Determinants of study completion and response to a 12-month behavioral physical activity intervention in chronic obstructive pulmonary disease: A cohort study
Mostra el registre complet Registre parcial de l'ítem
- dc.contributor.author Koreny, Maria, 1972-
- dc.contributor.author Demeyer, Heleen
- dc.contributor.author Arbillaga Etxarri, Ane, 1986-
- dc.contributor.author Gimeno Santos, Elena, 1980-
- dc.contributor.author Barberan-Garcia, Anael
- dc.contributor.author Benet, Marta
- dc.contributor.author Balcells Vilarnau, Eva, 1967-
- dc.contributor.author Borrell, Eulàlia
- dc.contributor.author Marin, Alicia
- dc.contributor.author Rodríguez Chiaradia, Diego Agustín
- dc.contributor.author Vall Casas, Pere
- dc.contributor.author Vilaró, Jordi
- dc.contributor.author Rodríguez-Roisin, Robert
- dc.contributor.author García Aymerich, Judith
- dc.date.accessioned 2020-02-20T08:25:50Z
- dc.date.available 2020-02-20T08:25:50Z
- dc.date.issued 2019
- dc.description.abstract Objectives: Physical activity is key to improve the prognosis of chronic obstructive pulmonary disease (COPD). To help to tailor future interventions we aimed to identify the baseline characteristics of COPD patients which predict 12-month completion and response to a behavioral physical activity intervention. Methods: This is a 12-month cohort study of the intervention arm of the Urban Training randomized controlled trial (NCT01897298), an intervention proven to be efficacious to increase physical activity. We considered baseline sociodemographic, interpersonal, environmental, clinical and psychological characteristics as potential determinants of completion and response. We defined completion as attending the 12-month study visit. Among completers, we defined response as increasing physical activity ≥1100 steps/day from baseline to 12 months, measured by accelerometer. We estimated the factors independently for completion and response using multivariable logistic regression models. Results: Of a total of 202 patients (m (SD) 69 (9) years, 84% male), 132 (65%) completed the study. Among those, 37 (28%) qualified as responders. Higher numbers of baseline steps/day (OR [95% CI] 1.11 [1.02-1.21] per increase of 1000 steps, p<0.05) and living with a partner (2.77 [1.41-5.48], p<0.01) were related to a higher probability of completion while more neighborhood vulnerability (0.70 [0.57-0.86] per increase of 0.1 units in urban vulnerability index, p<0.01) was related to a lower probability. Among the completers, working (3.14 [1.05-9.33], p<0.05) and having an endocrino-metabolic disease (4.36 [1.49-12.80], p<0.01) were related to a higher probability of response while unwillingness to follow the intervention (0.21 [0.05-0.98], p<0.05) was related to a lower probability. Conclusions: This study found that 12-month completion of a behavioral physical activity intervention was generally determined by previous physical activity habits as well as interpersonal and environmental physical activity facilitators while response was related to diverse factors thought to modify the individual motivation to change to an active lifestyle.
- dc.format.mimetype application/pdf
- dc.identifier.citation Koreny M, Demeyer H, Arbillaga-Etxarri A, Gimeno-Santos E, Barberan-Garcia A, Benet M et al. Determinants of study completion and response to a 12-month behavioral physical activity intervention in chronic obstructive pulmonary disease: A cohort study. PLoS One. 2019;14(5):e0217157. DOI: 10.1371/journal.pone.0217157
- dc.identifier.doi http://dx.doi.org/10.1371/journal.pone.0217157
- dc.identifier.issn 1932-6203
- dc.identifier.uri http://hdl.handle.net/10230/43667
- dc.language.iso eng
- dc.publisher Public Library of Science (PLoS)
- dc.relation.ispartof PLoS One. 2019;14(5):e0217157
- dc.rights © 2019 Koreny et al. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.rights.uri http://creativecommons.org/licenses/by/4.0/
- dc.subject.keyword Physical activity
- dc.subject.keyword Chronic obstructive pulmonary disease
- dc.subject.keyword Depression
- dc.subject.keyword Patients
- dc.subject.keyword Walking
- dc.subject.keyword Anxiety
- dc.subject.keyword Diabetic endocrinology
- dc.subject.keyword Hospitals
- dc.title Determinants of study completion and response to a 12-month behavioral physical activity intervention in chronic obstructive pulmonary disease: A cohort study
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/publishedVersion