Home-Based Physical Activity Program With Health Coaching for participants With Chronic Obstructive Pulmonary Disease in Sweden: A Proof-of-Concept Pilot Study.
Home-Based Physical Activity Program With Health Coaching for participants With Chronic Obstructive Pulmonary Disease in Sweden: A Proof-of-Concept Pilot Study.
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DOI：
10.1016/j.mayocpiqo.2023.07.005
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发表时间：
2023-10
期刊：
影响因子：
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通讯作者：
Papp, Marian E
中科院分区：
文献类型：
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作者：
Benzo, Maria V;Hagstromer, Maria;Nygren-Bonnier, Malin;Benzo, Roberto P;Papp, Marian E
以家庭为基础的干预措施是目前医疗保健需求的中心。显然需要将肺康复转化为家庭环境。这项为期8周的试点研究旨在确定瑞典慢性阻塞性肺疾病（COPD）参与者的家庭体力活动计划的可行性。招募了40岁或以上且在过去3个月内临床稳定的COPD患者。该计划使用健身跟踪器来监测步数，每周使用激励性访谈进行健康指导电话，以及视频引导的正念运动。结果指标包括对8周计划的视频指导练习的依从性（观看视频的次数），对健康指导电话的依从性（至少8次），每月和每日步数，以及使用慢性呼吸问卷的生活质量（QoL）。13名参与者被招募，12名参与者坚持健康指导电话和步骤监测。我们有643次视频练习观看，超过了最低标准（576次观看）。每月总步数较基线和8周时间点的平均差异为47，039步（95% CI，-113，625至1623.5; P=.06）。8例患者的临床改善最小为每日步行500步。生活质量指标和心理健康没有显著改善。我们发现，以家庭为基础的体育活动计划是一个可行的干预措施。患者报告高度坚持跟踪步数，健康指导电话和视频指导运动。生活质量或每月步数没有改善;然而，我们发现高依从性和每月步数的积极趋势，并且在这个小样本量的大多数患者中至少改善了500个每日步数。
Home-based interventions are at the center stage of current health care demands. There is a clear need to translate pulmonary rehabilitation into a home-based setting. This 8-week pilot study aimed to determine the feasibility of a home-based physical activity program for participants with chronic obstructive pulmonary disease (COPD) in Sweden. Patients with COPD, aged 40 years or older and clinically stable in the past 3 months, were recruited. The program used a fitness tracker to monitor step count, weekly health coaching calls using motivational interviewing, and video-guided mindful movements. The outcome measures were adherence to the 8-week program’s video-guided exercises (number of times videos were watched), adherence to health coaching calls (minimum 8), monthly and daily step count, and quality of life (QoL) using the chronic respiratory questionnaire. Thirteen participants were enrolled, and 12 participants adhered to health coaching calls and step monitoring. We had 643 video-exercise views, which exceeded the minimum standard (576 views). The mean difference comparing total monthly steps from baseline and the 8-week time point was 47,039 steps (95% CI, –113,625 to 1623.5; P=.06). The minimal clinical improvement of 500 daily steps was found for 8 of the patients. No significant improvement was found in the QoL measures and mental health. We found the home-based physical activity program to be a feasible intervention. Patients reported high adherence to tracking step counts, health coaching calls, and video-guided exercise. No improvements in QoL or monthly step count emerged; however, we found high adherence and a positive trend in the number of monthly step counts, and improvements of at least 500 daily step counts improved in most patients with this small sample size.