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Contact time between patients with COPD and coach during an activity telecoaching intervention: Impact on the intervention effect

Matthias Loeckx, Zafeiris Louvaris, Rebecca Tanner, Noah Rubio, Anja Frej, Corina de Jong, Elena Gimeno Santos, Heleen Demeyer, Maarten Spruyt, Sara Buttery, Nick Hopkinson, Gilbert Buesching, Alexandra Strassmann, Ignasi Serra, Roberto Rabinovich, Giannis Vogiatzis, Michael Polkey, Judith Garcia-Aymerich, Thierry Troosters
European Respiratory Journal 2016 48: OA4817; DOI: 10.1183/13993003.congress-2016.OA4817
Matthias Loeckx
1Respiratory Division, KU Leuven, Leuven, Vlaams-BabantBelgium
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Zafeiris Louvaris
2Department of Critical Care Medicine, Pulmonary Rehabilitation, 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, Imperical College London, London, United Kingdom
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Noah Rubio
4ELEGI/Colt Laboratory, UoE/MRC Centre for Inflammation Research, The University of Edinbugh, Edinburgh, United Kingdom
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Anja Frej
5Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland
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Corina de Jong
6Department of General Practice, University Medical Center Groningen, Groningen, Netherlands
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Elena Gimeno Santos
7Programme in Respiratory Research, Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain
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Heleen Demeyer
1Respiratory Division, KU Leuven, Leuven, Vlaams-BabantBelgium
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Maarten Spruyt
1Respiratory Division, KU Leuven, Leuven, Vlaams-BabantBelgium
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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, Imperical College London, London, United Kingdom
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Nick Hopkinson
3NIHR Respiratory Biomedical Research Unit of the Royal Brompton and Harefield NHS Foundation Trust and National Heart & Lung Institute, Imperical College London, London, United Kingdom
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Gilbert Buesching
8Klinik Barmelweid, Klinik Barmelweid, Barmelweid, Switzerland
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Alexandra Strassmann
5Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland
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Ignasi Serra
7Programme 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 Edinbugh, Edinburgh, United Kingdom
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Giannis Vogiatzis
2Department of Critical Care Medicine, Pulmonary Rehabilitation, 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, Imperical College London, London, United Kingdom
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Judith Garcia-Aymerich
7Programme in Respiratory Research, Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain
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Thierry Troosters
1Respiratory Division, KU Leuven, Leuven, Vlaams-BabantBelgium
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Abstract

Rationale A 3 month tele-coaching (TC) program is effective to increase physical activity (PA) in patients with COPD, but the impact of contact time between patient and coach has never been assessed.

Methods 140 patients with COPD, allocated to TC as part of a multicenter RCT (NCT02158065), were analysed. The TC consisted of patients interacting with a stepcounter and a smartphone application. Telephone contact was initiated if patients did not increase their PA goal or in case of health/technical issues. PA was measured by Actigraph GT3x at baseline and week 12.

Results Total median[IQR] contact time per patient was 50[30-100] minutes in 6[4-9] contacts with the coach. These contacts were mainly related to not increasing PA goal (39.5%) and to technical issues (58.3%). In a tertile analysis, patients with a low/medium contact time had more PA improvement (steps) compared to those with high contact time (p=0.01). High contact time patients were older and had a worse baseline FEV1 and functional exercise capacity.

Low contact (<35 min) N=55Medium contact (35-70min) N=37High contact (>70min) N=48p-value
Age (years)66±863±10*68±60.02
Gender, Male(%)34(62)25(68)30(62)0.8
FEV1(%)60±22*53±1750±200.03
6 MWD (meters)438±113472±79*414±1110.05
ΔPA (steps/day)598[-437 to 3025]*1103[-220 to 2252]*-84[-861 to 642]0.01
  • Data expressed as mean±SD, median [IQR] or as number (%). * p< 0.05 vs. High contact

[table1] Patient characteristics

Conclusion Older and more severe patients need more interaction with their coach and have less improvement in PA compared to patients with a lower contact time. Such patients may not be ideal candidates for telecoaching only.

Funding:IMU-JU#115011.

  • Physical activity
  • COPD - management
  • Telemedicine
  • Copyright ©the authors 2016
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Contact time between patients with COPD and coach during an activity telecoaching intervention: Impact on the intervention effect
Matthias Loeckx, Zafeiris Louvaris, Rebecca Tanner, Noah Rubio, Anja Frej, Corina de Jong, Elena Gimeno Santos, Heleen Demeyer, Maarten Spruyt, Sara Buttery, Nick Hopkinson, Gilbert Buesching, Alexandra Strassmann, Ignasi Serra, Roberto Rabinovich, Giannis Vogiatzis, Michael Polkey, Judith Garcia-Aymerich, Thierry Troosters
European Respiratory Journal Sep 2016, 48 (suppl 60) OA4817; DOI: 10.1183/13993003.congress-2016.OA4817

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Contact time between patients with COPD and coach during an activity telecoaching intervention: Impact on the intervention effect
Matthias Loeckx, Zafeiris Louvaris, Rebecca Tanner, Noah Rubio, Anja Frej, Corina de Jong, Elena Gimeno Santos, Heleen Demeyer, Maarten Spruyt, Sara Buttery, Nick Hopkinson, Gilbert Buesching, Alexandra Strassmann, Ignasi Serra, Roberto Rabinovich, Giannis Vogiatzis, Michael Polkey, Judith Garcia-Aymerich, Thierry Troosters
European Respiratory Journal Sep 2016, 48 (suppl 60) OA4817; DOI: 10.1183/13993003.congress-2016.OA4817
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