Using a smartphone application maintains physical activity following pulmonary rehabilitation in patients with COPD. A randomised controlled trial
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Publication date
2022
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01A - Journal article
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Thorax
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78
Issue / Number
5
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BJM Group
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Abstract
Background. Evidence suggests that patients with COPD struggle to maintain improved physical activity (PA) after completing pulmonary rehabilitation (PR). Smartphone applications (apps) providing a comprehensive training programme have conferred healthy benefits. This study was conducted to determine whether regular usage of an app maintains PA following PR. Patients with stage II–IV COPD were enrolled in a 6-month trial following PR. After the screening period, participants were randomised into the Kaia COPD app group (intervention group (IG)) or the control group (CG). The primary outcome was PA (daily steps), measured using an activity tracker. Secondary outcomes included the COPD Assessment Test (CAT), the Chronic Respiratory Disease Questionnaire (CRQ) and the 1 min Sit-to-Stand Test (STST).Methods Sixty participants completed the study. The median steps from baseline to 6 months were significantly different between the groups, in favour of the IG (−105.3, IQR −1970.1 to 2105.8, vs CG −1173.0, IQR −3813.1 to –93.8; p=0.007). CAT was significantly decreased in the IG (15.1±8.6 vs 19.7±6.4, p=0.02), whereas the CRQ subdomains for dyspnoea (4.5±1.7 vs 3.7±1.3, p=0.033) and fatigue (4.5±1.4 vs 3.5±1.3, p=0.028) improved significantly in the IG. The STST at 6 months was not significant. Sleep duration and sleep efficiency showed no significant differences between the two groups at any time. Conclusions A comprehensive program by using the Kaia app following PR maintained PA and improved symptoms in patients with COPD at 6 months. The app might be an important accessory tool for enhanced COPD care.Trial registration number DRKS00017275.
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370 - Erziehung, Schul- und Bildungswesen
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ISSN
0040-6376
1468-3296
1468-3296
Language
English
Created during FHNW affiliation
No
Strategic action fields FHNW
Publication status
Published
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Peer review of the complete publication
Open access category
Gold
Citation
SPIELMANNS, Marc, Rainer GLOECKL, Inga JAROSCH, Daniela LEITL, Tessa SCHNEEBERGER, Tobias BOESELT, Stephan HUBER, Pawandeep KAUR-BOLLINGER, Bernhard ULM, Claudia MUELLER, Jonas BJOERKLUND, Sabine SPIELMANNS, Wolfram WINDISCH, Anna Maria PEKACKA-EGLI und Andreas Rembert KOCZULLA, 2022. Using a smartphone application maintains physical activity following pulmonary rehabilitation in patients with COPD. A randomised controlled trial. Thorax. 2022. Bd. 78, Nr. 5. DOI 10.1136/thoraxjnl-2021-218338. Verfügbar unter: https://doi.org/10.26041/fhnw-10006