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Physical activity is increased by a 12-week semiautomated telecoaching programme in patients with COPD: a multicentre randomised controlled trial

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 telecoa...

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Autores principales: Demeyer, H, Louvaris, Z, Frei, A, Rabinovich, R A, de Jong, C, Gimeno-Santos, E, Loeckx, M, Buttery, S C, Rubio, N, Van der Molen, T, Hopkinson, N S, Vogiatzis, I, Puhan, M A, Garcia-Aymerich, J, Polkey, M I, Troosters, T
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5520265/
https://www.ncbi.nlm.nih.gov/pubmed/28137918
http://dx.doi.org/10.1136/thoraxjnl-2016-209026
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author Demeyer, H
Louvaris, Z
Frei, A
Rabinovich, R A
de Jong, C
Gimeno-Santos, E
Loeckx, M
Buttery, S C
Rubio, N
Van der Molen, T
Hopkinson, N S
Vogiatzis, I
Puhan, M A
Garcia-Aymerich, J
Polkey, M I
Troosters, T
author_facet Demeyer, H
Louvaris, Z
Frei, A
Rabinovich, R A
de Jong, C
Gimeno-Santos, E
Loeckx, M
Buttery, S C
Rubio, N
Van der Molen, T
Hopkinson, N S
Vogiatzis, I
Puhan, M A
Garcia-Aymerich, J
Polkey, M I
Troosters, T
author_sort Demeyer, H
collection PubMed
description 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.
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spelling pubmed-55202652017-07-31 Physical activity is increased by a 12-week semiautomated telecoaching programme in patients with COPD: a multicentre randomised controlled trial Demeyer, H Louvaris, Z Frei, A Rabinovich, R A de Jong, C Gimeno-Santos, E Loeckx, M Buttery, S C Rubio, N Van der Molen, T Hopkinson, N S Vogiatzis, I Puhan, M A Garcia-Aymerich, J Polkey, M I Troosters, T Thorax Chronic Obstructive Pulmonary Disease 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. BMJ Publishing Group 2017-05 2017-01-30 /pmc/articles/PMC5520265/ /pubmed/28137918 http://dx.doi.org/10.1136/thoraxjnl-2016-209026 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle Chronic Obstructive Pulmonary Disease
Demeyer, H
Louvaris, Z
Frei, A
Rabinovich, R A
de Jong, C
Gimeno-Santos, E
Loeckx, M
Buttery, S C
Rubio, N
Van der Molen, T
Hopkinson, N S
Vogiatzis, I
Puhan, M A
Garcia-Aymerich, J
Polkey, M I
Troosters, T
Physical activity is increased by a 12-week semiautomated telecoaching programme in patients with COPD: a multicentre randomised controlled trial
title Physical activity is increased by a 12-week semiautomated telecoaching programme in patients with COPD: a multicentre randomised controlled trial
title_full Physical activity is increased by a 12-week semiautomated telecoaching programme in patients with COPD: a multicentre randomised controlled trial
title_fullStr Physical activity is increased by a 12-week semiautomated telecoaching programme in patients with COPD: a multicentre randomised controlled trial
title_full_unstemmed Physical activity is increased by a 12-week semiautomated telecoaching programme in patients with COPD: a multicentre randomised controlled trial
title_short Physical activity is increased by a 12-week semiautomated telecoaching programme in patients with COPD: a multicentre randomised controlled trial
title_sort physical activity is increased by a 12-week semiautomated telecoaching programme in patients with copd: a multicentre randomised controlled trial
topic Chronic Obstructive Pulmonary Disease
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5520265/
https://www.ncbi.nlm.nih.gov/pubmed/28137918
http://dx.doi.org/10.1136/thoraxjnl-2016-209026
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