Counseling During Pulmonary Rehabilitation

Conditions

COPD

Brief summary

The purpose of this study is to investigate if a physical activity counseling program during pulmonary rehabilitation increases the physical activity level in daily life in patients with Chronic Obstructive Pulmonary Disease.

Detailed description

Participants performed a 12 weeks outpatient pulmonary rehab (PR) according to guidelines. Participants allocated to intervention received PR plus physical activity (PA) counselling. PA counselling was performed using motivational interviewing techniques and was provided by two experiences physiotherapists independant to the rehab team. After PR and three months follow-up was evaluated if PA counselling during PR increases PA elvel (primary outcome: steps per day) in daily life. Furthermore, individual, semi-structured interviews were performed in a subgroup of participants in order to gain more detailed information about barriers and enablers of participation in daily-life activities. Participants were invited to two interviews, one right after PR the other after 3 months follow up. A content analysis was performed.

Rausch Osthoff AK, Beyer S, Gisi D, Rezek S, Schwank A, Meichtry A, Sievi NA, Hess T, Wirz M.

2021-10-1211 citations

10.1186/s12890-021-01685-2

The Influence of Pulmonary Rehabilitation and Counselling on Perceptions of Physical Activity in Individuals with COPD – A Qualitative Study

Mandy Scheermesser, Leah Reicherzer, Swantje Beyer, David Gisi, Spencer Rezek et al. (8 authors)

International Journal of COPD2021-08-018 citations

10.2147/copd.s315130

Effect of counselling during pulmonary rehabilitation on self-determined motivation towards physical activity in people with chronic obstructive pulmonary disease - protocol of a mixed methods study.

Rausch-Osthoff AK, Greco N, Schwank A, Beyer S, Gisi D, Scheermesser M, Meichtry A, Sievi N, Hess T, Wirz M.

2017-08-178 citations

10.1186/s12890-017-0457-8

Interventions

BEHAVIORALphysical activity counseling

5 face-to-face sessions a 30 minutes during 12 weeks pulmonary rehabilitation program.

BEHAVIORALUsual care

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

SINGLE (Outcomes Assessor)

Eligibility

Sex/Gender

ALL

Age

40 Years to 90 Years

Healthy volunteers

No

Inclusion criteria

* confirmed COPD (GOLD stages B-D) according to GOLD-guidelines

Exclusion criteria

* Mental or physical disability (mini-mental score \<20) precluding informed consent or compliance with the protocol * morphine medication * Primary diagnosis of heart failure * Uncontrolled arrhythmias causing symptoms or hemodynamic compromise * Severe co-morbidity (acute coronary syndrome, unstable angina terminal renal failure, concomitant pulmonary embolism, very severe pneumonia: CURB65\>3) * Severe untreated arterial hypertension at rest (\> 200 mm Hg systolic, \> 120 mm Hg diastolic)

Design outcomes

Primary

Measure	Time frame
number of steps per day	6 months

Countries

Switzerland

Outcome results

None listed