Long-term efficacy and effectiveness of a behavioural and community-based exercise intervention (Urban Training) to increase physical activity in patients with COPD: a randomised controlled trial

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dc.contributor.authorArbillaga Etxarri, Ane
dc.contributor.authorGimeno Santos, Elena
dc.contributor.authorBarberán García, Anael
dc.contributor.authorBalcells, Eva
dc.contributor.authorBenet, Marta
dc.contributor.authorBorrell, Eulàlia
dc.contributor.authorCelorrio, Nuria
dc.contributor.authorDelgado, Anna
dc.contributor.authorJané, Carme
dc.contributor.authorMarín Tapia, Alicia
dc.contributor.authorMartín Cantera, Carlos
dc.contributor.authorMonteagudo, Mónica
dc.contributor.authorMontellà Jordana, Núria
dc.contributor.authorMuñoz Ortiz, Laura
dc.contributor.authorOrtega Castillo, Pilar
dc.contributor.authorRodríguez Chiaradía, Diego A.
dc.contributor.authorRodríguez Roisin, Robert
dc.contributor.authorSimonet Aineto, Pere
dc.contributor.authorTorán, Pere
dc.contributor.author Torrent Pallicer, Jaume
dc.contributor.authorVall Casas, Pere
dc.contributor.authorVilaró, Jordi
dc.contributor.authorGarcía Aymerich, Judith
dc.date.accessioned2026-04-15T11:31:30Z
dc.date.available2026-04-15T11:31:30Z
dc.date.issued2018-10
dc.date.updated2026-04-15T11:31:29Z
dc.description.abstractThere is a need to increase and maintain physical activity in patients with chronic obstructive pulmonary disease (COPD). We assessed 12-month efficacy and effectiveness of the Urban Training intervention on physical activity in COPD patients. This randomised controlled trial (NCT01897298) allocated 407 COPD patients from primary and hospital settings 1:1 to usual care (n=205) or Urban Training (n=202). Urban Training consisted of a baseline motivational interview, advice to walk on urban trails designed for COPD patients in outdoor public spaces and other optional components for feedback, motivation, information and support (pedometer, calendar, physical activity brochure, website, phone text messages, walking groups and a phone number). The primary outcome was 12-month change in steps·day−1 measured by accelerometer. Efficacy analysis (with per-protocol analysis set, n=233 classified as adherent to the assigned intervention) showed adjusted (95% CI) 12-month difference +957 (184–1731) steps·day−1 between Urban Training and usual care. Effectiveness analysis (with intention-to-treat analysis set, n=280 patients completing the study at 12 months including unwilling and self-reported non-adherent patients) showed no differences between groups. Leg muscle pain during walks was more frequently reported in Urban Training than usual care, without differences in any of the other adverse events. Urban Training, combining behavioural strategies with unsupervised outdoor walking, was efficacious in increasing physical activity after 12 months in COPD patients, with few safety concerns. However, it was ineffective in the full population including unwilling and self-reported non-adherent patients.en
dc.description.sponsorshipFunded by grants from Fondo de Investigación Sanitaria, Instituto de Salud Carlos III (ISCIII, PI11/01283 and PI14/0419), integrated into Plan Estatal I+D+I 2013–2016 and co-funded by ISCIII-Subdirección General de Evaluación y Fomento de la Investigación and Fondo Europeo de Desarrollo Regional (FEDER); Sociedad Española de Neumología y Cirugía Torácica (SEPAR, 147/2011 and 201/2011), Societat Catalana de Pneumologia (Ajuts al millor projecte en fisioteràpia respiratòria 2013). ISGlobal is a member of the CERCA Programme, Generalitat de Catalunya. Anael Barberan-Garcia had personal funding from AGAUR 2014-SGR-661, Catalan Governmenten
dc.identifier.citationArbillaga-Etxarri, A., Gimeno-Santos, E., Barberan-Garcia, A., Balcells, E., Benet, M., Borrell, E., Celorrio, N., Delgado, A., Jané, C., Marin, A., Martín-Cantera, C., Monteagudo, M., Montellà, N., Muñoz, L., Ortega, P., Rodríguez, D. A., Rodríguez-Roisin, R., Simonet, P., Torán-Monserrat, P., et al. (2018). Long-term efficacy and effectiveness of a behavioural and community-based exercise intervention (Urban Training) to increase physical activity in patients with COPD: a randomised controlled trial. European Respiratory Journal, 52(4). https://doi.org/10.1183/13993003.00063-2018
dc.identifier.doi10.1183/13993003.00063-2018
dc.identifier.eissn1399-3003
dc.identifier.issn0903-1936
dc.identifier.urihttps://hdl.handle.net/20.500.14454/5660
dc.language.isoeng
dc.publisherEuropean Respiratory Society
dc.rights© ERS 2018
dc.titleLong-term efficacy and effectiveness of a behavioural and community-based exercise intervention (Urban Training) to increase physical activity in patients with COPD: a randomised controlled trialen
dc.typejournal article
dcterms.accessRightsopen access
oaire.citation.issue4
oaire.citation.titleEuropean Respiratory Journal
oaire.citation.volume52
oaire.licenseConditionhttps://creativecommons.org/licenses/by-nc/4.0/
oaire.versionVoR
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