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

Objectives 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 int...

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Autores: Koreny, Maria, Demeyer, Heleen, Arbillaga-Etxarri, Ane, Gimeno-Santos, Elena, Barberan-Garcia, Anael, Benet Mora, Marta, Balcells Vilarnau, Eva, 1967-, Borrell, Eulàlia, Marin, Alicia, Rodríguez Chiaradía, Diego A., Vall-Casas, Pere, Vilaro, Jordi, Rodríguez-Roisin, Robert, Garcia Aymerich, Judith
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2019
País:España
Recursos:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:20.500.14342/757
Acesso em linha:http://hdl.handle.net/20.500.14342/757
https://dx.doi.org/10.1371/journal.pone.0217157
Access Level:acceso abierto
Palavra-chave:Pulmons -- Malalties obstructives
Exercici
616.2
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spelling Determinants of study completion and response to a 12-month behavioral physical activity intervention in chronic obstructive pulmonary disease: a cohort studyKoreny, MariaDemeyer, HeleenArbillaga-Etxarri, AneGimeno-Santos, ElenaBarberan-Garcia, AnaelBenet Mora, MartaBalcells Vilarnau, Eva, 1967-Borrell, EulàliaMarin, AliciaRodríguez Chiaradía, Diego A.Vall-Casas, PereVilaro, JordiRodríguez-Roisin, RobertGarcia Aymerich, JudithPulmons -- Malalties obstructivesExercici616.2Objectives 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.Public Library of Science (PLoS)Universitat Ramon Llull. Facultat de Ciències de la Salut Blanquerna2019info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion16 p.http://hdl.handle.net/20.500.14342/757https://dx.doi.org/10.1371/journal.pone.0217157reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésPLoS ONE, 2019, 14(5): e0217157Attribution 4.0 International© L'autor/ahttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:20.500.14342/7572026-05-29T05:05:01Z
dc.title.none.fl_str_mv Determinants of study completion and response to a 12-month behavioral physical activity intervention in chronic obstructive pulmonary disease: a cohort study
title Determinants of study completion and response to a 12-month behavioral physical activity intervention in chronic obstructive pulmonary disease: a cohort study
spellingShingle Determinants of study completion and response to a 12-month behavioral physical activity intervention in chronic obstructive pulmonary disease: a cohort study
Koreny, Maria
Pulmons -- Malalties obstructives
Exercici
616.2
title_short Determinants of study completion and response to a 12-month behavioral physical activity intervention in chronic obstructive pulmonary disease: a cohort study
title_full Determinants of study completion and response to a 12-month behavioral physical activity intervention in chronic obstructive pulmonary disease: a cohort study
title_fullStr Determinants of study completion and response to a 12-month behavioral physical activity intervention in chronic obstructive pulmonary disease: a cohort study
title_full_unstemmed Determinants of study completion and response to a 12-month behavioral physical activity intervention in chronic obstructive pulmonary disease: a cohort study
title_sort Determinants of study completion and response to a 12-month behavioral physical activity intervention in chronic obstructive pulmonary disease: a cohort study
dc.creator.none.fl_str_mv Koreny, Maria
Demeyer, Heleen
Arbillaga-Etxarri, Ane
Gimeno-Santos, Elena
Barberan-Garcia, Anael
Benet Mora, Marta
Balcells Vilarnau, Eva, 1967-
Borrell, Eulàlia
Marin, Alicia
Rodríguez Chiaradía, Diego A.
Vall-Casas, Pere
Vilaro, Jordi
Rodríguez-Roisin, Robert
Garcia Aymerich, Judith
author Koreny, Maria
author_facet Koreny, Maria
Demeyer, Heleen
Arbillaga-Etxarri, Ane
Gimeno-Santos, Elena
Barberan-Garcia, Anael
Benet Mora, Marta
Balcells Vilarnau, Eva, 1967-
Borrell, Eulàlia
Marin, Alicia
Rodríguez Chiaradía, Diego A.
Vall-Casas, Pere
Vilaro, Jordi
Rodríguez-Roisin, Robert
Garcia Aymerich, Judith
author_role author
author2 Demeyer, Heleen
Arbillaga-Etxarri, Ane
Gimeno-Santos, Elena
Barberan-Garcia, Anael
Benet Mora, Marta
Balcells Vilarnau, Eva, 1967-
Borrell, Eulàlia
Marin, Alicia
Rodríguez Chiaradía, Diego A.
Vall-Casas, Pere
Vilaro, Jordi
Rodríguez-Roisin, Robert
Garcia Aymerich, Judith
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universitat Ramon Llull. Facultat de Ciències de la Salut Blanquerna
dc.subject.none.fl_str_mv Pulmons -- Malalties obstructives
Exercici
616.2
topic Pulmons -- Malalties obstructives
Exercici
616.2
description Objectives 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.
publishDate 2019
dc.date.none.fl_str_mv 2019
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/20.500.14342/757
https://dx.doi.org/10.1371/journal.pone.0217157
url http://hdl.handle.net/20.500.14342/757
https://dx.doi.org/10.1371/journal.pone.0217157
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv PLoS ONE, 2019, 14(5): e0217157
dc.rights.none.fl_str_mv Attribution 4.0 International
© L'autor/a
http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Attribution 4.0 International
© L'autor/a
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 16 p.
dc.publisher.none.fl_str_mv Public Library of Science (PLoS)
publisher.none.fl_str_mv Public Library of Science (PLoS)
dc.source.none.fl_str_mv reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.812429

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