Physical activity is increased by a 12-week semiautomated telecoaching programme in patients with COPD: a multicentre randomised controlled trial.
- Demeyer H KU Leuven, Department of Rehabilitation Sciences, Leuven, Belgium.
- Louvaris Z National and Kapodistrian University of Athens, Faculty of Physical Education and Sports Sciences Athens, GR.
- Frei A Department of Epidemiology, University of Zurich, Biostatistics and Prevention Institute, Zurich, Switzerland.
- Rabinovich RA ELEGI Colt Laboratory, Centre for Inflammation Research, The Queen's Medical Research Institute, University of Edinburgh, Edinburgh, UK.
- de Jong C GRIAC-Primary Care, department of general practice and elderly care, University of Groningen, University Medical Center Groningen (UMCG), Groningen, The Netherlands.
- Gimeno-Santos E IS Global, Center for research in Environmental epidemiology (CREAL), Barcelona, Spain.
- Loeckx M KU Leuven, Department of Rehabilitation Sciences, Leuven, Belgium.
- Buttery SC Royal Brompton and Harefiled NHS Foundation Trust and Imperial College, NIHR Respiratory Biomedical Research Unit, London, UK.
- Rubio N ELEGI Colt Laboratory, Centre for Inflammation Research, The Queen's Medical Research Institute, University of Edinburgh, Edinburgh, UK.
- Van der Molen T GRIAC-Primary Care, department of general practice and elderly care, University of Groningen, University Medical Center Groningen (UMCG), Groningen, The Netherlands.
- Hopkinson NS Royal Brompton and Harefiled NHS Foundation Trust and Imperial College, NIHR Respiratory Biomedical Research Unit, London, UK.
- Vogiatzis I National and Kapodistrian University of Athens, Faculty of Physical Education and Sports Sciences Athens, GR.
- Puhan MA Department of Epidemiology, University of Zurich, Biostatistics and Prevention Institute, Zurich, Switzerland.
- Garcia-Aymerich J IS Global, Center for research in Environmental epidemiology (CREAL), Barcelona, Spain.
- Polkey MI Royal Brompton and Harefiled NHS Foundation Trust and Imperial College, NIHR Respiratory Biomedical Research Unit, London, UK.
- Troosters T KU Leuven, Department of Rehabilitation Sciences, Leuven, Belgium.
- 2017-02-01
Published in:
- Thorax. - 2017
Exercise
Pulmonary Rehabilitation
Aged
Exercise
Exercise Therapy
Female
Greece
Humans
Male
Middle Aged
Netherlands
Prognosis
Pulmonary Disease, Chronic Obstructive
Spirometry
Switzerland
Telemedicine
Treatment Outcome
United Kingdom
English
RATIONALE
Reduced physical activity (PA) in patients with COPD is associated with a poor prognosis. Increasing PA is a key therapeutic target, but thus far few strategies have been found effective in this patient group.
OBJECTIVES
To investigate the effectiveness of a 12-week semiautomated telecoaching intervention on PA in patients with COPD in a multicentre European randomised controlled trial.
METHODS
343 patients from six centres, encompassing a wide spectrum of disease severity, were randomly allocated to either a usual care group (UCG) or a telecoaching intervention group (IG) between June and December 2014. This 12-week intervention included an exercise booklet and a step counter providing feedback both directly and via a dedicated smartphone application. The latter provided an individualised daily activity goal (steps) revised weekly and text messages as well as allowing occasional telephone contacts with investigators. PA was measured using accelerometry during 1 week preceding randomisation and during week 12. Secondary outcomes included exercise capacity and health status. Analyses were based on modified intention to treat.
MAIN RESULTS
Both groups were comparable at baseline in terms of factors influencing PA. At 12 weeks, the intervention yielded a between-group difference of mean, 95% CI (lower limit - upper limit; ll-ul) +1469, 95% CI (971 to 1965) steps/day and +10.4, 95% CI (6.1 to 14.7) min/day moderate PA; favouring the IG (all p≤0.001). The change in 6-min walk distance was significantly different (13.4, 95% CI (3.40 to 23.5) m, p<0.01), favouring the IG. In IG patients, an improvement could be observed in the functional state domain of the clinical COPD questionnaire (p=0.03) compared with UCG. Other health status outcomes did not differ.
CONCLUSIONS
The amount and intensity of PA can be significantly increased in patients with COPD using a 12-week semiautomated telecoaching intervention including a step counter and an application installed on a smartphone.
TRIAL REGISTRATION NUMBER
NCT02158065.
Reduced physical activity (PA) in patients with COPD is associated with a poor prognosis. Increasing PA is a key therapeutic target, but thus far few strategies have been found effective in this patient group.
OBJECTIVES
To investigate the effectiveness of a 12-week semiautomated telecoaching intervention on PA in patients with COPD in a multicentre European randomised controlled trial.
METHODS
343 patients from six centres, encompassing a wide spectrum of disease severity, were randomly allocated to either a usual care group (UCG) or a telecoaching intervention group (IG) between June and December 2014. This 12-week intervention included an exercise booklet and a step counter providing feedback both directly and via a dedicated smartphone application. The latter provided an individualised daily activity goal (steps) revised weekly and text messages as well as allowing occasional telephone contacts with investigators. PA was measured using accelerometry during 1 week preceding randomisation and during week 12. Secondary outcomes included exercise capacity and health status. Analyses were based on modified intention to treat.
MAIN RESULTS
Both groups were comparable at baseline in terms of factors influencing PA. At 12 weeks, the intervention yielded a between-group difference of mean, 95% CI (lower limit - upper limit; ll-ul) +1469, 95% CI (971 to 1965) steps/day and +10.4, 95% CI (6.1 to 14.7) min/day moderate PA; favouring the IG (all p≤0.001). The change in 6-min walk distance was significantly different (13.4, 95% CI (3.40 to 23.5) m, p<0.01), favouring the IG. In IG patients, an improvement could be observed in the functional state domain of the clinical COPD questionnaire (p=0.03) compared with UCG. Other health status outcomes did not differ.
CONCLUSIONS
The amount and intensity of PA can be significantly increased in patients with COPD using a 12-week semiautomated telecoaching intervention including a step counter and an application installed on a smartphone.
TRIAL REGISTRATION NUMBER
NCT02158065.
- Language
-
- English
- Open access status
- hybrid
- Identifiers
-
- DOI 10.1136/thoraxjnl-2016-209026
- PMID 28137918
- Persistent URL
- https://sonar.ch/global/documents/191209
Statistics
Document views: 16
File downloads:
- fulltext.pdf: 0