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 .
Patient-centered physical activity coaching in COPD (Walk On!): A study protocol for a pragmatic randomized controlled trial.
BACKGROUND Physical inactivity is significantly associated with more frequent hospitalizations and increased mortality in COPD even after adjusting for disease severity . While practice guidelines recommend regular physical activity for all patients with COPD , health systems are challenged in operationalizing an effective and sustainable approach to assist patients in being physically active . METHODS A pragmatic r and omized controlled trial design was used to determine the effectiveness of a 12-month home and community-based physical activity coaching intervention ( Walk On ! ) compared to st and ard care for 1650 patients at high risk for COPD exacerbations from a large integrated health care system . Eligible patients with a COPD -related hospitalization , emergency department visit , or observational stay in the previous 12months were automatically identified from the electronic medical records ( EMR ) system and r and omized to treatment arms . The Walk On ! intervention included collaborative monitoring of step counts , semi-automated step goal recommendations , individualized reinforcement from a physical activity coach , and peer/family support . RESULTS The primary composite outcome included all-cause hospitalizations , emergency department visits , observational stays , and death in the 12months following r and omization . Secondary outcomes included COPD -related utilization , cardio-metabolic markers , physical activity , symptoms , and health-related quality of life . With the exception of patient reported outcomes , all utilization and clinical variables were automatically captured from the EMR . CONCLUSIONS If successful , findings from this multi-stakeholder driven trial of a generalizable and scalable physical activity intervention , carefully design ed with sufficient flexibility , intensity , and support for a large ethnically diverse sample could re-define the st and ard of care to effectively address physical inactivity in COPD
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 .