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Publication type: Article in scientific journal
Type of review: Peer review (publication)
Title: Effect of counselling during pulmonary rehabilitation on self-determined motivation to be physically active for people with chronic obstructive pulmonary disease : a pragmatic RCT
Authors: Rausch Osthoff, Anne-Kathrin
Beyer, Swantje
Gisi, David
Rezek, Spencer
Schwank, Ariane
Meichtry, André
Sievi, Noriane A.
Hess, Thomas
Wirz, Markus
et. al: No
DOI: 10.1186/s12890-021-01685-2
Published in: BMC Pulmonary Medicine
Volume(Issue): 21
Issue: 317
Issue Date: 12-Oct-2021
Publisher / Ed. Institution: BioMed Central
ISSN: 1471-2466
Language: English
Subjects: Behavioral change; COPD; Motivational interviewing; Physical activity promotion
Subject (DDC): 616: Internal medicine and diseases
Abstract: Background: Counselling is considered to be a promising approach to increasing physical activity (PA) in people with chronic obstructive pulmonary disease (COPD). The aim of the current study was to investigate whether a PA counselling program for people with COPD, when embedded in a comprehensive outpatient pulmonary rehabilitation (PR) program, increased their daily PA. Methods: A two-armed, single blind randomized controlled trial was conducted as a component of a 12-week outpatient pulmonary rehabilitation program. The participants randomized into the intervention group received five counselling sessions, based on the principles of motivational interviewing (MI), with a physiotherapist. The participants’ steps per day and other proxies of PA were measured using an accelerometer (SenseWear Pro®) at baseline, at the end of the PR program, and three months later. The group-by-time interaction effect was analyzed. Results: Of the 43 participants,17 were allocated to the intervention group and 26 to the usual-care control group (mean age 67.9 ± 7.9; 21 (49%) males; mean FEV1 predicted 47.1 ± 18.6). No difference between groups was found for any measure of PA at any point in time. Conclusions: In this study, counselling, based on MI, when embedded in a comprehensive PR program for people with COPD, showed no short-term or long-term effects on PA behavior. To investigate this potentially effective counselling intervention and to analyze the best method, timing and tailoring of an intervention embedded in a comprehensive outpatient PR program, further adequately powered research is needed. Trial registration: Clinical NCT02455206 (05/21/2015), Swiss National Trails Portal SNCTP000001426 (05/21/2015).
Fulltext version: Published version
License (according to publishing contract): CC BY 4.0: Attribution 4.0 International
Departement: School of Health Sciences
Organisational Unit: Institute of Physiotherapy (IPT)
Published as part of the ZHAW project: Effect of counselling during pulmonary rehabilitation on self-determined motivation towards physical activity in patients with Chronic Obstructive Pulmonary Disease
Appears in collections:Publikationen Gesundheit

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