RT Journal Article SR Electronic T1 Effects of a behaviour change intervention aimed to increase physical activity on sleep quality of adults with asthma: an RCT JF European Respiratory Journal JO Eur Respir J FD European Respiratory Society SP 4660 DO 10.1183/13993003.congress-2020.4660 VO 56 IS suppl 64 A1 Passos, Natália F P A1 Carvalho-Pinto, Regina M A1 Cukier, Alberto A1 Stelmach, Rafael A1 F Carvalho, Celso R A1 Duarte Freitas, Patricia YR 2020 UL https://publications.ersnet.org//content/56/suppl_64/4660.abstract AB Adults with asthma are more likely to be physically inactive and to develop sleep disorders, which may worsen asthma symptoms. However, it is unknown whether an increase in physical activity levels (PAL) improves sleep quality.Aim: To investigate the effects of a behaviour change intervention aimed to increase PAL on sleep quality.Methods: adults with moderate-to-severe asthma were randomly assigned to either a control (CG) or an intervention group (IG). Both groups received usual care and educational programme. Patients in the IG also underwent an 8-week behaviour change intervention. The face-to-face intervention was delivered once weekly and focused on goal-setting and feedback. Before and after the intervention, subjects were assessed on sleep quality (Actisleep, Pittsburgh and Berlin questionnaire), PAL (GT9X accelerometer), asthma symptoms (daily diary) and psychosocial symptoms (HADS).Results: 49 subjects were included (CG=25; IG=24). At baseline, there was no difference between groups. On the completion of the intervention, was observed an improvement in sleep efficiency (6.8±5.9 vs -2.4± 6.2%) and latency (-3.9±9.1 vs -1.0±8.3min) in the IG compared with CG. The proportion of patients with improvements in the Pittsburg index (50±51% vs 10±31%) and in the depression symptoms (43 vs 0%) was greater in the IG compared with GC (P<0.05). Patients in the IG increased PAL when compared with CG (2,493±4,327 vs 377 ±1,515 steps/day, respectively; p<0.001) and the number of asthma-symptom-free days (3±2 vs 1±2 d/week; p<0.01).Conclusion: Our results suggest that the behavioural intervention increased PAL and improved sleep quality in adults with asthma.FootnotesCite this article as: European Respiratory Journal 2020; 56: Suppl. 64, 4660.This abstract was presented at the 2020 ERS International Congress, in session “Respiratory viruses in the "pre COVID-19" era”.This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).