RT Journal Article
SR Electronic
T1 LATE-BREAKING ABSTRACT: Increasing physical activity in patients with COPD using a telecoaching program: A multicenter RCT
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP OA278
DO 10.1183/13993003.congress-2015.OA278
VO 46
IS suppl 59
A1 Heleen Demeyer
A1 Zafeiris Louvaris
A1 Rebecca Tanner
A1 Noah Rubio
A1 Anja Frei
A1 Corina de Jong
A1 Elena Gimeno Santos
A1 Maarten Spruyt
A1 Matthias Loeckx
A1 Sara Buttery
A1 Claire Yerramasu
A1 Gilbert Buesching
A1 Alexandra Strassmann
A1 Ignasi Serra
A1 Roberto Rabinovich
A1 Iannis Vogiatzis
A1 Michael Polkey
A1 Judith Garcia Aymerich
A1 Thierry Troosters
YR 2015
UL http://erj.ersjournals.com/content/46/suppl_59/OA278.abstract
AB 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.