Comparison of the impact of conventional and web-based pulmonary rehabilitation on physical activity in patients with chronic obstructive pulmonary disease: exploratory feasibility study
Chaplin, Emma Barnes, Amy Houchen-Wolloff, Linzy Singh, Sally
Chaplin, Emma
Barnes, Amy
Houchen-Wolloff, Linzy
Singh, Sally
Abstract
Background: Pulmonary Rehabilitation (PR) increases exercise capacity, with less clear evidence regarding physical activity (PA). The World Health Organization recommends at least 150-300 minutes of moderate-intensity or 75-150 minutes of vigorous-intensity aerobic PA per week to reduce the risks of chronic disease.
Objective: The objective of this study was to assess the effectiveness of conventional PR versus web-based PR with respect to changes in PA.
Methods: Patients with COPD were randomized to either conventional PR classes (n=51) or a web-based PR program (n=52) for 7 weeks in a feasibility study. Accelerometers (Sensewear) were worn before and after the intervention, and PA was measured as steps per day and mean bouts of moderate activity for ≥2, ≥5, ≥10, and ≥20 minutes. Measures were derived for patients with ≥8 hours of data per day for ≥4 days, using the R package for statistical analysis. Variables were explored to examine their relationships with bouts of activity.
Results: Baseline characteristics did not differ significantly between groups. Complete PA data were available for the groups receiving web-based (n=20) and conventional (n=34) PR interventions. The web-based PR group demonstrated a nonsignificant increase in the number of steps per day, which mainly comprised short bouts of moderate to vigorous intensity PA when compared to the conventional PR group (P=.20). The conventional PR group demonstrated increased 20-minute bouts of PA by 49.1%, although this was not significant (P=.07). At baseline, age (r=-0.21, P=.04), BMI (r=-0.311, P=.004), and FEV1 (forced expiratory volume in 1 second; % predicted; r=-0.248, P=.048) were significantly correlated with 10-minute bouts of PA; however, this was not observed post intervention.
Conclusions: The analysis revealed a nonsignificant difference in the pattern of PA between groups receiving conventional vs web-based PR-the former being associated with an increase in 20-minute bouts, while the latter having demonstrated an increase in the number of steps per day. There appears to be a differing response emerging between the two interventions.
Trial registration: International Clinical Trials Registry ISRCTN03142263; https://tinyurl.com/y4dmfyrb.
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Date
2021-03-17
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Chaplin, E., Barnes, A., Newby, C., Houchen-Wolloff, L., & Singh, S. J. (2022). Comparison of the Impact of Conventional and Web-Based Pulmonary Rehabilitation on Physical Activity in Patients With Chronic Obstructive Pulmonary Disease: Exploratory Feasibility Study. JMIR rehabilitation and assistive technologies, 9(1), e28875. https://doi.org/10.2196/28875