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Behaviour change interventions for physical activity in adults with chronic obstructive pulmonary disease; a systematic review and meta-analysis
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Figures 1, 2, 3 (PRISMA Flow, Meta-analysis x 2)
Date
2023-11-14
Authors
Hanrahan, Ciara
Broderick, Julie
O'Connor, Terence M.
McVeigh, Joseph G.
Journal Title
Journal ISSN
Volume Title
Publisher
Elsevier B.V.
Published Version
Abstract
Background: Physical activity in adults with COPD is poor, but behaviour change interventions could help improve activity. This systematic review aims to examine behaviour change interventions to promote physical activity and health outcomes for adults with COPD. Methods: Eight databases were searched from inception until February 2022: Web of Science, CENTRAL, MEDLINE, EMBASE, APA PsychINFO, CINAHL, PROSPERO, Cochrane Airways Trials Register. Relevant studies were appraised to determine the impact of behaviour change interventions on physical activity outcomes. Interventions were mapped to Michie's Theoretical Domains Framework (TDF) and a meta-analysis and narrative synthesis conducted. The Cochrane risk of bias tool and the GRADE criteria evaluated bias and the quality and certainty of the evidence. Results: Twelve randomized controlled trials (RCTs) were included in the review (n= 1211). The most frequently utilized behaviour change interventions included counselling, stepcount monitoring, social support and goal setting. The most commonly measured outcomes across studies were steps-per-day, physical activity levels, exercise capacity and quality of life. A meta-analysis of comparable studies demonstrated there was no difference in stepcount in favour of behaviour change interventions with respect to steps-per-day (SMD 0.16, 95% CI -0.03, 0.36; p=0.10). There was some evidence of short-term improvement in physical activity and quality of life, with behaviour change interventions related to goals, behaviour regulation and social influences. Conclusions: People with COPD may benefit from behaviour change interventions to increase physical activity and quality of life in the short-term. The overall certainty and quality of the evidence is low however.
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Keywords
Chronic obstructive pulmonary disease , Behaviour change techniques , Physical activity , Systematic review
Citation
Hanrahan, C., Broderick, J., O'Connor, T. M. and McVeigh, J. G. (2023) 'Behaviour change interventions for physical activity in adults with chronic obstructive pulmonary disease; a systematic review and meta-analysis', Respiratory Medicine and Research, 85, 101068 (12pp). doi: 10.1016/j.resmer.2023.101068