Behaviour change interventions for physical activity in adults with chronic obstructive pulmonary disease; a systematic review and meta-analysis

Hanrahan, Ciara; Broderick, Julie; O'Connor, Terence M.; McVeigh, Joseph G.

Access to this article is restricted until 12 months after publication by request of the publisher. Restriction lift date: 14/11/2024

Behaviour change interventions for physical activity in adults with chronic obstructive pulmonary disease; a systematic review and meta-analysis

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dc.check.date	14/11/2024	en
dc.check.info	Access to this article is restricted until 12 months after publication by request of the publisher	en
dc.contributor.author	Hanrahan, Ciara	en
dc.contributor.author	Broderick, Julie	en
dc.contributor.author	O'Connor, Terence M.	en
dc.contributor.author	McVeigh, Joseph G.	en
dc.contributor.funder	University College Cork	en
dc.date.accessioned	2023-11-16T12:40:50Z
dc.date.available	2023-11-16T12:40:50Z
dc.date.issued	2023-11-14	en
dc.description.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.	en
dc.description.status	Peer reviewed	en
dc.description.version	Accepted Version	en
dc.format.mimetype	application/pdf	en
dc.identifier.articleid	101068	en
dc.identifier.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	en
dc.identifier.doi	10.1016/j.resmer.2023.101068	en
dc.identifier.endpage	12
dc.identifier.issn	2590-0412	en
dc.identifier.journaltitle	Respiratory Medicine and Research	en
dc.identifier.startpage	1
dc.identifier.uri	https://hdl.handle.net/10468/15237
dc.identifier.volume	85
dc.language.iso	en	en
dc.publisher	Elsevier B.V.	en
dc.rights	© 2023, SPLF and Elsevier Masson SAS. All rights reserved. This manuscript version is made available under the CC BY-NC-ND 4.0 license.	en
dc.rights.uri	https://creativecommons.org/licenses/by-nc-nd/4.0/	en
dc.subject	Chronic obstructive pulmonary disease	en
dc.subject	Behaviour change techniques	en
dc.subject	Physical activity	en
dc.subject	Systematic review	en
dc.title	Behaviour change interventions for physical activity in adults with chronic obstructive pulmonary disease; a systematic review and meta-analysis	en
dc.type	Article (peer-reviewed)	en