Applying the pragmatic-explanatory continuum indicator summary to the implementation of a physical activity coaching trial in chronic obstructive pulmonary disease

Nguyen, Huong Q.; Moy, Marilyn L.; Fan, Vincent S.; Gould, Michael K.; Xiang, Anny H.; Bailey, Adrienne; Desai, Smita; Coleman, Karen J.

doi:10.1016/j.outlook.2018.05.005

Cited by 5 publications

(5 citation statements)

References 32 publications

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“…One systematic review did not support the positive effects on breathing exercises for COPD (Holland, Hill, Jones, & McDonald, 2012). Noted that high-quality experimental studies that are needed to evaluate mind-body-related exercise interventions for COPD patients are suggested (Farver-Vestergaard, Jacobsen, & Zachariae, 2015;Nguyen et al, 2018). Therefore, the purpose of this study was to examine the effects of the breathing-based walking intervention on anxiety, depression, dyspnoea and quality of life in COPD patients who practised these exercises for two months and its one-month follow-up.…”

Section: Backg Rou N Dmentioning

confidence: 99%

Two‐month breathing‐based walking improves anxiety, depression, dyspnoea and quality of life in chronic obstructive pulmonary disease: A randomised controlled study

Lin

Yeh

Lai

et al. 2019

Journal of Clinical Nursing

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Aims and objectives To examine the effects of the two‐month breathing‐based walking intervention and its follow‐up on anxiety, depression, dyspnoea and quality of life in patients with chronic obstructive pulmonary disease. Background Mind–body‐related exercises improve bio‐psychological symptoms and quality of life in chronic diseases, but these improvements are not proven for chronic obstructive pulmonary disease. Design This was a randomised controlled study and applied the Consolidated Standards of Reporting Trials (CONSORT) statement. Methods Outpatients diagnosed with chronic obstructive pulmonary disease were recruited from a medical centre in Taiwan and randomly assigned to two groups. The walking group (n = 42) received breathing, meditation and walking for two months, and the control group (n = 42) did not. Data from the outcomes of anxiety, depression, dyspnoea and quality of life were collected at baseline and in Month 1, Month 2 and Month 3. Clinical trial registration was done (ClinicalTrials.gov.: NCT03388489). Findings The results showed significant changes in anxiety, depression, dyspnoea and quality of life in the walking group across three months, compared to those in the control group and at baseline. Conclusion This breathing‐based walking intervention is promising to achieve bio‐psychological well‐being for patients with chronic obstructive pulmonary disease. Relevance to clinical practice This breathing‐based walking, as a mind–body exercise, could serve as an evidence‐based nursing care that contributes to improving anxiety, depression, dyspnoea and quality of life in stable chronic obstructive pulmonary disease outpatients. The feasibility and acceptability of the breathing‐based walking were met the requirement of the chronic obstructive pulmonary disease outpatients, which could be considered as home‐based exercise.

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Section: Backg Rou N Dmentioning

confidence: 99%

Two‐month breathing‐based walking improves anxiety, depression, dyspnoea and quality of life in chronic obstructive pulmonary disease: A randomised controlled study

Lin

Yeh

Lai

et al. 2019

Journal of Clinical Nursing

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“…Detailed study methods and implementation learnings have been published. 37,38 The trial protocol, including the scientific rationale for the study design, is available in Supplement 1.…”

Section: Methodsmentioning

confidence: 99%

“…Patients assigned to SC were not contacted about the study except for a random subgroup who were invited to complete surveys during 12 months. Detailed study methods and implementation learnings have been published . The trial protocol, including the scientific rationale for the study design, is available in Supplement 1.…”

Section: Methodsmentioning

confidence: 99%

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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“…This is evidenced by several studies; for example, an acupuncture pragmatic trial, 21 an asthma trial being conducted in England, 22 and a physical activity trial for chronic obstructive pulmonary disease. 23 These advancements in some way address the concerns underlying previous attempts within complementary medicine research to advocate for whole-system research approaches. 24…”

Section: Contemporary Advances In Health Research Methods and Researcmentioning

confidence: 99%

Lessons from Outside and Within: Exploring Advancements in Methodology for Naturopathic Medicine Clinical Research

Schloss

McIntyre

Steel

et al. 2019

The Journal of Alternative and Complementary Medicine

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Introduction: Naturopathy is a mixture of both traditional and complementary medicine. It incorporates a broad set of health care practices that may or may not be traditional to that country or conventional medicine and are not fully integrated into the dominant health care system. Research required to evaluate or substantiate naturopathic medicine may not fall under the testing of randomized clinical trials, which opens up discussions on what is the best practice for research in naturopathic medicine. Discussion: Not only do advances in health research methodology offer important opportunities to progress naturopathic research, there are also areas where the unique characteristics of naturopathic philosophy and practice can impact other areas of health research. Some of the new advances in health research methodology involve whole-system research, pragmatic trials, template for intervention description and replication protocols for complex interventions, patient-centered care models, and the pragmatic-explanatory continuum indicator summary tool for designing pragmatic trials. Discussion and critique of these health-related methodologies shows that these research methods are more suited for the philosophy and treatment options that naturopathy is based on. Conclusions: Successful implementation of naturopathic research methodologies, and translation and dissemination of research will require a substantial paradigm shift in which naturopathic practitioners adopt a greater level of responsibility for developing an evidence base for naturopathic medicine.

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Applying the pragmatic-explanatory continuum indicator summary to the implementation of a physical activity coaching trial in chronic obstructive pulmonary disease

Cited by 5 publications

References 32 publications

Two‐month breathing‐based walking improves anxiety, depression, dyspnoea and quality of life in chronic obstructive pulmonary disease: A randomised controlled study

Two‐month breathing‐based walking improves anxiety, depression, dyspnoea and quality of life in chronic obstructive pulmonary disease: A randomised controlled study

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

Lessons from Outside and Within: Exploring Advancements in Methodology for Naturopathic Medicine Clinical Research

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