Open AccessEffect of Physical Activity Coaching on Acute Care and Survival Among Patients With Chronic Obstructive Pulmonary Disease
Author(s) -
Huong Q. Nguyen,
Marilyn L. Moy,
InLu Amy Liu,
Vincent S. Fan,
Michael K. Gould,
Smita Desai,
William Towner,
George Yuen,
Janet Lee,
Stacy J. Park,
Anny H. Xiang
Publication year - 2019
Publication title -
jama network open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.278
H-Index - 39
ISSN - 2574-3805
DOI - 10.1001/jamanetworkopen.2019.9657
Subject(s) - medicine , copd , physical therapy , observational study , randomized controlled trial , population , psychological intervention , quality of life (healthcare) , pulmonary rehabilitation , nursing , environmental health , psychiatry
Key Points Question What is the real-world effectiveness of a 12-month community-based physical activity (PA) coaching intervention on reducing all-cause acute care use and death in patients with a history of a chronic obstructive pulmonary disease (COPD) exacerbation? Findings In this multisite, randomized clinical trial that included a population-based sample of 2707 patients with COPD, 321 of 1358 patients participated in the PA coaching intervention and increased PA significantly, but there were no significant differences in the all-cause primary outcome (compostite measure of all-cause hospitalizations, observation stays, emergency department visits, and death) at 12 months. Meaning Most patients with a COPD exacerbation did not engage in PA, and the limited PA did not lead to significant benefit in 12-month health care use.
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