Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025
Physical activity coaching in people with chronic obstructive pulmonary disease: a systematic literature review with meta-analysis.
СтатьяСистематический обзорМетаанализНазвание и аннотация: Перевод в очереди
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Diciolla Nicola S, Yuste-Sánchez Maria José, Torres-Lacomba Maria, Paixão Cátia, Marques Alda
Аннотация
BACKGROUND: Physical activity (PA) coaching, defined as a structured one-to-one intervention using behavior-change techniques, may increase PA in people with chronic obstructive pulmonary disease (COPD). This systematic review aimed to assess the effects of individual PA coaching components.
METHODS: Randomized clinical trials comparing PA coaching vs usual care in COPD were searched. Effect direction plots synthesized results, and meta-analyses were conducted for selected outcomes, subgroup analyses exploring individual PA coaching components.
RESULTS: Thirty-two studies involving 5483 people with COPD (67 ± 9 years; 55% male; 53 ± 18 FEV1%predicted) were included. PA coaching, mostly delivered remotely, weekly, for 12 weeks, consisted of education, exercise, feedback, goal setting/review, motivational interviews, problem-solving, self-monitoring, and social support. Effect direction plots showed a positive impact of PA coaching on PA (73%, 95%CI 58-89% of studies), with minimal or no effects on emotional, physical, symptoms, and health-related quality of life domains. Meta-analyses revealed a significant increase in steps/day (MD[95%CI] = 806.84[478.99,1134.70]steps/day, I2 = 66, P < 0.01); however, no clinically relevant changes were observed in other outcomes. Compliance rate across studies was 86% 95%CI, 83%-89%.Subgroups analyses for self-monitoring (MD[95%CI] = 861[555 1166]steps/day; I2 = 66, P < 0.01) and goal setting/review (MD[95%CI] = 916[563 1296]steps/day; I2 = 69, P < 0.01) demonstrated significant and clinically relevant improvements in steps/day. Significant between-group differences in whether self-monitoring (χ2 = 9.84, P < 0.01) and goal setting/review (χ2 = 7.59, P < 0.01) were included suggest these components may moderate PA coaching effectiveness.
CONCLUSIONS: PA coaching increases daily steps in people with COPD without significantly affecting emotional, physical, symptoms or health-related quality of life domains. Including self-monitoring and goal setting/review may enhance its effectiveness.
METHODS: Randomized clinical trials comparing PA coaching vs usual care in COPD were searched. Effect direction plots synthesized results, and meta-analyses were conducted for selected outcomes, subgroup analyses exploring individual PA coaching components.
RESULTS: Thirty-two studies involving 5483 people with COPD (67 ± 9 years; 55% male; 53 ± 18 FEV1%predicted) were included. PA coaching, mostly delivered remotely, weekly, for 12 weeks, consisted of education, exercise, feedback, goal setting/review, motivational interviews, problem-solving, self-monitoring, and social support. Effect direction plots showed a positive impact of PA coaching on PA (73%, 95%CI 58-89% of studies), with minimal or no effects on emotional, physical, symptoms, and health-related quality of life domains. Meta-analyses revealed a significant increase in steps/day (MD[95%CI] = 806.84[478.99,1134.70]steps/day, I2 = 66, P < 0.01); however, no clinically relevant changes were observed in other outcomes. Compliance rate across studies was 86% 95%CI, 83%-89%.Subgroups analyses for self-monitoring (MD[95%CI] = 861[555 1166]steps/day; I2 = 66, P < 0.01) and goal setting/review (MD[95%CI] = 916[563 1296]steps/day; I2 = 69, P < 0.01) demonstrated significant and clinically relevant improvements in steps/day. Significant between-group differences in whether self-monitoring (χ2 = 9.84, P < 0.01) and goal setting/review (χ2 = 7.59, P < 0.01) were included suggest these components may moderate PA coaching effectiveness.
CONCLUSIONS: PA coaching increases daily steps in people with COPD without significantly affecting emotional, physical, symptoms or health-related quality of life domains. Including self-monitoring and goal setting/review may enhance its effectiveness.