PMID- 27601892
OWN - NLM
STAT- MEDLINE
DCOM- 20170808
LR  - 20181113
IS  - 1178-2005 (Electronic)
IS  - 1176-9106 (Print)
IS  - 1176-9106 (Linking)
VI  - 11
DP  - 2016
TI  - A randomized controlled trial of telephone-mentoring with home-based walking 
      preceding rehabilitation in COPD.
PG  - 1991-2000
LID - 10.2147/COPD.S109820 [doi]
AB  - PURPOSE: With the limited reach of pulmonary rehabilitation (PR) and low levels 
      of daily physical activity in chronic obstructive pulmonary disease (COPD), a 
      need exists to increase daily exercise. This study evaluated telephone 
      health-mentoring targeting home-based walking (tele-rehab) compared to usual 
      waiting time (usual care) followed by group PR. PATIENTS AND METHODS: People with 
      COPD were randomized to tele-rehab (intervention) or usual care (controls). 
      Tele-rehab delivered by trained nurse health-mentors supported participants' 
      home-based walking over 8-12 weeks. PR, delivered to both groups simultaneously, 
      included 8 weeks of once-weekly education and self-management skills, with 
      separate supervised exercise. Data were collected at three time-points: baseline 
      (TP1), before (TP2), and after (TP3) PR. The primary outcome was change in 
      physical capacity measured by 6-minute walk distance (6MWD) with two tests 
      performed at each time-point. Secondary outcomes included changes in 
      self-reported home-based walking, health-related quality of life, and health 
      behaviors. RESULTS: Of 65 recruits, 25 withdrew before completing PR. Forty 
      attended a median of 6 (4) education sessions. Seventeen attended supervised 
      exercise (5+/-2 sessions). Between TP1 and TP2, there was a statistically 
      significant increase in the median 6MWD of 12 (39.1) m in controls, but no change 
      in the tele-rehab group. There were no significant changes in 6MWD between other 
      time-points or groups, or significant change in any secondary outcomes. 
      Participants attending supervised exercise showed a nonsignificant improvement in 
      6MWD, 12.3 (71) m, while others showed no change, 0 (33) m. The mean 6MWD was 
      significantly greater, but not clinically meaningful, for the second test 
      compared to the first at all time-points. CONCLUSION: Telephone-mentoring for 
      home-based walking demonstrated no benefit to exercise capacity. Two 6-minute 
      walking tests at each time-point may not be necessary. Supervised exercise seems 
      essential in PR. The challenge of incorporating exercise into daily life in COPD 
      is substantial.
FAU - Cameron-Tucker, Helen Laura
AU  - Cameron-Tucker HL
AD  - Centre of Research Excellence for Chronic Respiratory Disease and Lung Aging, 
      School of Medicine.
FAU - Wood-Baker, Richard
AU  - Wood-Baker R
AD  - Centre of Research Excellence for Chronic Respiratory Disease and Lung Aging, 
      School of Medicine.
FAU - Joseph, Lyn
AU  - Joseph L
AD  - Centre of Research Excellence for Chronic Respiratory Disease and Lung Aging, 
      School of Medicine.
FAU - Walters, Julia A
AU  - Walters JA
AD  - Centre of Research Excellence for Chronic Respiratory Disease and Lung Aging, 
      School of Medicine.
FAU - Schuz, Natalie
AU  - Schuz N
AD  - School of Health Sciences, Faculty of Health, University of Tasmania, Hobart, 
      Tasmania, Australia.
FAU - Walters, E Haydn
AU  - Walters EH
AD  - Centre of Research Excellence for Chronic Respiratory Disease and Lung Aging, 
      School of Medicine.
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20160825
PL  - New Zealand
TA  - Int J Chron Obstruct Pulmon Dis
JT  - International journal of chronic obstructive pulmonary disease
JID - 101273481
SB  - IM
MH  - Aged
MH  - Exercise Therapy/*methods/nursing
MH  - Exercise Tolerance
MH  - Female
MH  - Health Behavior
MH  - Health Knowledge, Attitudes, Practice
MH  - Health Status
MH  - *Home Care Services, Hospital-Based
MH  - Humans
MH  - Lung/*physiopathology
MH  - Male
MH  - *Mentors
MH  - Middle Aged
MH  - Patient Education as Topic
MH  - Pulmonary Disease, Chronic 
      Obstructive/diagnosis/nursing/physiopathology/*rehabilitation
MH  - Quality of Life
MH  - Recovery of Function
MH  - Respiratory Therapy/*methods/nursing
MH  - Self Care
MH  - Tasmania
MH  - Telemedicine/*methods
MH  - *Telephone
MH  - Time Factors
MH  - Treatment Outcome
MH  - Walk Test
MH  - *Walking
PMC - PMC5003521
OTO - NOTNLM
OT  - exercise
OT  - physical capacity
OT  - pulmonary rehabilitation
OT  - self-reported walking
OT  - structured self-management-based education
EDAT- 2016/09/08 06:00
MHDA- 2017/08/09 06:00
PMCR- 2016/08/25
CRDT- 2016/09/08 06:00
PHST- 2016/09/08 06:00 [entrez]
PHST- 2016/09/08 06:00 [pubmed]
PHST- 2017/08/09 06:00 [medline]
PHST- 2016/08/25 00:00 [pmc-release]
AID - copd-11-1991 [pii]
AID - 10.2147/COPD.S109820 [doi]
PST - epublish
SO  - Int J Chron Obstruct Pulmon Dis. 2016 Aug 25;11:1991-2000. doi: 
      10.2147/COPD.S109820. eCollection 2016.