Long-term efficacy and effectiveness of a behavioural and community-based exercise intervention (Urban Training) to increase physical activity in patients with COPD: a randomised controlled trial

The European Respiratory Journal
Ane Arbillaga-EtxarriJ Garcia-Aymerich

Abstract

There is a need to increase and maintain physical activity in patients with chronic obstructive pulmonary disease (COPD). We assessed 12-month efficacy and effectiveness of the Urban Training intervention on physical activity in COPD patients.This randomised controlled trial (NCT01897298) allocated 407 COPD patients from primary and hospital settings 1:1 to usual care (n=205) or Urban Training (n=202). Urban Training consisted of a baseline motivational interview, advice to walk on urban trails designed for COPD patients in outdoor public spaces and other optional components for feedback, motivation, information and support (pedometer, calendar, physical activity brochure, website, phone text messages, walking groups and a phone number). The primary outcome was 12-month change in steps·day-1 measured by accelerometer.Efficacy analysis (with per-protocol analysis set, n=233 classified as adherent to the assigned intervention) showed adjusted (95% CI) 12-month difference +957 (184-1731) steps·day-1 between Urban Training and usual care. Effectiveness analysis (with intention-to-treat analysis set, n=280 patients completing the study at 12 months including unwilling and self-reported non-adherent patients) showed no differences be...Continue Reading

Associated Clinical Trials

Jan 15, 2021·Alda Sofia Pires de Dias Marques
Jul 11, 2013·Judith Garcia-Aymerich

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Citations

Feb 5, 2019·COPD·Astrid BlondeelThierry Troosters
Oct 20, 2018·The European Respiratory Journal·Richard Casaburi
Jan 11, 2019·Respirology : Official Journal of the Asian Pacific Society of Respirology·Elena Gimeno-Santos
Oct 3, 2019·COPD·José Luis López-CamposEsther Barreiro
May 19, 2020·ERJ Open Research·Cristina CalarasuStefan Frent
Apr 17, 2020·The Cochrane Database of Systematic Reviews·Angela T BurgeAnne E Holland
Nov 15, 2019·European Respiratory Review : an Official Journal of the European Respiratory Society·Matthew ArmstrongIoannis Vogiatzis
Nov 27, 2020·COPD·Raquel Pastrello HirataKarina Couto Furlanetto
Jan 30, 2021·The Cochrane Database of Systematic Reviews·Narelle S CoxAnne E Holland
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May 1, 2021·Annals of the American Thoracic Society·Anne E HollandSally J Singh
Jul 5, 2021·Chest·Chris BurtinUNKNOWN CBQC Task Force on Physical Activity
Sep 4, 2021·ERJ Open Research·Stephanie A RobinsonMarilyn L Moy
Sep 9, 2021·The Cochrane Database of Systematic Reviews·Charlotte C PootPersijn J Honkoop
Mar 5, 2021·Annals of Physical and Rehabilitation Medicine·Laura Delgado-OrtizJudith Garcia-Aymerich
Jan 11, 2022·The Cochrane Database of Systematic Reviews·Jade SchrijverTanja W Effing
Feb 15, 2020·Respiratory Medicine·Emily S WanMarilyn L Moy

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NCT01897298

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