Effects of a brief pedometer-based behavioral intervention for individuals with COPD during in-patient pulmonary rehabilitation on 6-weeks and 6-months objectively measured physical activity: study protocol for a randomized controlled trial.

Geidl W, Semrau J, Streber R, Lehbert N, Wingart S, Tallner A, Wittmann M, Wagner R, Schultz K, Pfeifer K (2017)


Publication Language: English

Publication Type: Journal article, Original article

Publication year: 2017

Journal

Book Volume: 18

Pages Range: 396

DOI: 10.1186/s13063-017-2124-z

Abstract

Background

Pulmonary rehabilitation programs often fail to substantially enhance long term physical activity in patients with chronic obstructive pulmonary disease (COPD). The reasons for successful physical activity changes in patients with COPD are not well understood. The need to better understand the determinants of physical activity in patients with COPD and effective rehabilitation strategies to improve physical activity is evident.

Methods

The STAR-study (Stay Active after Rehabilitation) investigates, in a randomized controlled trial, the additional effect of a pedometer-based behavior change intervention during in-patient pulmonary rehabilitation on objectively measured physical activity 6-weeks and 6-months post rehabilitation. The intervention uses the behavior change techniques a) instruction on how, where and when to perform the behavior, b) prompt goal setting for physical activity, c) prompt self-monitoring of behavior and d) feedback on behavior. The primary outcome of physical activity will be measured using a physical activity monitor (Actigraph wGT3X) for a period of seven days, firstly two weeks before rehabilitation begins (t0) as well as 6-weeks and 6-months after rehabilitation (t3, t4). Additionally, to predict physical activity progression after rehabilitation a complex personal diagnostics battery including questionnaires as well as functional assessments is to be carried out at the start and end of rehabilitation (t1, t2). This battery is based on the foundational ideas of the physical activity-related health competence model.

502 patients with COPD aged ≥ 18 and admitted for an approved pulmonary rehabilitation will be enrolled in the STAR-study.

Discussion

The STAR-study is designed as a randomized controlled trial to gain a better understanding of the personal determinants of physical activity in patients with COPD and to evaluate a pedometer-based physical activity change intervention in the context of in-patient pulmonary rehabilitation. The results enable future identification of patients with COPD who will find it difficult to engage in long term physical activity after rehabilitation. Based on this, intervention strategies to promote physical activity in the content of pulmonary rehabilitation can be optimized.

 

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How to cite

APA:

Geidl, W., Semrau, J., Streber, R., Lehbert, N., Wingart, S., Tallner, A.,... Pfeifer, K. (2017). Effects of a brief pedometer-based behavioral intervention for individuals with COPD during in-patient pulmonary rehabilitation on 6-weeks and 6-months objectively measured physical activity: study protocol for a randomized controlled trial. Trials, 18, 396. https://dx.doi.org/10.1186/s13063-017-2124-z

MLA:

Geidl, Wolfgang, et al. "Effects of a brief pedometer-based behavioral intervention for individuals with COPD during in-patient pulmonary rehabilitation on 6-weeks and 6-months objectively measured physical activity: study protocol for a randomized controlled trial." Trials 18 (2017): 396.

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