Determinants of study completion and response to a 12-month behavioral physical activity intervention in chronic obstructive pulmonary disease: a cohort study

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dc.contributor.authorKoreny, Maria
dc.contributor.authorDemeyer, Heleen
dc.contributor.authorArbillaga Etxarri, Ane
dc.contributor.authorGimeno-Santos, Elena
dc.contributor.authorBarberan-Garcia, Anael
dc.contributor.authorBenet, Marta
dc.contributor.authorBalcells, Eva
dc.contributor.authorBorrell, Eulàlia
dc.contributor.authorMarín, Alicia
dc.contributor.authorRodríguez Chiaradía, Diego A.
dc.contributor.authorVall-Casas, Pere
dc.contributor.authorVilaró, Jordi
dc.contributor.authorRodríguez-Roisin, Robert
dc.contributor.authorGarcia-Aymerich, Judith
dc.date.accessioned2024-11-11T10:50:11Z
dc.date.available2024-11-11T10:50:11Z
dc.date.issued2019-05-20
dc.date.updated2024-11-11T10:50:11Z
dc.description.abstractObjectives Physical activity is key to improve the prognosis of chronic obstructive pulmonary disease (COPD). To help to tailor future interventions we aimed to identify the baseline characteristics of COPD patients which predict 12-month completion and response to a behavioral physical activity intervention. Methods This is a 12-month cohort study of the intervention arm of the Urban Training randomized controlled trial (NCT01897298), an intervention proven to be efficacious to increase physical activity. We considered baseline sociodemographic, interpersonal, environmental, clinical and psychological characteristics as potential determinants of completion and response. We defined completion as attending the 12-month study visit. Among completers, we defined response as increasing physical activity ≥1100 steps/day from baseline to 12 months, measured by accelerometer. We estimated the factors independently for completion and response using multivariable logistic regression models. Results Of a total of 202 patients (m (SD) 69 (9) years, 84% male), 132 (65%) completed the study. Among those, 37 (28%) qualified as responders. Higher numbers of baseline steps/day (OR [95% CI] 1.11 [1.02-1.21] per increase of 1000 steps, p<0.05) and living with a partner (2.77 [1.41-5.48], p<0.01) were related to a higher probability of completion while more neighborhood vulnerability (0.70 [0.57-0.86] per increase of 0.1 units in urban vulnerability index, p<0.01) was related to a lower probability. Among the completers, working (3.14 [1.05-9.33], p<0.05) and having an endocrino-metabolic disease (4.36 [1.49-12.80], p<0.01) were related to a higher probability of response while unwillingness to follow the intervention (0.21 [0.05-0.98], p<0.05) was related to a lower probability. Conclusions This study found that 12-month completion of a behavioral physical activity intervention was generally determined by previous physical activity habits as well as interpersonal and environmental physical activity facilitators while response was related to diverse factors thought to modify the individual motivation to change to an active lifestyle.en
dc.description.sponsorshipHD is the recipient of a joint ERS/SEPAR Fellowship (LTRF 2015) (Sociedad Española De Neumología Y Cirugía Torácica (Separ) www.separ.es) and is a post-doctoral research fellow of the FWO-Flanders (Fonds voor Wetenschappelijk Onderzoek – Vlaanderen https://www.fwo.be/en). The Urban TrainingTM study (NCT01897298) was funded by grants from Fondo de Investigación Sanitaria, Instituto de Salud Carlos III (ISCIII, PI11/01283 and PI14/0419) (Fondo de Investigación Sanitaria, Instituto de Salud Carlos III http://www.isciii.es), integrated into Plan Estatal I+D+I 2013-2016 and co-funded by ISCIII-Subdirección General de Evaluación y Fomento de la Investigación and Fondo Europeo de Desarrollo Regional (FEDER); Sociedad Española de Neumología y Cirugía Torácica (SEPAR, 147/2011 and 201/2011), Societat Catalana de Pneumologia (Ajuts al millor projecte en fisioteràpia respiratòria 2013). ISGlobal is a member of the CERCA Program, Generalitat de Catalunya (El programa de centres de recerca de Catalunya http://cerca.cat/). Anael Barberan-Garcia had personal funding from AGAUR 2014-SGR-661, Catalan Government (Agencia de Gestión de Ayudas Universitarias y de Investigación http://agaur.gencat.cat/es)en
dc.identifier.citationKoreny, M., Demeyer, H., Arbillaga-Etxarri, A., Gimeno-Santos, E., Barberan-Garcia, A., Benet, M., Balcells, E., Borrell, E., Marin, A., Chiaradía, D. A. R., Vall-Casas, P., Vilaró, J., Rodríguez-Roisin, R., & Garcia-Aymerich, J. (2019). Determinants of study completion and response to a 12-month behavioral physical activity intervention in chronic obstructive pulmonary disease: A cohort study. PLoS ONE, 14(5). https://doi.org/10.1371/JOURNAL.PONE.0217157
dc.identifier.doi10.1371/JOURNAL.PONE.0217157
dc.identifier.issn1932-6203
dc.identifier.urihttp://hdl.handle.net/20.500.14454/1742
dc.language.isoeng
dc.publisherPublic Library of Science
dc.rights© 2019 Koreny et al.
dc.titleDeterminants of study completion and response to a 12-month behavioral physical activity intervention in chronic obstructive pulmonary disease: a cohort studyen
dc.typejournal article
dcterms.accessRightsopen access
oaire.citation.issue5
oaire.citation.titlePLoS ONE
oaire.citation.volume14
oaire.licenseConditionhttps://creativecommons.org/licenses/by/4.0/
oaire.versionVoR
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