Clinician-facilitated physical activity intervention versus pulmonary rehabilitation for improving physical activity in COPD: a feasibility study

O’NEILL, Brenda, O’SHEA, Orlagh, MCDONOUGH, Suzanne, MCGARVEY, Lorcan, BRADBURY, Ian, ARDEN, Madelynne, TROOSTERS, Thierry, COSGROVE, Denise, MCMANUS, Terence, MCDONNELL, Tim and BRADLEY, Judy (2018). Clinician-facilitated physical activity intervention versus pulmonary rehabilitation for improving physical activity in COPD: a feasibility study. COPD: Journal of Chronic Obstructive Pulmonary Disease, 15 (3), 254-264.

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Official URL: https://www.tandfonline.com/doi/full/10.1080/15412...
Link to published version:: https://doi.org/10.1080/15412555.2018.1486396
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    Abstract

    Pulmonary rehabilitation (PR) may not suit all individuals with chronic obstructive pulmonary disease (COPD) and may not result in increased physical activity. Higher levels of physical activity are associated with reduced mortality and morbidity. The aim of this study was to assess the feasibility of conducting a trial to investigate the effectiveness of a clinician-facilitated physical activity intervention (PAI) versus PR in improving physical activity in patients with COPD referred to PR. In this randomised controlled mixed methods feasibility study, all patients referred to PR who were eligible and willing were assessed at baseline and then randomised to the PAI or to PR. The assessments were repeated post-intervention and at 3-month follow-up. The main outcome was step count measured by Actigraph. Semi-structured interviews were conducted post-intervention. The N = 50 patients; mean (SD) age, 64.1(8.6) years, 24M were recruited and randomised; N = 23 (PAI) and n = 26 (PR): one patient was excluded from the analysis as that person did not meet the GOLD diagnostic criteria. Key feasibility criteria were met; recruitment was 11%, dropouts in PAI were 26% (n = 6) and 50% (n = 13/26) PR. Participants in both groups experienced a range of health benefits from their respective programmes. The PAI appears to be effective in increasing step counts in people with COPD: mean change (standard deviation) [confidence interval] for the PAI group was 972.0(3230.3)[–1080.3 to 3024.4], n = 12 and 4.3(662.7)[-440.9 to 449.5], n = 11 for the PR group. The PAI met all domains of fidelity. This study provides key information to inform a future-randomised controlled trial in physical activity.

    Item Type: Article
    Additional Information: ** From Crossref via Jisc Publications Router. **Journal IDs: pissn 1541-2555; eissn 1541-2563
    Uncontrolled Keywords: Pulmonary and Respiratory Medicine ; Step count, exercise, Actigraph
    Identification Number: https://doi.org/10.1080/15412555.2018.1486396
    Page Range: 254-264
    SWORD Depositor: Margaret Boot
    Depositing User: Margaret Boot
    Date Deposited: 24 Sep 2018 15:41
    Last Modified: 19 Jun 2020 11:38
    URI: http://shura.shu.ac.uk/id/eprint/22556

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