Interventions that included ET and PA counseling during PR were effective strategies to improve PA in COPD
BACKGROUND Physical inactivity is associated with poor outcomes in COPD , and as a result , interventions to improve physical activity ( PA ) are a current research focus .
However , many trials have been small and inconclusive .
OBJECTIVE The aim of this systematic review and meta- analysis was to study the effects of r and omized controlled trials ( RCTs ) targeting PA in COPD .
Definition of a COPD self-management intervention: International Expert Group consensus
There is an urgent need for consensus on what defines a chronic obstructive pulmonary disease ( COPD ) self-management intervention . We aim ed to obtain consensus regarding the conceptual definition of a COPD self-management intervention by engaging an international panel of COPD self-management experts using Delphi technique features and an additional group meeting . In each consensus round the experts were asked to provide feedback on the proposed definition and to score their level of agreement ( 1=totally disagree ; 5=totally agree ) . The information provided was used to modify the definition for the next consensus round . Thematic analysis was used for free text responses and descriptive statistics were used for agreement scores . In total , 28 experts participated . The consensus round response rate varied r and omly over the five rounds ( ranging from 48 % ( n=13 ) to 85 % ( n=23 ) ) , and mean definition agreement scores increased from 3.8 ( round 1 ) to 4.8 ( round 5 ) with an increasing percentage of experts allocating the highest score of 5 ( round 1 : 14 % ( n=3 ) ; round 5 : 83 % ( n=19 ) ) . In this study we reached consensus regarding a conceptual definition of what should be a COPD self-management intervention , clarifying the requisites for such an intervention . Operationalisation of this conceptual definition in the near future will be an essential next step . Consensus of a conceptual definition of what should be a COPD self-management intervention with its requisites
Interventions that included ET and PA counseling during PR were effective strategies to improve PA in COPD
BACKGROUND Physical inactivity is associated with poor outcomes in COPD , and as a result , interventions to improve physical activity ( PA ) are a current research focus .
However , many trials have been small and inconclusive .
OBJECTIVE The aim of this systematic review and meta- analysis was to study the effects of r and omized controlled trials ( RCTs ) targeting PA in COPD .