Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/20231
Title: Participation in Physical Activity During Center and Home-Based Pulmonary Rehabilitation for People With COPD: a secondary analysis of a randomized controlled trial
Authors: Lahham, Aroub;McDonald, Christine F;Mahal, Ajay;Lee, Annemarie L;Hill, Catherine J;Burge, Angela T;Cox, Narelle S;Moore, Rosemary;Nicolson, Caroline;OʼHalloran, Paul;Gillies, Rebecca;Holland, Anne E
Affiliation: Physiotherapy, La Trobe University, Melbourne, Victoria, Australia
Institute for Breathing and Sleep, Austin Health, Heidelberg, Victoria, Australia
Department of Respiratory and Sleep Medicine, Austin Health, Heidelberg, Victoria, Australia
Department of Medicine, The University of Melbourne, Melbourne, Victoria, Australia
Nossal Institute for Global Health, The University of Melbourne, Melbourne, Victoria, Australia
Department of Physiotherapy, Alfred Hospital, Melbourne, Victoria, Australia
Department of Physiotherapy, Austin Hospital, Melbourne, Victoria, Australia
Public Health and Psychology, La Trobe University, Melbourne, Victoria, Australia
Issue Date: 25-Jan-2019
EDate: 2019-01-25
Citation: Journal of cardiopulmonary rehabilitation and prevention 2019; online first: 25 January
Abstract: To compare levels of physical activity during center and home-based pulmonary rehabilitation (PR) in people with chronic obstructive pulmonary disease. Forty-five consecutive participants (23 male, n = 20, in the home-based group) with mean age of 68 ± 8 yr and forced expiratory volume in the first second of expiration (FEV1) 53 ± 18% predicted undertook physical activity monitoring using the SenseWear Armband during the final week of the interventions of center or home-based PR. Differences in time spent in total physical activity (≥1.5 METs), time spent in moderate to vigorous intensity physical activity (≥3 METs), and steps were compared. Home participants spent a median and interquartile range of 310 (199-328) min/d engaged in total physical activity (29% moderate to vigorous intensity physical activity) compared with 300 (204-370) min/d for the center group (28% moderate to vigorous intensity physical activity, P = .98). Daily step count did not differ between groups (home-based median 5232 [2067-7718] versus center-based median 4049 [1983-6040], P = .66). Of note, center-based participants took 38% more steps on days of program attendance compared with nonattendance days (mean difference: 761 steps/d; 95% CI, -56 to 1579, P = .06). For people with chronic obstructive pulmonary disease undertaking PR, no differences in physical activity levels between center and home-based programs were demonstrated. Understanding the impact of the indirect supervision and motivational interviewing technique utilized during home-based PR on levels of physical activity in people with chronic obstructive pulmonary disease may support clinical implementation of the model as an alternative option to traditional care.
URI: http://ahro.austin.org.au/austinjspui/handle/1/20231
DOI: 10.1097/HCR.0000000000000373
ORCID: 0000-0001-6481-3391
0000-0003-2090-0746
0000-0003-2061-845X
PubMed URL: 30688793
Type: Journal Article
Appears in Collections:Journal articles

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