Effect of counselling during pulmonary rehabilitation on self-determined motivation to be physically active for people with chronic obstructive pulmonary disease : a pragmatic RCT

Rausch Osthoff, Anne-Kathrin; Beyer, Swantje; Gisi, David; Rezek, Spencer; Schwank, Ariane; Meichtry, André; Sievi, Noriane A.; Hess, Thomas; Wirz, Markus

doi:10.1186/s12890-021-01685-2

Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-23763

Publication type:	Article in scientific journal
Type of review:	Peer review (publication)
Title:	Effect of counselling during pulmonary rehabilitation on self-determined motivation to be physically active for people with chronic obstructive pulmonary disease : a pragmatic RCT
Authors:	Rausch Osthoff, Anne-Kathrin Beyer, Swantje Gisi, David Rezek, Spencer Schwank, Ariane Meichtry, André Sievi, Noriane A. Hess, Thomas Wirz, Markus
et. al:	No
DOI:	10.1186/s12890-021-01685-2 10.21256/zhaw-23763
Published in:	BMC Pulmonary Medicine
Volume(Issue):	21
Issue:	317
Issue Date:	12-Oct-2021
Publisher / Ed. Institution:	BioMed Central
ISSN:	1471-2466
Language:	English
Subjects:	Behavioral change; COPD; Motivational interviewing; Physical activity promotion
Subject (DDC):	616: Internal medicine and diseases
Abstract:	Background: Counselling is considered to be a promising approach to increasing physical activity (PA) in people with chronic obstructive pulmonary disease (COPD). The aim of the current study was to investigate whether a PA counselling program for people with COPD, when embedded in a comprehensive outpatient pulmonary rehabilitation (PR) program, increased their daily PA. Methods: A two-armed, single blind randomized controlled trial was conducted as a component of a 12-week outpatient pulmonary rehabilitation program. The participants randomized into the intervention group received five counselling sessions, based on the principles of motivational interviewing (MI), with a physiotherapist. The participants’ steps per day and other proxies of PA were measured using an accelerometer (SenseWear Pro®) at baseline, at the end of the PR program, and three months later. The group-by-time interaction effect was analyzed. Results: Of the 43 participants,17 were allocated to the intervention group and 26 to the usual-care control group (mean age 67.9 ± 7.9; 21 (49%) males; mean FEV1 predicted 47.1 ± 18.6). No difference between groups was found for any measure of PA at any point in time. Conclusions: In this study, counselling, based on MI, when embedded in a comprehensive PR program for people with COPD, showed no short-term or long-term effects on PA behavior. To investigate this potentially effective counselling intervention and to analyze the best method, timing and tailoring of an intervention embedded in a comprehensive outpatient PR program, further adequately powered research is needed. Trial registration: Clinical Trials.gov NCT02455206 (05/21/2015), Swiss National Trails Portal SNCTP000001426 (05/21/2015).
URI:	https://digitalcollection.zhaw.ch/handle/11475/23763
Fulltext version:	Published version
License (according to publishing contract):	CC BY 4.0: Attribution 4.0 International
Departement:	School of Health Sciences
Organisational Unit:	Institute of Physiotherapy (IPT)
Published as part of the ZHAW project:	Effect of counselling during pulmonary rehabilitation on self-determined motivation towards physical activity in patients with Chronic Obstructive Pulmonary Disease
Appears in collections:	Publikationen Gesundheit

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Rausch Osthoff, A.-K., Beyer, S., Gisi, D., Rezek, S., Schwank, A., Meichtry, A., Sievi, N. A., Hess, T., & Wirz, M. (2021). Effect of counselling during pulmonary rehabilitation on self-determined motivation to be physically active for people with chronic obstructive pulmonary disease : a pragmatic RCT. BMC Pulmonary Medicine, 21(317). https://doi.org/10.1186/s12890-021-01685-2

Rausch Osthoff, A.-K. et al. (2021) ‘Effect of counselling during pulmonary rehabilitation on self-determined motivation to be physically active for people with chronic obstructive pulmonary disease : a pragmatic RCT’, BMC Pulmonary Medicine, 21(317). Available at: https://doi.org/10.1186/s12890-021-01685-2.

A.-K. Rausch Osthoff et al., “Effect of counselling during pulmonary rehabilitation on self-determined motivation to be physically active for people with chronic obstructive pulmonary disease : a pragmatic RCT,” BMC Pulmonary Medicine, vol. 21, no. 317, Oct. 2021, doi: 10.1186/s12890-021-01685-2.

RAUSCH OSTHOFF, Anne-Kathrin, Swantje BEYER, David GISI, Spencer REZEK, Ariane SCHWANK, André MEICHTRY, Noriane A. SIEVI, Thomas HESS und Markus WIRZ, 2021. Effect of counselling during pulmonary rehabilitation on self-determined motivation to be physically active for people with chronic obstructive pulmonary disease : a pragmatic RCT. BMC Pulmonary Medicine. 12 Oktober 2021. Bd. 21, Nr. 317. DOI 10.1186/s12890-021-01685-2

Rausch Osthoff, Anne-Kathrin, Swantje Beyer, David Gisi, Spencer Rezek, Ariane Schwank, André Meichtry, Noriane A. Sievi, Thomas Hess, and Markus Wirz. 2021. “Effect of Counselling during Pulmonary Rehabilitation on Self-Determined Motivation to Be Physically Active for People with Chronic Obstructive Pulmonary Disease : A Pragmatic RCT.” BMC Pulmonary Medicine 21 (317). https://doi.org/10.1186/s12890-021-01685-2.

Rausch Osthoff, Anne-Kathrin, et al. “Effect of Counselling during Pulmonary Rehabilitation on Self-Determined Motivation to Be Physically Active for People with Chronic Obstructive Pulmonary Disease : A Pragmatic RCT.” BMC Pulmonary Medicine, vol. 21, no. 317, Oct. 2021, https://doi.org/10.1186/s12890-021-01685-2.