Behaviour Change Interventions For Physical Activity In Adults With Chronic Obstructive Pulmonary Disease; A Systematic Review And Meta-Analysis
DOI:
https://doi.org/10.52783/jns.v14.2894Abstract
Chronic obstructive pulmonary disease (COPD) is a progressive respiratory condition that significantly limits physical activity, adversely affecting the quality of life and overall health outcomes for affected individuals. This systematic review and meta-analysis aim to evaluate the effectiveness of behavior change interventions (BCIs) designed to increase physical activity among adults with COPD. A comprehensive literature search was conducted across major databases, identifying studies that employed BCIs, including motivational interviewing, self-monitoring techniques, and technology-based support, to facilitate engagement in physical activity. A total of seven studies met the inclusion criteria and were synthesized to explore the impact of these interventions on physical activity levels and health-related quality of life. Findings revealed that multimodal interventions, combining exercise promotion with behavioral coaching and psychological support, resulted in statistically significant increases in physical activity levels (Cohen's d range: 0.39 to 0.74) compared to control groups. Moreover, interventions that incorporated ongoing support exhibited better sustainability of physical activity gains over time. This study underscores the importance of individualized, multidimensional strategies in promoting physical activity among COPD patients, suggesting that the integration of BCIs in clinical practice can enhance health outcomes and quality of life. Further research is warranted to establish standardization in intervention approaches and to identify the most effective components of BCIs within diverse patient populations.
Downloads
Metrics
References
Armstrong, M., Winnard, A., Chynkiamis, N., Boyle, S., Burtin, C., & Vogiatzis, I. (2019). Use of pedometers as a tool to promote daily physical activity levels in patients with copd: a systematic review and meta-analysis. European Respiratory Review, 28(154), 190039. https://doi.org/10.1183/16000617.0039-2019
Farver-Vestergaard, I., Jacobsen, D., & Zachariae, R. (2014). Efficacy of psychosocial interventions on psychological and physical health outcomes in chronic obstructive pulmonary disease: a systematic review and meta-analysis. Psychotherapy and Psychosomatics, 84(1), 37-50. https://doi.org/10.1159/000367635
Hanrahan, C., Broderick, J., O’Connor, T., & McVeigh, J. (2022). Behaviour change and physical activity interventions for physical activity engagement in community dwelling adults with chronic obstructive pulmonary disease: protocol for a systematic review. HRB Open Research, 4, 110. https://doi.org/10.12688/hrbopenres.13399.2
Lahham, A., McDonald, C., & Holland, A. (2016). Exercise training alone or with the addition of activity counseling improves physical activity levels in copd: a systematic review and meta-analysis of randomized controlled trials. International Journal of Chronic Obstructive Pulmonary Disease, Volume 11, 3121-3136. https://doi.org/10.2147/copd.s121263
Long, H., Howells, K., Peters, S., & Blakemore, A. (2019). Does health coaching improve health‐related quality of life and reduce hospital admissions in people with chronic obstructive pulmonary disease? a systematic review and meta‐analysis. British Journal of Health Psychology, 24(3), 515-546. https://doi.org/10.1111/bjhp.12366
Mantoani, L., Rubio, N., McKinstry, B., MacNee, W., & Rabinovich, R. (2016). Interventions to modify physical activity in patients with copd: a systematic review. European Respiratory Journal, 48(1), 69-81. https://doi.org/10.1183/13993003.01744-2015
Mendoza, L., Horta, P., Espinoza, J., Aguilera, M., Balmaceda, N., Castro, A., … & Hopkinson, N. (2014). Pedometers to enhance physical activity in copd: a randomised controlled trial. European Respiratory Journal, 45(2), 347-354. https://doi.org/10.1183/09031936.00084514
Newham, J., Presseau, J., Heslop-Marshall, K., Russell, S., Ogunbayo, O., Netts, P., … & Kaner, E. (2017). Features of self-management interventions for people with copd associated with improved health-related quality of life and reduced emergency department visits: a systematic review and meta-analysis. International Journal of Chronic Obstructive Pulmonary Disease, Volume 12, 1705-1720. https://doi.org/10.2147/copd.s133317
Qiu, S., Cai, X., Wang, X., He, C., Zügel, M., Steinacker, J., … & Schümann, U. (2018). Using step counters to promote physical activity and exercise capacity in patients with chronic obstructive pulmonary disease: a meta-analysis. Therapeutic Advances in Respiratory Disease, 12. https://doi.org/10.1177/1753466618787386
Watz, H., Pitta, F., Rochester, C., García-Aymerich, J., ZuWallack, R., Troosters, T., … & Spruit, M. (2014). An official european respiratory society statement on physical activity in copd. European Respiratory Journal, 44(6), 1521-1537. https://doi.org/10.1183/09031936.00046814
Yu, T., Frei, A., Riet, G., & Puhan, M. (2016). Determinants of physical activity in patients with chronic obstructive pulmonary disease: a 5-year prospective follow-up study. Respiration, 92(2), 72-79. https://doi.org/10.1159/000447975
Arbillaga‐Etxarri, A., Gimeno‐Santos, E., Barberán-García, A., Balcells, E., Benet, M., Borrell, E., … & García-Aymerich, J. (2018). Long-term efficacy and effectiveness of a behavioural and community-based exercise intervention (urban training) to increase physical activity in patients with copd: a randomised controlled trial. European Respiratory Journal, 52(4), 1800063. https://doi.org/10.1183/13993003.00063-2018
Bentley, C., Powell, L., Potter, S., Parker, J., Mountain, G., Bartlett, Y., … & Hawley, M. (2020). The use of a smartphone app and an activity tracker to promote physical activity in the management of chronic obstructive pulmonary disease: randomized controlled feasibility study. Jmir Mhealth and Uhealth, 8(6), e16203. https://doi.org/10.2196/16203
Burkow, T., Vognild, L., Johnsen, E., Bratvold, A., & Risberg, M. (2018). Promoting exercise training and physical activity in daily life: a feasibility study of a virtual group intervention for behaviour change in copd. BMC Medical Informatics and Decision Making, 18(1). https://doi.org/10.1186/s12911-018-0721-8
Coultas, D., Jackson, B., Russo, R., Peoples, J., Singh, K., Sloan, J., … & Bae, S. (2018). Home-based physical activity coaching, physical activity, and health care utilization in chronic obstructive pulmonary disease. chronic obstructive pulmonary disease self-management activation research trial secondary outcomes. Annals of the American Thoracic Society, 15(4), 470-478. https://doi.org/10.1513/annalsats.201704-308oc
Coultas, D., Jackson, B., Russo, R., Peoples, J., Sloan, J., Singh, K., … & Bae, S. (2016). A lifestyle physical activity intervention for patients with chronic obstructive pulmonary disease. a randomized controlled trial. Annals of the American Thoracic Society, 13(5), 617-626. https://doi.org/10.1513/annalsats.201508-508oc
Hanrahan, C., Broderick, J., O’Connor, T., & McVeigh, J. (2022). Behaviour change and physical activity interventions for physical activity engagement in community dwelling adults with chronic obstructive pulmonary disease: protocol for a systematic review. HRB Open Research, 4, 110. https://doi.org/10.12688/hrbopenres.13399.2
Qiu, S., Cai, X., Wang, X., He, C., Zügel, M., Steinacker, J., … & Schümann, U. (2018). Using step counters to promote physical activity and exercise capacity in patients with chronic obstructive pulmonary disease: a meta-analysis. Therapeutic Advances in Respiratory Disease, 12. https://doi.org/10.1177/1753466618787386
Valeiro, B., Rodríguez, E., Pérez, P., Gómez, A., Mayer, A., Pasarín, A., … & Ramón, M. (2022). Promotion of physical activity after hospitalization for copd exacerbation: a randomized control trial. Respirology, 28(4), 357-365. https://doi.org/10.1111/resp.14394
Arbillaga‐Etxarri, A., Gimeno‐Santos, E., Barberán-García, A., Balcells, E., Benet, M., Borrell, E., … & García-Aymerich, J. (2018). Long-term efficacy and effectiveness of a behavioural and community-based exercise intervention (urban training) to increase physical activity in patients with copd: a randomised controlled trial. European Respiratory Journal, 52(4), 1800063. https://doi.org/10.1183/13993003.00063-2018
Ashmore, J., Russo, R., Peoples, J., Sloan, J., Jackson, B., Bae, S., … & Coultas, D. (2013). Chronic obstructive pulmonary disease self-management activation research trial (copd-smart): design and methods. Contemporary Clinical Trials, 35(2), 77-86. https://doi.org/10.1016/j.cct.2013.05.004
Burkow, T., Vognild, L., Johnsen, E., Bratvold, A., & Risberg, M. (2018). Promoting exercise training and physical activity in daily life: a feasibility study of a virtual group intervention for behaviour change in copd. BMC Medical Informatics and Decision Making, 18(1). https://doi.org/10.1186/s12911-018-0721-8
Chen, M., Chen, L., Chen, Y., & Gardenhire, D. (2022). The association of health-related factors with leisure-time physical activity among adults with copd: a cross-sectional analysis. Healthcare, 10(2), 249. https://doi.org/10.3390/healthcare10020249
Coultas, D., Jackson, B., Russo, R., Peoples, J., Singh, K., Sloan, J., … & Bae, S. (2018). Home-based physical activity coaching, physical activity, and health care utilization in chronic obstructive pulmonary disease. chronic obstructive pulmonary disease self-management activation research trial secondary outcomes. Annals of the American Thoracic Society, 15(4), 470-478. https://doi.org/10.1513/annalsats.201704-308oc
Kantorowski, A., Wan, E., Homsy, D., Kadri, R., Richardson, C., & Moy, M. (2018). Determinants and outcomes of change in physical activity in copd. Erj Open Research, 4(3), 00054-2018. https://doi.org/10.1183/23120541.00054-2018
Pericleous, P. and Staa, T. (2019). <p>the use of wearable technology to monitor physical activity in patients with copd: a literature review</p>. International Journal of Chronic Obstructive Pulmonary Disease, Volume 14, 1317-1322. https://doi.org/10.2147/copd.s193037
Wan, E., Kantorowski, A., Polak, M., Kadri, R., Richardson, C., Gagnon, D., … & Moy, M. (2020). Long-term effects of web-based pedometer-mediated intervention on copd exacerbations. Respiratory Medicine, 162, 105878. https://doi.org/10.1016/j.rmed.2020.105878
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
Terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
