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LATE-BREAKING ABSTRACT: Increasing physical activity in patients with COPD using a telecoaching program: A multicenter RCT

Heleen Demeyer, Zafeiris Louvaris, Rebecca Tanner, Noah Rubio, Anja Frei, Corina de Jong, Elena Gimeno Santos, Maarten Spruyt, Matthias Loeckx, Sara Buttery, Claire Yerramasu, Gilbert Buesching, Alexandra Strassmann, Ignasi Serra, Roberto Rabinovich, Iannis Vogiatzis, Michael Polkey, Judith Garcia Aymerich, Thierry Troosters
European Respiratory Journal 2015 46: OA278; DOI: 10.1183/13993003.congress-2015.OA278
Heleen Demeyer
1Department of Respiratory Diseases, KU Leuven, University Hospitals Leuven, Leuven, Belgium
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Zafeiris Louvaris
2Department of Critical Care Medicine, Pulmonary Rehabilitation Centre, Evangelismos Hospital, National & Kapodistrian University of Athens, Athens, Greece
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Rebecca Tanner
3NIHR Respiratory Biomedical Research Unit of the Royal Brompton and Harefield NHS Foundation Trust and National Heart & Lung Institute, Imperial College London, London, United Kingdom
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Noah Rubio
4ELEGI/Colt Laboratory, UoE/MRC Centre for Inflammation Research, The University of Edinburgh, Edinburgh, United Kingdom
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Anja Frei
8Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland
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Corina de Jong
7Department of General Practice, University Medical Centre Groningen, Groningen, Netherlands
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Elena Gimeno Santos
5Programme in Respiratory Research, Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain
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Maarten Spruyt
1Department of Respiratory Diseases, KU Leuven, University Hospitals Leuven, Leuven, Belgium
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Matthias Loeckx
1Department of Respiratory Diseases, KU Leuven, University Hospitals Leuven, Leuven, Belgium
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Sara Buttery
3NIHR Respiratory Biomedical Research Unit of the Royal Brompton and Harefield NHS Foundation Trust and National Heart & Lung Institute, Imperial College London, London, United Kingdom
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Claire Yerramasu
4ELEGI/Colt Laboratory, UoE/MRC Centre for Inflammation Research, The University of Edinburgh, Edinburgh, United Kingdom
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Gilbert Buesching
6Klinik Barmelweid, Klinik Barmelweid, Barmelweid, Switzerland
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Alexandra Strassmann
8Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland
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Ignasi Serra
5Programme in Respiratory Research, Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain
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Roberto Rabinovich
4ELEGI/Colt Laboratory, UoE/MRC Centre for Inflammation Research, The University of Edinburgh, Edinburgh, United Kingdom
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Iannis Vogiatzis
2Department of Critical Care Medicine, Pulmonary Rehabilitation Centre, Evangelismos Hospital, National & Kapodistrian University of Athens, Athens, Greece
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Michael Polkey
3NIHR Respiratory Biomedical Research Unit of the Royal Brompton and Harefield NHS Foundation Trust and National Heart & Lung Institute, Imperial College London, London, United Kingdom
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Judith Garcia Aymerich
5Programme in Respiratory Research, Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain
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Thierry Troosters
1Department of Respiratory Diseases, KU Leuven, University Hospitals Leuven, Leuven, Belgium
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Abstract

Rationale: Increasing physical activity (PA) is a desired outcome in patients with COPD. We aimed to investigate the effectiveness of a 3 month tele-coaching program on the PA level of patients with COPD in a multicenter European trial (NCT02158065).

Methods: In this RCT 344 patients (64% male, FEV1%pred 56(21), age 66(8)y, 6MWD 443(106)m, BMI 26(5) kg.m-2, 4890(2778)steps.day-1, 488(200)VMU.min-1) from 6 centers were allocated to a usual care group (UCG) or an intervention group (IG) receiving a tele-coaching program, including a step counter providing direct feedback, an exercise booklet, a dedicated smartphone application (Linkcare), text messages and occasional telephone contacts with investigators. A daily goal (number of steps) was sent and revised every week. PA was measured using accelerometry during 1 week preceding randomization and during week 12. Mean daily step count and vector magnitude units (VMU) were chosen as outcome.

Results: Both groups were comparable at baseline, for all variables except VMU [UCG vs IG respectively 512(207) vs 465(190)VMU.min-1]. 40% of patients in the intervention group vs 12% of control patients (p<0.001) increased PA with by least 20% from baseline (OR[95%CI] for increase 4.69 [2.46-8.97] in IG vs UCG). Intervention patients had an increase of 1546 [95%CI 1021-2072] steps.day-1 (p<0.001) and an increase of 87 [95%CI 54-121] VMU.min-1 (p<0.001) more than controls. Within group changes (Δ) for IG vs UCG were respectively 934(2482) vs -673(1688) steps.day-1 and 55(148) vs -39(122)VMU.min-1.

Conclusion: Physical activity can be significantly increased in patients with COPD using a step counter and a smartphone based, semi-automated tele-coaching program.

  • COPD - management
  • Physical activity
  • Telemedicine
  • Copyright ©ERS 2015
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LATE-BREAKING ABSTRACT: Increasing physical activity in patients with COPD using a telecoaching program: A multicenter RCT
Heleen Demeyer, Zafeiris Louvaris, Rebecca Tanner, Noah Rubio, Anja Frei, Corina de Jong, Elena Gimeno Santos, Maarten Spruyt, Matthias Loeckx, Sara Buttery, Claire Yerramasu, Gilbert Buesching, Alexandra Strassmann, Ignasi Serra, Roberto Rabinovich, Iannis Vogiatzis, Michael Polkey, Judith Garcia Aymerich, Thierry Troosters
European Respiratory Journal Sep 2015, 46 (suppl 59) OA278; DOI: 10.1183/13993003.congress-2015.OA278

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LATE-BREAKING ABSTRACT: Increasing physical activity in patients with COPD using a telecoaching program: A multicenter RCT
Heleen Demeyer, Zafeiris Louvaris, Rebecca Tanner, Noah Rubio, Anja Frei, Corina de Jong, Elena Gimeno Santos, Maarten Spruyt, Matthias Loeckx, Sara Buttery, Claire Yerramasu, Gilbert Buesching, Alexandra Strassmann, Ignasi Serra, Roberto Rabinovich, Iannis Vogiatzis, Michael Polkey, Judith Garcia Aymerich, Thierry Troosters
European Respiratory Journal Sep 2015, 46 (suppl 59) OA278; DOI: 10.1183/13993003.congress-2015.OA278
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