Pilot study of a cell phone-based exercise persistence intervention post-rehabilitation for COPD
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OBJECTIVE: To determine the feasibility and efficacy of a six-month, cell phone-based exercise persistence intervention for patients with chronic obstructive pulmonary disease (COPD) following pulmonary rehabilitation. METHODS: Participants who completed a two-week run-in were randomly assigned to either MOBILE-Coached (n = 9) or MOBILE-Self-Monitored (n = 8). All participants met with a nurse to develop an individualized exercise plan, were issued a pedometer and exercise booklet, and instructed to continue to log their daily exercise and symptoms. MOBILE-Coached also received weekly reinforcement text messages on their cell phones; reports of worsening symptoms were automatically flagged for follow-up. Usability and satisfaction were assessed. Participants completed incremental cycle and six minute walk (6MW) tests, wore an activity monitor for 14 days, and reported their health-related quality of life (HRQL) at baseline, three, and six months. RESULTS: The sample had a mean age of 68 +/-11 and forced expiratory volume in one second 18% predicted. Participants reported that logging their exercise and symptoms (FEV(1)) of 40 +/- was easy and that keeping track of their exercise helped them remain active. There were no differences between groups over time in maximal workload, 6MW distance, or HRQL (p > 0.05); however, MOBILE-Self-Monitored increased total steps/day whereas MOBILE-Coached logged fewer steps over six months (p =0.04). CONCLUSIONS: We showed that it is feasible to deliver a cell phone-based exercise persistence intervention to patients with COPD post-rehabilitation and that the addition of coaching appeared to be no better than self-monitoring. The latter finding needs to be interpreted with caution since this was a purely exploratory study. TRIAL REGISTRATION: ClinicalTrials.gov (NCT00373932).
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Contradictory results on the ineffectiveness of encouraging messages on increased physical activity were reported in a study by Nguyen et al. in the USA.
“Contradictory results were also reported on the ineffectiveness of encouraging messages on increased physical activity in a study by Nguyen et al. in the USA [34].”
From The effect of the mobile “blood pressure management application” on hypertension self-management enhancement: a randomized controlled trial (2021) · cites this paper as [34]
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- Authors
- Nguyen, H.
- Affiliations
- University of Washington (US)
- Corresponding author
- Nguyen, Huong
- ORCID
- Nguyen, Huong
- Venue
- International Journal of Chronic Obstructive Pulmonary Disease
- Publisher
- Informa UK Limited
- Published
- 2009-08
- Volume
- 4
- Pages
- 301
- ISSN
- 1176-9106 (ISSN-L)
- 1178-2005
- PMC
- PMC2740952
- OpenAlex
- W2146937845
- Cited by
- 165
- References
- 54
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 7 · 2023: 5 · 2022: 7 · 2021: 14 · 2020: 11 · 2019: 12 · 2018: 10 · 2017: 13 · 2016: 17 · 2015: 18 · 2014: 14 · 2013: 11 · 2012: 9
- FWCI
- 11.47
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of COPD (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Dove Medical Press (Taylor and Francis Group) (submittedVersion, cc-by-nc)
- Funders
- National Institutes of Health (5kl2rr025015-02)
- National Institute of Nursing Research (R03NR009361)
- National Center for Research Resources (KL2-RR025015, 1KL2-RR-025015-01)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Keywords
- chronic obstructive pulmonary disease, exercise persistence, pulmonary rehabilitation, self-monitoring, pedometers, health-related quality of life, 6-minute walk test, physical activity, feasibility
- MeSH terms
- Activities of Daily Living, Aged, Aged, 80 and over, Cost-Benefit Analysis, Exercise Test, Exercise Therapy, Feasibility Studies, Female, Humans, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Patient Compliance, Pilot Projects, Quality of Life, Reinforcement, Psychology, Self Care, Severity of Illness Index, Treatment Outcome, Health Care Costs, Patient Satisfaction, Recovery of Function, Pulmonary Disease, Chronic Obstructive, Feedback, Psychological, Cell Phone, Actigraphy
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