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Integración de una Intervención de Actividad Física Basada en Podómetros con Terapia Cognitivo-Conductual para
Patricia M Bamonti1, Marilyn L Moy1, Grace A Rose2
1VA Boston Healthcare System, Harvard Medical School.
Cognitive and behavioral practice
|December 22, 2025
Resumen
Step-CBT, un programa virtual que combina actividad física y terapia cognitivo-conductual (TCC), muestra resultados prometedores para mejorar la actividad física y el estado de ánimo en pacientes con enfermedad pulmonar obstructiva crónica (EPOC). Se necesita más investigación para confirmar estos hallazgos.
Área de la Ciencia:
- Rehabilitación Pulmonar
- Medicina Conductual
- Salud Mental en Enfermedades Crónicas
Sus antecedentes:
- Las intervenciones de actividad física benefician a las personas con enfermedad pulmonar obstructiva crónica (EPOC), pero su impacto en la depresión y la ansiedad sigue sin estar claro.
- Existe la necesidad de intervenciones que aborden tanto la actividad física como los síntomas del estado de ánimo en pacientes con EPOC.
- Step-CBT es una intervención novedosa diseñada para integrar la promoción de la actividad física con la terapia cognitivo-conductual (TCC).
Objetivo del estudio:
- Evaluar la aceptabilidad y refinar Step-CBT, una intervención de actividad física basada en podómetros integrada con TCC, entregada de forma síncrona por video.
- Evaluar los efectos de Step-CBT en el recuento de pasos, la discapacidad física y los síntomas de depresión y ansiedad en adultos con EPOC.
Principales métodos:
- Prueba de aceptabilidad de la intervención Step-CBT.
- Reclutamiento de adultos (N=5) con EPOC y síntomas clínicamente significativos de depresión y/o ansiedad.
- Tres participantes completaron la intervención, y se recopilaron datos sobre la actividad física (recuento de pasos) y los síntomas del estado de ánimo.
Principales resultados:
- Las personas que completaron el estudio reportaron alta satisfacción con la intervención virtual y alta adherencia.
- Los participantes demostraron mejoras en la actividad física y/o en los síntomas de depresión y/o ansiedad.
- Surgieron complejidades, barreras y facilitadores, lo que resalta la necesidad de una mayor investigación.
Conclusiones:
- Step-CBT parece ser aceptable y potencialmente beneficioso para mejorar la actividad física y el estado de ánimo en personas con EPOC.
- Los hallazgos subrayan la importancia de abordar tanto la salud física como la mental en el manejo de la EPOC.
- Se justifica una prueba adicional de la intervención Step-CBT para confirmar su eficacia.
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