Are Physical Activity and Benefits Maintained After Long-Term Telerehabilitation in COPD?

  • Hanne Hoaas Norwegian Centre for E-health Research, University Hospital of North Norway, Tromsoe, Norway, and Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsoe, Norway http://orcid.org/0000-0001-5199-4365
  • Bente Morseth Department of Community Medicine, UiT The Arctic University of Norway, Tromsoe, Norway, and School of Sport Sciences, UiT The Arctic University of Norway, Tromsoe, Norway http://orcid.org/0000-0002-7973-0342
  • Anne E. Holland La Trobe University, Melbourne, Australia, Alfred Health, Melbourne, Australia, and Institute for Breathing and Sleep, Melbourne, Australia http://orcid.org/0000-0003-2061-845X
  • Paolo Zanaboni Norwegian Centre for E-health Research, University Hospital of North Norway, Tromsoe, Norway http://orcid.org/0000-0002-5469-092X

Abstract

This study investigated whether physical activity levels and other outcomes were maintained at 1-year from completion of a 2-year telerehabilitation intervention in COPD. During the post-intervention year, nine patients with COPD (FEV1 % of pred. 42.4±19.8%; age 58.1±6 years) were encouraged to exercise on a treadmill at home and monitor daily symptoms and training sessions on a webpage as during the intervention. Participants were not provided supervision or motivational support. Physical activity levels decreased from 3,806 steps/day to 2,817 steps/day (p= 0.039). There was a decline in time spent on light physical activity (p=0.009), but not on moderate-to-vigorous activity (p=0.053). Adherence to registration of symptoms and training sessions decreased significantly. Other outcomes including health status, quality of life, anxiety and depression, self-efficacy, and healthcare utilization did not change significantly. In conclusion, provision of equipment for self-management and unsupervised home exercise might not be enough to maintain physical activity levels.

  

Author Biographies

Hanne Hoaas, Norwegian Centre for E-health Research, University Hospital of North Norway, Tromsoe, Norway, and Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsoe, Norway
Physiotherapist, MSc
Bente Morseth, Department of Community Medicine, UiT The Arctic University of Norway, Tromsoe, Norway, and School of Sport Sciences, UiT The Arctic University of Norway, Tromsoe, Norway
PhD
Anne E. Holland, La Trobe University, Melbourne, Australia, Alfred Health, Melbourne, Australia, and Institute for Breathing and Sleep, Melbourne, Australia
Physiotherapist, PhD
Paolo Zanaboni, Norwegian Centre for E-health Research, University Hospital of North Norway, Tromsoe, Norway
PhD

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Published
2016-12-15
How to Cite
Hoaas, H., Morseth, B., Holland, A. E., & Zanaboni, P. (2016). Are Physical Activity and Benefits Maintained After Long-Term Telerehabilitation in COPD?. International Journal of Telerehabilitation, 8(2), 39–48. https://doi.org/10.5195/ijt.2016.6200
Section
Research