Comparison of the Impact of Conventional and Web-Based Pulmonary Rehabilitation on Physical Activity in Patients With Chronic Obstructive Pulmonary Disease: Exploratory Feasibility Study
BackgroundPulmonary Rehabilitation (PR) increases exercise capacity, with less clear evidence regarding physical activity (PA). The World Health Organization recommends at least 150-300 minutes of moderate-intensity or 75-150 minutes of vigorous-intensity aerobic PA per week...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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JMIR Publications
2022-03-01
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| Series: | JMIR Rehabilitation and Assistive Technologies |
| Online Access: | https://rehab.jmir.org/2022/1/e28875 |
| _version_ | 1797735276405063680 |
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| author | Emma Chaplin Amy Barnes Chris Newby Linzy Houchen-Wolloff Sally J Singh |
| author_facet | Emma Chaplin Amy Barnes Chris Newby Linzy Houchen-Wolloff Sally J Singh |
| author_sort | Emma Chaplin |
| collection | DOAJ |
| description |
BackgroundPulmonary Rehabilitation (PR) increases exercise capacity, with less clear evidence regarding physical activity (PA). The World Health Organization recommends at least 150-300 minutes of moderate-intensity or 75-150 minutes of vigorous-intensity aerobic PA per week to reduce the risks of chronic disease.
ObjectiveThe objective of this study was to assess the effectiveness of conventional PR versus web-based PR with respect to changes in PA.
MethodsPatients with COPD were randomized to either conventional PR classes (n=51) or a web-based PR program (n=52) for 7 weeks in a feasibility study. Accelerometers (Sensewear) were worn before and after the intervention, and PA was measured as steps per day and mean bouts of moderate activity for ≥2, ≥5, ≥10, and ≥20 minutes. Measures were derived for patients with ≥8 hours of data per day for ≥4 days, using the R package for statistical analysis. Variables were explored to examine their relationships with bouts of activity.
ResultsBaseline characteristics did not differ significantly between groups. Complete PA data were available for the groups receiving web-based (n=20) and conventional (n=34) PR interventions. The web-based PR group demonstrated a nonsignificant increase in the number of steps per day, which mainly comprised short bouts of moderate to vigorous intensity PA when compared to the conventional PR group (P=.20). The conventional PR group demonstrated increased 20-minute bouts of PA by 49.1%, although this was not significant (P=.07). At baseline, age (r=–0.21, P=.04), BMI (r=–0.311, P=.004), and FEV1 (forced expiratory volume in 1 second; % predicted; r=–0.248, P=.048) were significantly correlated with 10-minute bouts of PA; however, this was not observed post intervention.
ConclusionsThe analysis revealed a nonsignificant difference in the pattern of PA between groups receiving conventional vs web-based PR—the former being associated with an increase in 20-minute bouts, while the latter having demonstrated an increase in the number of steps per day. There appears to be a differing response emerging between the two interventions.
Trial RegistrationInternational Clinical Trials Registry ISRCTN03142263; https://tinyurl.com/y4dmfyrb |
| first_indexed | 2024-03-12T12:56:41Z |
| format | Article |
| id | doaj.art-98a7cd8f71824539815c7db44099d763 |
| institution | Directory Open Access Journal |
| issn | 2369-2529 |
| language | English |
| last_indexed | 2024-03-12T12:56:41Z |
| publishDate | 2022-03-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Rehabilitation and Assistive Technologies |
| spelling | doaj.art-98a7cd8f71824539815c7db44099d7632023-08-28T21:02:41ZengJMIR PublicationsJMIR Rehabilitation and Assistive Technologies2369-25292022-03-0191e2887510.2196/28875Comparison of the Impact of Conventional and Web-Based Pulmonary Rehabilitation on Physical Activity in Patients With Chronic Obstructive Pulmonary Disease: Exploratory Feasibility StudyEmma Chaplinhttps://orcid.org/0000-0003-0981-2980Amy Barneshttps://orcid.org/0000-0002-1656-6207Chris Newbyhttps://orcid.org/0000-0002-2936-8592Linzy Houchen-Wolloffhttps://orcid.org/0000-0003-4940-8835Sally J Singhhttps://orcid.org/0000-0002-9834-0366 BackgroundPulmonary Rehabilitation (PR) increases exercise capacity, with less clear evidence regarding physical activity (PA). The World Health Organization recommends at least 150-300 minutes of moderate-intensity or 75-150 minutes of vigorous-intensity aerobic PA per week to reduce the risks of chronic disease. ObjectiveThe objective of this study was to assess the effectiveness of conventional PR versus web-based PR with respect to changes in PA. MethodsPatients with COPD were randomized to either conventional PR classes (n=51) or a web-based PR program (n=52) for 7 weeks in a feasibility study. Accelerometers (Sensewear) were worn before and after the intervention, and PA was measured as steps per day and mean bouts of moderate activity for ≥2, ≥5, ≥10, and ≥20 minutes. Measures were derived for patients with ≥8 hours of data per day for ≥4 days, using the R package for statistical analysis. Variables were explored to examine their relationships with bouts of activity. ResultsBaseline characteristics did not differ significantly between groups. Complete PA data were available for the groups receiving web-based (n=20) and conventional (n=34) PR interventions. The web-based PR group demonstrated a nonsignificant increase in the number of steps per day, which mainly comprised short bouts of moderate to vigorous intensity PA when compared to the conventional PR group (P=.20). The conventional PR group demonstrated increased 20-minute bouts of PA by 49.1%, although this was not significant (P=.07). At baseline, age (r=–0.21, P=.04), BMI (r=–0.311, P=.004), and FEV1 (forced expiratory volume in 1 second; % predicted; r=–0.248, P=.048) were significantly correlated with 10-minute bouts of PA; however, this was not observed post intervention. ConclusionsThe analysis revealed a nonsignificant difference in the pattern of PA between groups receiving conventional vs web-based PR—the former being associated with an increase in 20-minute bouts, while the latter having demonstrated an increase in the number of steps per day. There appears to be a differing response emerging between the two interventions. Trial RegistrationInternational Clinical Trials Registry ISRCTN03142263; https://tinyurl.com/y4dmfyrbhttps://rehab.jmir.org/2022/1/e28875 |
| spellingShingle | Emma Chaplin Amy Barnes Chris Newby Linzy Houchen-Wolloff Sally J Singh Comparison of the Impact of Conventional and Web-Based Pulmonary Rehabilitation on Physical Activity in Patients With Chronic Obstructive Pulmonary Disease: Exploratory Feasibility Study JMIR Rehabilitation and Assistive Technologies |
| title | Comparison of the Impact of Conventional and Web-Based Pulmonary Rehabilitation on Physical Activity in Patients With Chronic Obstructive Pulmonary Disease: Exploratory Feasibility Study |
| title_full | Comparison of the Impact of Conventional and Web-Based Pulmonary Rehabilitation on Physical Activity in Patients With Chronic Obstructive Pulmonary Disease: Exploratory Feasibility Study |
| title_fullStr | Comparison of the Impact of Conventional and Web-Based Pulmonary Rehabilitation on Physical Activity in Patients With Chronic Obstructive Pulmonary Disease: Exploratory Feasibility Study |
| title_full_unstemmed | Comparison of the Impact of Conventional and Web-Based Pulmonary Rehabilitation on Physical Activity in Patients With Chronic Obstructive Pulmonary Disease: Exploratory Feasibility Study |
| title_short | Comparison of the Impact of Conventional and Web-Based Pulmonary Rehabilitation on Physical Activity in Patients With Chronic Obstructive Pulmonary Disease: Exploratory Feasibility Study |
| title_sort | comparison of the impact of conventional and web based pulmonary rehabilitation on physical activity in patients with chronic obstructive pulmonary disease exploratory feasibility study |
| url | https://rehab.jmir.org/2022/1/e28875 |
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