The effects of a lifestyle physical activity counseling program with feedback of a pedometer during pulmonary rehabilitation in patients with COPD: A pilot study

To study the effects of a lifestyle physical activity counseling program with feedback of a pedometer during pulmonary rehabilitation. Twenty-one chronic obstructive pulmonary disease (COPD) patients were randomized to an experimental group that followed a regular rehabilitation program plus the cou...

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Bibliographic Details
Published in:Patient education and counseling 2006-04, Vol.61 (1), p.48-55
Main Authors: de Blok, Bertine M.J., de Greef, Mathieu H.G., ten Hacken, Nick H.T., Sprenger, Siska R., Postema, Klaas, Wempe, Johan B.
Format: Article
Language:English
Subjects:
Activities of Daily Living
Adult
Aged
Aged, 80 and over
Analysis of Variance
Chi-Square Distribution
COPD
Counseling
Depression - psychology
Exercise counseling
Feedback
Female
Humans
Life Style
Lifestyle physical activity
Male
Middle Aged
Motor Activity
Nursing
Patient Compliance - psychology
Pedometer
Pilot Projects
Pulmonary Disease, Chronic Obstructive - psychology
Pulmonary Disease, Chronic Obstructive - rehabilitation
Quality of Life
Self Efficacy
Statistics, Nonparametric
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Summary:To study the effects of a lifestyle physical activity counseling program with feedback of a pedometer during pulmonary rehabilitation. Twenty-one chronic obstructive pulmonary disease (COPD) patients were randomized to an experimental group that followed a regular rehabilitation program plus the counseling intervention or to a control group that only followed rehabilitation. The primary outcome was daily physical activity assessed by pedometers. Secondary outcomes were physical fitness, health-related quality of life, activities of daily living, depression and self-efficacy. The experimental group showed an increase of 1430 steps/day (+69% from baseline), whereas the control group showed an increase of 455 steps/day (+19%) ( p = 0.11 for group × time interaction). The secondary outcomes showed no differences. This study showed that the use of the pedometer, in combination with exercise counseling and the stimulation of lifestyle physical activity, is a feasible addition to pulmonary rehabilitation which may improve outcome and maintenance of rehabilitation results.
ISSN:0738-3991
1873-5134
DOI:10.1016/j.pec.2005.02.005