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
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- dc.contributor.author Arbillaga Etxarri, Ane, 1986-
- dc.contributor.author Gimeno Santos, Elena, 1980-
- dc.contributor.author Balcells Vilarnau, Eva, 1967-
- dc.contributor.author Benet, Marta
- dc.contributor.author Delgado Llobet, Anna
- dc.contributor.author Rodríguez, Diego
- dc.contributor.author Torrent-Pallicer, Jaume
- dc.contributor.author García Aymerich, Judith
- dc.date.accessioned 2019-04-26T07:33:58Z
- dc.date.issued 2018
- dc.description.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 between groups. Leg muscle pain during walks was more frequently reported in Urban Training than usual care, without differences in any of the other adverse events.Urban Training, combining behavioural strategies with unsupervised outdoor walking, was efficacious in increasing physical activity after 12 months in COPD patients, with few safety concerns. However, it was ineffective in the full population including unwilling and self-reported non-adherent patients.
- dc.format.mimetype application/pdf
- dc.identifier.citation Arbillaga-Etxarri A, Gimeno-Santos E, Barberan-Garcia A, Balcells E, Benet M, Borrell E et al. 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. Eur Respir J. 2018 Oct 18;52(4):1800063. DOI: 10.1183/13993003.00063-2018
- dc.identifier.doi http://dx.doi.org/10.1183/13993003.00063-2018
- dc.identifier.issn 0903-1936
- dc.identifier.uri http://hdl.handle.net/10230/37136
- dc.language.iso eng
- dc.publisher European Respiratory Society
- dc.relation.ispartof European Respiratory Journal. 2018 Oct 18;52(4):1800063
- dc.rights This is an author-submitted, peer-reviewed version of a manuscript that has been accepted for publication in the European Respiratory Journal, prior to copy-editing, formatting and typesetting. This version of the manuscript may not be duplicated or reproduced without prior permission from the copyright owner, the European Respiratory Society. The publisher is not responsible or liable for any errors or omissions in this version of the manuscript or in any version derived from it by any other parties. The final, copy-edited, published article, which is the version of record, is available at http://dx.doi.org/10.1183/13993003.00063-2018
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.subject.other Exercici
- dc.subject.other Pulmons -- Malalties
- dc.title 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
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/acceptedVersion