Long-term efficacy and effectiveness of abehavioural and community-basedexercise intervention (Urban Training) toincrease physical activity in patients withCOPD: a randomised controlled trial

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RECERCAT Home > Universitat Internacional de Catalunya > Recerca > Articles > Ciències de la Salut > View document

To access the full text documents, please follow this link: http://hdl.handle.net/20.500.12328/1581

dc.contributor.author	Arbillaga-Etxarri, Ane
dc.contributor.author	Gimeno-Santos, Elena
dc.contributor.author	Barberan-Garcia, Anael
dc.contributor.author	Balcells, Eva
dc.contributor.author	Benages Albert, Marta
dc.contributor.author	Borrell, Eulàlia
dc.contributor.author	Celorrio, Nuria
dc.contributor.author	Delgado, Anna
dc.contributor.author	Jané, Carme
dc.contributor.author	Marín, Alicia
dc.contributor.author	Martín-Cantera, Carlos
dc.contributor.author	Monteagudo Zaragoza, Mònica
dc.contributor.author	Montellà, Nuria
dc.contributor.author	Muñoz, Laura
dc.contributor.author	Ortega, Pilar
dc.contributor.author	Rodríguez, Diego A.
dc.contributor.author	Rodríguez-Roisin, Robert
dc.contributor.author	Simonet, Pere
dc.contributor.author	Torán-Monserrat, Pere
dc.contributor.author	Torrent-Pallicer, Jaume
dc.contributor.author	Vall Casas, Pere
dc.contributor.author	Vilaró, Jordi
dc.contributor.author	Garcia-Aymerich, Judith
dc.date	2020-06-13T14:56:01Z
dc.date	2020-06-13T14:56:01Z
dc.date	2018
dc.identifier	Arbillaga-Etxarri, Ane; Gimeno-Santos, Elena; Barberan-Garcia, Anael [et al.]. Long-term efficacy and effectiveness of abehavioural and community-basedexercise intervention (Urban Training) toincrease physical activity in patients withCOPD: a randomised controlled trial. European Respiratory Journal, 2018, 52, 1800063. Disponible en: <https://erj.ersjournals.com/content/52/4/1800063>. Fecha de acceso: 13 jun 2020. DOI: 10.1183/13993003.00063-2018.
dc.identifier	0903-1936
dc.identifier	http://dx.doi.org/10.1183/13993003.00063-2018
dc.identifier.uri	http://hdl.handle.net/20.500.12328/1581
dc.description	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	14
dc.format	application/pdf
dc.language	eng
dc.publisher	European Respiratory Society
dc.relation	European Respiratory Journal
dc.relation	52;
dc.rights	© ERS 2018. This version is distributed under the terms of the Creative Commons Attribution Non-Commercial Licence 4.0.
dc.rights	https://creativecommons.org/licenses/by-nc/4.0/
dc.subject	Exercici
dc.subject	Pulmons -- Malalties obstructives
dc.subject	Hospitals -- Pacients
dc.subject	Motivació (Psicologia)
dc.subject	Ejercicio físico
dc.subject	Pulmones -- Enfermedades
dc.subject	Hospitalizados
dc.subject	Motivación
dc.subject	Exercise
dc.subject	Lungs -- Diseases, Obstructive
dc.subject	Hospitalized patients
dc.subject	Motivation
dc.subject	61
dc.title	Long-term efficacy and effectiveness of abehavioural and community-basedexercise intervention (Urban Training) toincrease physical activity in patients withCOPD: a randomised controlled trial
dc.type	info:eu-repo/semantics/article
dc.type	info:eu-repo/semantics/acceptedVersion

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