not lead to significant benefit in 12-month health care use.

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

Abstract: BACKGROUND: Low levels of physical activity (PA) are associated with poor outcomes in people with COPD. Interventions to increase PA could improve outcomes.

Cited by 129 publications

References 48 publications

Smartphone-Based Physical Activity Telecoaching in Chronic Obstructive Pulmonary Disease: Mixed-Methods Study on Patient Experiences and Lessons for Implementation (Preprint)

Smartphone-Based Physical Activity Telecoaching in Chronic Obstructive Pulmonary Disease: Mixed-Methods Study on Patient Experiences and Lessons for Implementation (Preprint)

Adding Pedometers to Pulmonary Rehabilitation Did Not Result in Greater Physical Activity. An Important Answer, but What Was the Question?

Effect of Physical Activity Coaching on Acute Care and Survival Among Patients With Chronic Obstructive Pulmonary Disease

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