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Updated: Jun 9, 2025
00:07
Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
Published on: August 24, 2019
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Short-term effects on physical activity level with web-based self-management support in people with COPD: a
Tobias Stenlund1, Åsa Karlsson2, Per Liv3
1Department of Community Medicine and Rehabilitation, Section of Physiotherapy, Umeå University, Umeå, Sweden. tobias.stenlund@umu.se.
NPJ Primary Care Respiratory Medicine
|October 25, 2024
Summary
A web-based tool for chronic obstructive pulmonary disease (COPD) self-management did not significantly increase physical activity (PA) in all participants. However, those with complete data showed meaningful improvements in daily steps.
Area of Science:
- Pulmonary Medicine
- Digital Health
- Behavioral Science
Background:
- Chronic obstructive pulmonary disease (COPD) management often involves self-management support.
- Web-based interventions offer scalable solutions for patient support.
- Physical activity (PA) is crucial for COPD management but often declines.
Purpose of the Study:
- To evaluate the short-term effects of a web-based self-management support tool on objectively measured physical activity in COPD patients.
- To compare the intervention group (IG) receiving the COPD Web tool against a control group (CG) receiving usual care.
Main Methods:
- Pragmatic randomized controlled trial involving stable COPD patients in primary care.
- Intervention: Access to the COPD Web interactive website for self-management and PA focus.
- Primary outcome: Change in accelerometry-measured daily steps at 3 months; secondary outcomes: self-reported PA, symptoms, quality of life.
Main Results:
- Intention-to-treat (ITT) analysis showed no significant difference in daily steps between groups (p=0.12).
- Complete case analysis (n=98) revealed a significant increase of 1492 steps in the IG (p=0.01).
- Significant increase in self-reported PA observed in the IG via both ITT and complete case analyses.
Conclusions:
- Access to the COPD Web alone was insufficient to significantly increase short-term physical activity in the overall COPD population studied.
- A clinically relevant increase in daily steps was observed in participants with complete data, suggesting potential benefits for some individuals.
- The COPD Web may enhance PA levels for certain COPD patients, particularly those who adhere to the intervention.
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