RT Journal Article
SR Electronic
T1 A randomised trial of a web-based physical activity self-management intervention in COPD
JF ERJ Open Research
JO erjor
FD European Respiratory Society
SP 00158-2021
DO 10.1183/23120541.00158-2021
VO 7
IS 3
A1 Stephanie A. Robinson
A1 J. Allen Cooper, Jr
A1 Rebekah L. Goldstein
A1 Madeline Polak
A1 Paola N. Cruz Rivera
A1 David R. Gagnon
A1 Amber Samuelson
A1 Sheila Moore
A1 Reema Kadri
A1 Caroline R. Richardson
A1 Marilyn L. Moy
YR 2021
UL http://openres.ersjournals.com/content/7/3/00158-2021.abstract
AB Improving exercise capacity is a primary objective in COPD. Declines in exercise capacity result in reduced physical activity and health-related quality of life (HRQoL). Self-management interventions can teach patients skills and behaviours to manage their disease. Technology-mediated interventions have the potential to provide easily accessible support for disease self-management. We evaluated the effectiveness of a web-based self-management intervention, focused on physical activity promotion, on exercise capacity in COPD. This 6-month randomised controlled trial (NCT02099799) enrolled 153 persons with COPD at two US sites (VABoston, n=108; VABirmingham, n=45). Participants were allocated (1:1) to the web-based self-management intervention (physical activity promotion through personalised, progressive step-count goals, feedback, online COPD-related education and social support via an online community) or usual care. The primary outcome was exercise capacity (6-min walk distance (6 MWD)). Secondary outcomes included physical activity (daily steps per day), HRQoL (St. George's Respiratory Questionnaire Total Score), dyspnoea, COPD-related knowledge and social support. Change in step-count goals reflected intervention engagement. Participants' mean age was 69 (sd=7), and mean forced expiratory volume in 1 s % predicted was 61% (sd=21%). Change in 6MWD did not differ between groups. Intervention participants improved their mean daily step counts by 1312 more than those in the usual care group (p<0.001). Groups did not differ on other secondary outcomes. VABirmingham participants were significantly more engaged with the intervention, although site did not modify the effect of the intervention on 6MWD or secondary outcomes. The intervention did not improve exercise capacity but improved physical activity at 6 months. Additional intervention modifications are needed to optimise its COPD self-management capabilities.A web-based self-management intervention improved physical activity but not exercise capacity. There is a need to develop and study accessible self-management interventions for COPD. https://bit.ly/3iT1yvU