Cognitive behavioural therapy combined with physical activity behavioural modification strategies during pulmonary rehabilitation in patients with COPD

Authors: Armstrong, M., Hume, E., McNeillie, L., Chambers, F., Wakenshaw, L., Burns, G., Marshall, K.H. and Vogiatzis, I.

Journal: ERJ Open Research

Volume: 9

Issue: 5

eISSN: 2312-0541

DOI: 10.1183/23120541.00074-2023

Abstract:

Introduction Patients with COPD who exhibit elevated levels of anxiety and/or depression are typically less able to improve symptoms and physical activity levels following a programme of pulmonary rehabilitation (PR). The objective of the present study was to provide proof of concept that offering an intervention comprising cognitive behavioural therapy (CBT) alongside physical activity behavioural modification strategies (BPA) during PR is more effective in improving physical activity outcomes compared to PR and CBT alone. Methods 32 patients with COPD (mean±SD forced expiratory volume in 1 s 42±14% predicted) were assigned 1:1 to receive PR+CBT+BPA or PR+CBT. BPA comprised motivational interviews, step-count monitoring, feedback using a pedometer and goal setting. Assessments included accelerometer-derived steps per day, movement intensity, 6-min walk distance (6MWD) and Hospital Anxiety and Depression Scale (HADS) scores. Results The magnitude of improvement across physical activity outcomes was greater for the PR+CBT +BPA compared to the PR+CBT intervention (by 829 steps per day (p=0.029) and by 80±39 vector magnitude units (p=0.042), respectively). Compared to PR and CBT alone, the PR+CBT+BPA intervention induced greater clinically meaningful improvements in HADS anxiety scores (by −2 units, 95% CI −4–1 units) and 6MWD (by 33±20 m). Conclusions Providing anxious and/or depressed patients with COPD with a combined intervention of CBT and BPA during PR presents more favourable improvements in physical activity outcome measures compared to CBT alone during PR.

https://eprints.bournemouth.ac.uk/38728/

Source: Scopus

Cognitive behavioural therapy combined with physical activity behavioural modification strategies during pulmonary rehabilitation in patients with COPD.

Authors: Armstrong, M., Hume, E., McNeillie, L., Chambers, F., Wakenshaw, L., Burns, G., Heslop Marshall, K. and Vogiatzis, I.

Journal: ERJ Open Res

Volume: 9

Issue: 5

ISSN: 2312-0541

DOI: 10.1183/23120541.00074-2023

Abstract:

INTRODUCTION: Patients with COPD who exhibit elevated levels of anxiety and/or depression are typically less able to improve symptoms and physical activity levels following a programme of pulmonary rehabilitation (PR). The objective of the present study was to provide proof of concept that offering an intervention comprising cognitive behavioural therapy (CBT) alongside physical activity behavioural modification strategies (BPA) during PR is more effective in improving physical activity outcomes compared to PR and CBT alone. METHODS: 32 patients with COPD (mean±sd forced expiratory volume in 1 s 42±14% predicted) were assigned 1:1 to receive PR+CBT+BPA or PR+CBT. BPA comprised motivational interviews, step-count monitoring, feedback using a pedometer and goal setting. Assessments included accelerometer-derived steps per day, movement intensity, 6-min walk distance (6MWD) and Hospital Anxiety and Depression Scale (HADS) scores. RESULTS: The magnitude of improvement across physical activity outcomes was greater for the PR+CBT+BPA compared to the PR+CBT intervention (by 829 steps per day (p=0.029) and by 80±39 vector magnitude units (p=0.042), respectively). Compared to PR and CBT alone, the PR+CBT+BPA intervention induced greater clinically meaningful improvements in HADS anxiety scores (by -2 units, 95% CI -4-1 units) and 6MWD (by 33±20 m). CONCLUSIONS: Providing anxious and/or depressed patients with COPD with a combined intervention of CBT and BPA during PR presents more favourable improvements in physical activity outcome measures compared to CBT alone during PR.

https://eprints.bournemouth.ac.uk/38728/

Source: PubMed

Cognitive behavioural therapy combined with physical activity behavioural modification strategies during pulmonary rehabilitation in patients with COPD

Authors: Armstrong, M., Hume, E., McNeillie, L., Chambers, F., Wakenshaw, L., Burns, G., Marshall, K.H. and Vogiatzis, I.

Journal: ERJ OPEN RESEARCH

Volume: 9

Issue: 5

eISSN: 2312-0541

DOI: 10.1183/23120541.00074-2023

https://eprints.bournemouth.ac.uk/38728/

Source: Web of Science (Lite)

Cognitive behavioural therapy combined with physical activity behavioural modification strategies during pulmonary rehabilitation in patients with COPD

Authors: Armstrong, M., Hume, E., McNeillie, L., Chambers, F., Wakenshaw, L., Burns, G., Heslop-Marshall, K. and Vogiatzis, I.

Journal: ERJ Open Research

Publisher: European Respiratory Society

eISSN: 2312-0541

ISSN: 2312-0541

DOI: 10.1183/23120541.00074-2023

https://eprints.bournemouth.ac.uk/38728/

https://openres.ersjournals.com/content/9/5/00074-2023

Source: Manual

Cognitive behavioural therapy combined with physical activity behavioural modification strategies during pulmonary rehabilitation in patients with COPD.

Authors: Armstrong, M., Hume, E., McNeillie, L., Chambers, F., Wakenshaw, L., Burns, G., Heslop Marshall, K. and Vogiatzis, I.

Journal: ERJ open research

Volume: 9

Issue: 5

Pages: 74-2023

eISSN: 2312-0541

ISSN: 2312-0541

DOI: 10.1183/23120541.00074-2023

Abstract:

Introduction

Patients with COPD who exhibit elevated levels of anxiety and/or depression are typically less able to improve symptoms and physical activity levels following a programme of pulmonary rehabilitation (PR). The objective of the present study was to provide proof of concept that offering an intervention comprising cognitive behavioural therapy (CBT) alongside physical activity behavioural modification strategies (BPA) during PR is more effective in improving physical activity outcomes compared to PR and CBT alone.

Methods

32 patients with COPD (mean±sd forced expiratory volume in 1 s 42±14% predicted) were assigned 1:1 to receive PR+CBT+BPA or PR+CBT. BPA comprised motivational interviews, step-count monitoring, feedback using a pedometer and goal setting. Assessments included accelerometer-derived steps per day, movement intensity, 6-min walk distance (6MWD) and Hospital Anxiety and Depression Scale (HADS) scores.

Results

The magnitude of improvement across physical activity outcomes was greater for the PR+CBT+BPA compared to the PR+CBT intervention (by 829 steps per day (p=0.029) and by 80±39 vector magnitude units (p=0.042), respectively). Compared to PR and CBT alone, the PR+CBT+BPA intervention induced greater clinically meaningful improvements in HADS anxiety scores (by -2 units, 95% CI -4-1 units) and 6MWD (by 33±20 m).

Conclusions

Providing anxious and/or depressed patients with COPD with a combined intervention of CBT and BPA during PR presents more favourable improvements in physical activity outcome measures compared to CBT alone during PR.

https://eprints.bournemouth.ac.uk/38728/

Source: Europe PubMed Central

Cognitive behavioural therapy combined with physical activity behavioural modification strategies during pulmonary rehabilitation in patients with COPD

Authors: Armstrong, M., Hume, E., McNeillie, L., Chambers, F., Wakenshaw, L., Burns, G., Heslop Marshall, K. and Vogiatzis, I.

Journal: ERJ Open Research

Volume: 9

Issue: 5

Publisher: European Respiratory Society

ISSN: 2312-0541

Abstract:

Introduction: Patients with COPD who exhibit elevated levels of anxiety and/or depression are typically less able to improve symptoms and physical activity (PA) levels following a programme of pulmonary rehabilitation (PR). Objective: To provide proof of concept that offering an intervention comprising cognitive behavioural therapy (CBT) alongside PA behavioural modification strategies (BPA) during PR is more effective in improving PA outcomes compared to PR and CBT alone.

Methods: Thirty-two patients with COPD (mean±SD: FEV1: 42±14% predicted) were assigned 1:1 to receive PR+CBT+BPA or PR+CBT. BPA comprised motivational interviews, step count monitoring, feedback using a pedometer and goal setting. Assessments included accelerometer-derived steps/day, movement intensity, 6MWD and HADS scores.

Results: The magnitude of improvement across PA outcomes was greater for the PR+CBT+BPA compared to the PR+CBT intervention (by 828 steps/day (p=0.029) and by 8039 vector magnitude units (p=0.042), respectively). Compared to PR and CBT alone, the PR+CBT+BPA intervention induced greater clinically meaningful improvements in HADS anxiety scores (by -2 units [95% CI -4 to 1 units]) and 6MWD (by 3320 m).

Conclusions: Providing anxious and/or depressed patients with COPD with a combined intervention of CBT and BPA during PR, presents more favourable improvements in PA outcome measures compared to CBT alone during PR.

https://eprints.bournemouth.ac.uk/38728/

Source: BURO EPrints