British Thoracic Society guideline on pulmonary rehabilitation in adults: accredited by NICE

Bolton, Charlotte E.; Bevan-Smith, Elaine; Blakey, John; Crowe, P.; Elkin, Sarah; Garrod, Rachel; Greening, Neil; Heslop, Karen; Hull, James H.; Man, William D.-C.; Morgan, Michael; Proud, David; Roberts, C M; Sewell, Louise; Singh, Sally; Walker, Paul; Walmsley, Sandy

doi:10.1136/thoraxjnl-2013-203808

Cited by 538 publications

(349 citation statements)

References 213 publications

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“…3,6 Health-related behaviors are also recommended, and the promotion of physical activity and exercise in the management of bronchiectasis has been included in regional and national guidelines. 7,8 Although research has been conducted with other respiratory groups, 9 little research has been conducted to explore physical activity in individuals with bronchiectasis. Recently published results from the Physical Activity in Bronchiectasis 10 study explored physical activity levels in individuals with bronchiectasis and examined relationships between physical activity and clinical phenotype.…”

Section: Introductionmentioning

confidence: 99%

Applying the Transtheoretical Model to Physical Activity Behavior in Individuals With Non-Cystic Fibrosis Bronchiectasis

Wilson

Kirk

Hayes³

et al. 2015

Respir Care

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BACKGROUND: The transtheoretical model has been successful in promoting health behavior change in general and clinical populations. However, there is little knowledge about the application of the transtheoretical model to explain physical activity behavior in individuals with non-cystic fibrosis bronchiectasis. The aim was to examine patterns of (1) physical activity and (2) mediators of behavior change (self-efficacy, decisional balance, and processes of change) across stages of change in individuals with non-cystic fibrosis bronchiectasis. METHODS: Fifty-five subjects with non-cystic fibrosis bronchiectasis (mean age ؎ SD ‫؍‬ 63 ؎ 10 y) had physical activity assessed over 7 d using an accelerometer. Each component of the transtheoretical model was assessed using validated questionnaires. Subjects were divided into groups depending on stage of change: Group 1 (pre-contemplation and contemplation; n ‫؍‬ 10), Group 2 (preparation; n ‫؍‬ 20), and Group 3 (action and maintenance; n ‫؍‬ 25). Statistical analyses included one-way analysis of variance and Tukey-Kramer post hoc tests. RESULTS: Physical activity variables were significantly (P < .05) higher in Group 3 (action and maintenance) compared with Group 2 (preparation) and Group 1 (pre-contemplation and contemplation). For self-efficacy, there were no significant differences between groups for mean scores (P ‫؍‬ .14). Decisional balance cons (barriers to being physically active) were significantly lower in Group 3 versus Group 2 (P ‫؍‬ .032). For processes of change, substituting alternatives (substituting inactive options for active options) was significantly higher in Group 3 versus Group 1 (P ‫؍‬ .01), and enlisting social support (seeking out social support to increase and maintain physical activity) was significantly lower in Group 3 versus Group 2 (P ‫؍‬ .038). CONCLUSIONS: The pattern of physical activity across stages of change is consistent with the theoretical predictions of the transtheoretical model. Constructs of the transtheoretical model that appear to be important at different stages of change include decisional balance cons, substituting alternatives, and enlisting social support. This study provides support to explore transtheoretical model-based physical activity interventions in individuals with non-cystic fibrosis bronchiectasis. (ClinicalTrials.gov registration NCT01569009.) Key words: behavioral research; respiratory tract diseases; physical activity; accelerometry. [Respir Care 2016;61(1):68 -77.

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Section: Introductionmentioning

confidence: 99%

Applying the Transtheoretical Model to Physical Activity Behavior in Individuals With Non-Cystic Fibrosis Bronchiectasis

Wilson

Kirk

Hayes³

et al. 2015

Respir Care

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“…4 Patients experience on average 1-3 treated exacerbations per year 5 with up to 10% of patients dying during a hospital admission for AECOPD 6 and up to 25% within a year of admission for AECOPD. 7 Pulmonary rehabilitation is a key component of the multi-disciplinary management of COPD 8 and can improve exercise capacity, dyspnoea, activities of daily living, muscle strength, self-efficacy, and quality of life. 9 Given the evidence of these benefits, a recent Cochrane Editorial stated that no further systematic reviews are required to show that pulmonary rehabilitation improves patient-related outcomes.…”

Section: Introductionmentioning

confidence: 99%

Effects of Pulmonary Rehabilitation on Exacerbation Number and Severity in People With COPD

Moore

Newson

Joshi

et al. 2017

Chest

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Conflict of Interest DisclosuresJKQ reports grants from the Medical Research Council (MRC), GlaxoSmithKline (GSK), British Lung Foundation (BLF), Wellcome Trust, during the conduct of the study, and personal fees from AstraZeneca and Boehringer Ingelheim, outside of the submitted work. MS reports other current research grants from Arthritis Research UK, Public Health England and the EU EITHealth Programme, with no conflicts of interest. SS reports grants from the National Institute for Health Research (NIHR), GlaxoSmithKline (GSK), Boehringer Ingelheim and Novartis and personal fees from Novartis and AstraZeneca. All other authors report no other conflicts of interest. 2 AbstractBackground: In previous systematic reviews, predominantly of randomised controlled trials,

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“…It is well known that the peripheral muscle strength decreases during an hospitalization of COPD [31] Furthermore, a very recent overview states that convincing evidence for the effectiveness of physiotherapy during a hospitalized exacerbation of COPD is missing [32] and the recent BTS guidelines on COPD and pulmonary rehabilitation do not cover that topic [33]. The marginal improvements raise the question on what ground patients were discharged.…”

Section: Discussionmentioning

confidence: 99%

Benefits of whole body vibration training in patients hospitalised for COPD exacerbations – a randomized clinical trial

Koczulla¹,

Greulich²,

Nell³

et al. 2014

Pneumologie

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Background: Patients with stable COPD show improvements in exercise capacity and muscular function after the application of whole body vibration. We aimed to evaluate whether this modality added to conventional physiotherapy in exacerbated hospitalised COPD patients would be safe and would improve exercise capacity and quality of life. Methods: 49 hospitalised exacerbated COPD patients were randomized (1:1) to undergo physiotherapy alone or physiotherapy with the addition of whole body vibration. The primary endpoint was the between-group difference of the 6-minute walking test (day of discharge -day of admission). Secondary assessments included chair rising test, quality of life, and serum marker analysis.

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British Thoracic Society guideline on pulmonary rehabilitation in adults: accredited by NICE

Cited by 538 publications

References 213 publications

Applying the Transtheoretical Model to Physical Activity Behavior in Individuals With Non-Cystic Fibrosis Bronchiectasis

Applying the Transtheoretical Model to Physical Activity Behavior in Individuals With Non-Cystic Fibrosis Bronchiectasis

Effects of Pulmonary Rehabilitation on Exacerbation Number and Severity in People With COPD

Benefits of whole body vibration training in patients hospitalised for COPD exacerbations – a randomized clinical trial

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