Findings of the Chronic Obstructive Pulmonary Disease-Sitting and Exacerbations Trial (COPD-SEAT) in Reducing Sedentary Time Using Wearable and Mobile Technologies With Educational Support: Randomized Controlled Feasibility Trial

Orme, Mark; Weedon, Amie E; Saukko, Paula; Esliger, Dale W.; Morgan, Mike; Steiner, Michael; Downey, John; Sherar, Lauren B.; Singh, Sally

doi:10.2196/preprints.9398.a

Cited by 2 publications

(3 citation statements)

References 11 publications

(9 reference statements)

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Section: Discussionmentioning

confidence: 99%

“…Replacing sedentary behavior with increased standing and stepping time has also recently gained attention in patients with chronic obstructive pulmonary disease (41,42). Orme et al (41) recently reported good feasibility and participant acceptability of a 2‐week intervention using written and verbal information combined with vibration prompts from a waist‐worn inclinometer. However, no significant changes were documented in sedentary bouts or light physical activity (41), calling for a longer follow‐up period for this group of patients, who are challenged by symptoms limiting motivation and performance in daily physical activities, as are patients with RA.…”

Section: Discussionmentioning

confidence: 99%

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Sustained Long‐Term Efficacy of Motivational Counseling and Text Message Reminders on Daily Sitting Time in Patients With Rheumatoid Arthritis: Long‐Term Follow‐up of a Randomized, Parallel‐Group Trial

Thomsen

Aadahl

Beyer

et al. 2020

Arthritis Care & Research

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Objective. To evaluate the 18-month postintervention efficacy following a 4-month individually tailored behavioral intervention on daily sitting time in patients with rheumatoid arthritis (RA). Methods. In an observer-blinded randomized trial, 150 RA patients were included. During 4 months, the intervention group (n = 75) received 3 motivational counseling sessions and tailored text messages aimed at increasing light-intensity physical activity through reduction of sedentary behavior. The control group (n = 75) maintained their usual lifestyle. The primary outcome was change from baseline to 18 months postintervention in objectively measured daily sitting time (using ActivPAL). Secondary outcomes included changes in clinical patient-reported outcomes and cardiometabolic biomarkers. A mixed-effect repeated measures analysis of covariance model in the intent-to-treat population was applied. Results. At 22 months follow-up from baseline, 12 participants were lost to follow-up. Compared to baseline, sitting time in the intervention group decreased 1.10 hours/day, whereas it increased by 1.32 hours/day in the control group, a between-group difference of-2.43 hours/day (95% confidence interval [95% CI]-2.99,-1.86; P < 0.0001) favoring the intervention group. For most secondary outcomes, between-group differences favored the intervention: visual analog scale (VAS) pain-15.51 mm (95% CI-23.42,-7.60), VAS fatigue-12.30 mm (95% CI-20.71,-3.88), physical function-0.39 Health Assessment Questionnaire units (95% CI-0.53,-0.26), total cholesterol-0.86 mmoles/ liter (95% CI-1.03,-0.68), triglycerides-0.26 mmoles/liter (95% CI-0.43,-0.09), and average glucose-1.15 mmoles/ liter (95% CI-1.39,-0.91). Conclusion. The 4-month postintervention results showed that patients in the intervention reduced their daily sitting time and improved patient-reported outcomes and total cholesterol levels compared to the control group. Eighteen months after intervention, patients in the intervention group were still significantly less sedentary than controls. Findings suggest that a behavioral approach is beneficial for promoting long-term physical activity and health in patients with RA. ClinicalTrials.gov identifier: NCT01969604.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Sustained Long‐Term Efficacy of Motivational Counseling and Text Message Reminders on Daily Sitting Time in Patients With Rheumatoid Arthritis: Long‐Term Follow‐up of a Randomized, Parallel‐Group Trial

Thomsen

Aadahl

Beyer

et al. 2020

Arthritis Care & Research

View full text Add to dashboard Cite

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“…To facilitate smoother user adoption, patient-centred approaches for delivering technology education have been proposed for eHealth implementation strategies, 65–67 while researchers conducting a recent wearable and mHealth study in COPD found that their educational component should have been tailored to the individual sedentary behaviours of patients to better support adherence. 68…”

Section: Discussionmentioning

confidence: 99%

A qualitative study of chronic obstructive pulmonary disease patient perceptions of the barriers and facilitators to adopting digital health technology

et al. 2019

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Objective: Non-adherence to self-management plans in chronic obstructive pulmonary disease (COPD) results in poorer outcomes for patients. Digital health technology (DHT) promises to support self-management by enhancing the sense of control patients possess over their disease. COPD digital health studies have yet to show significant evidence of improved outcomes for patients, with many user-adoption issues still present in the literature. To help better address the adoption needs of COPD patients, this paper explores their perceived barriers and facilitators to the adoption of DHT. Methods: A sample of convenience was chosen and patients (n ¼ 30) were recruited from two Dublin university hospitals. Each patient completed a qualitative semi-structured interview. Thematic analysis of the data was performed using NVivo 12 software. Results: Barrier sub-themes included lack of perceived usefulness, digital literacy, illness perception, and social context; facilitator sub-themes included existing digital self-efficacy, personalised education, and community-based support. Conclusion: The findings represent a set of key considerations for researchers and clinicians to inform the design of patientcentred study protocols that aim to account for the needs and preferences of patients in the development of implementation and adoption strategies for DHT in COPD.

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Findings of the Chronic Obstructive Pulmonary Disease-Sitting and Exacerbations Trial (COPD-SEAT) in Reducing Sedentary Time Using Wearable and Mobile Technologies With Educational Support: Randomized Controlled Feasibility Trial

Cited by 2 publications

References 11 publications

Sustained Long‐Term Efficacy of Motivational Counseling and Text Message Reminders on Daily Sitting Time in Patients With Rheumatoid Arthritis: Long‐Term Follow‐up of a Randomized, Parallel‐Group Trial

Sustained Long‐Term Efficacy of Motivational Counseling and Text Message Reminders on Daily Sitting Time in Patients With Rheumatoid Arthritis: Long‐Term Follow‐up of a Randomized, Parallel‐Group Trial

A qualitative study of chronic obstructive pulmonary disease patient perceptions of the barriers and facilitators to adopting digital health technology

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