Home-Based Physical Activity Program With Health Coaching for Participants With Chronic Obstructive Pulmonary Disease in Sweden: A Proof-of-Concept Pilot Study

Maria V. Benzo MD, MS , Maria Hagströmer PhD , Malin Nygren-Bonnier PhD , Roberto P. Benzo MD, MS , Marian E. Papp PhD
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引用次数: 1

Abstract

Home-based interventions are at the center stage of current health care demands. There is a clear need to translate pulmonary rehabilitation into a home-based setting. This 8-week pilot study aimed to determine the feasibility of a home-based physical activity program for participants with chronic obstructive pulmonary disease (COPD) in Sweden. Patients with COPD, aged 40 years or older and clinically stable in the past 3 months, were recruited. The program used a fitness tracker to monitor step count, weekly health coaching calls using motivational interviewing, and video-guided mindful movements. The outcome measures were adherence to the 8-week program’s video-guided exercises (number of times videos were watched), adherence to health coaching calls (minimum 8), monthly and daily step count, and quality of life (QoL) using the chronic respiratory questionnaire. Thirteen participants were enrolled, and 12 participants adhered to health coaching calls and step monitoring. We had 643 video-exercise views, which exceeded the minimum standard (576 views). The mean difference comparing total monthly steps from baseline and the 8-week time point was 47,039 steps (95% CI, –113,625 to 1623.5; P=.06). The minimal clinical improvement of 500 daily steps was found for 8 of the patients. No significant improvement was found in the QoL measures and mental health. We found the home-based physical activity program to be a feasible intervention. Patients reported high adherence to tracking step counts, health coaching calls, and video-guided exercise. No improvements in QoL or monthly step count emerged; however, we found high adherence and a positive trend in the number of monthly step counts, and improvements of at least 500 daily step counts improved in most patients with this small sample size.

Abstract Image

瑞典慢性阻塞性肺病参与者的家庭体育活动计划和健康指导:一项概念验证试点研究。
基于家庭的干预措施处于当前医疗保健需求的中心阶段。显然需要将肺部康复转化为家庭环境。这项为期8周的试点研究旨在确定瑞典慢性阻塞性肺病(COPD)参与者在家进行体育活动计划的可行性。招募了年龄在40岁或以上且在过去3个月内临床稳定的COPD患者。该项目使用健身追踪器来监测步数,每周使用动机访谈进行健康指导,以及视频引导的正念动作。结果指标包括坚持8周计划的视频指导练习(观看视频的次数)、坚持健康指导电话(至少8次)、每月和每日步数以及使用慢性呼吸问卷的生活质量(QoL)。13名参与者被招募,12名参与者坚持健康指导电话和步骤监测。我们的视频锻炼浏览量为643次,超过了最低标准(576次)。与基线和8周时间点相比,每月总步数的平均差异为47039步(95%CI,-113625至1623.5;P=0.06)。其中8名患者的每日500步数的临床改善最小。在生活质量测量和心理健康方面没有发现显著改善。我们发现以家庭为基础的体育活动计划是一种可行的干预措施。患者报告对追踪步数、健康指导电话和视频指导锻炼的依从性很高。生活质量或月步数没有改善;然而,我们发现,在这种小样本量的大多数患者中,高依从性和每月步数的积极趋势,以及至少500个每日步数的改善。
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来源期刊
Mayo Clinic proceedings. Innovations, quality & outcomes
Mayo Clinic proceedings. Innovations, quality & outcomes Surgery, Critical Care and Intensive Care Medicine, Public Health and Health Policy
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