AACVPR News & Views - July/August 2017 - 13
INSIDE >> THE INDUSTRY
Pulmonary Point of View
How Do We Keep Our PR Patients Moving?
Gerene S. Bauldoff, RN, PhD, FAACVPR
O
ne issue that we
all face as PR
professionals is,
"How do we keep
our patients moving?"
An innovative study conducted in
the Netherlands published in the
CHEST journal in May 2017 set
out to answer this question. In this
study by Mesquita and colleagues,
125 COPD patients and their
"resident loved one" were enrolled
as a dyad. The "resident loved
one" was defined as a person living
with a COPD patient regardless of
providing any informal care. The
COPD patients were at least four
weeks out from hospitalization. The
study had three aims:
1.
2.
3.
Compare physical activity,
sedentary behavior and
exercise motivation between
COPD patients and their
resident loved ones;
Compare these same outcomes
after stratifying physical activity
of the resident loved ones; and
Predict the likelihood of COPD
patient physical activity when
they live with physically active
loved ones.
The study was conducted in patient
homes. COPD patient outcomes
included demographics; clinical
data including spirometry, functional
mobility, exercise motivation, generic
and COPD-specific health status;
care dependency; and symptoms
of anxiety and depression. Both the
COPD patient and their resident loved
one received a triaxial accelerometer
(MOX activity monitor, Maastricht
Instruments, BV) to assess physical
activity and sedentary behavior. The
research found that both the patients
and the loved ones had a median of
six valid days of activity monitoring.
The COPD patients were less
physically active and more sedentary
than their resident loved ones
despite similar exercise motivation.
However, COPD patients with more
active loved ones were noted to be
more likely to be physically active.
The researchers recommend future
study into the impact of familybased physical activity counseling
with COPD patients and their
resident loved ones.
What does this mean for
the PR professional?
In PR, we are always looking for
tools to help our patients maintain
their PR gains. Recruiting our
patient's loved ones may be
another tool that we can use to
promote physical activity during
and following PR. While this
study provides a first step for our
patients who share their home
with loved ones, we still need to
investigate effective strategies for
our patients who live alone or in
another type of living situation.
References:
Mesquita R, Nakken N, Janssen DJA,
van den Bogaart EHA, Delbressine JML,
Essers JMN, Meijer K van Vliet M, de
Vries GJ, Muris JWM, Pitta F, Wouters
EFM, Spruit MA. (2017). Activity levels
and exercise motivation in patients with
COPD and their resident loved ones.
CHEST 151 (5), 1028-1038.
Please note an error in the description of the PR Outcomes Toolkit Update published
in the last News & Views. On page 11, we stated CESD-R was a recommended tool.
However, if you read the Behavioral Aspects of Rehabilitation Column (p. 8-9), both
the CES-D and the CESD-R have been removed as they were designed and validated
for cases of depression and not severity of depression, as would be necessary for
outcomes. There is no description of the CES-D nor the CESD-R in the PR toolkit
with the latest update. Chris and I certainly appreciate the expertise of Maria Buckley
and Kent Eichenauer as our "go-to" psychology experts in the outcome toolkit
development. Please accept our sincerest apology for this error.
- Gerene Bauldoff and Chris Garvey
News&Views JULY/AUGUST 2017 13
Table of Contents for the Digital Edition of AACVPR News & Views - July/August 2017
Contents
AACVPR News & Views - July/August 2017 - 1
AACVPR News & Views - July/August 2017 - 2
AACVPR News & Views - July/August 2017 - Contents
AACVPR News & Views - July/August 2017 - 4
AACVPR News & Views - July/August 2017 - 5
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