Andrea K Busby1, Rebecca L Reese2, Steven R Simon3. 1. Emergency Service, VA Boston Healthcare System, Boston, MA, USA; Lifespan Physician Group, Behavioral Medicine Clinical Services, The Miriam Hospital, Providence, RI, USA. abusby@lifespan.org. 2. Behavioral Medicine fellow, Behavioral Medicine Service, VA Boston Healthcare System, Boston, MA, USA. 3. Chief, Section of General Internal Medicine, VA Boston Healthcare System, Boston, MA, USA.
Abstract
OBJECTIVE: To examine existing research on pulmonary exercise rehabilitation (PR) maintenance interventions. METHODS: Authors conducted a systematic review of PR maintenance interventions. The primary outcome of interest was physical endurance. RESULTS: Eight studies met inclusion criteria. Most showed initial positive intervention effects, which declined to non-significance within 3-12 months after completion of maintenance. Only one of the 8 studies described a theoretical framework underlying the maintenance intervention. CONCLUSIONS: Existing interventions generally fail to maintain benefits derived from PR programs. Future studies should evaluate maintenance interventions that are theoretically-based and seek to impact known maintenance mediators. Evaluation of these interventions should include substantial follow-up periods and adherence measurements.
OBJECTIVE: To examine existing research on pulmonary exercise rehabilitation (PR) maintenance interventions. METHODS: Authors conducted a systematic review of PR maintenance interventions. The primary outcome of interest was physical endurance. RESULTS: Eight studies met inclusion criteria. Most showed initial positive intervention effects, which declined to non-significance within 3-12 months after completion of maintenance. Only one of the 8 studies described a theoretical framework underlying the maintenance intervention. CONCLUSIONS: Existing interventions generally fail to maintain benefits derived from PR programs. Future studies should evaluate maintenance interventions that are theoretically-based and seek to impact known maintenance mediators. Evaluation of these interventions should include substantial follow-up periods and adherence measurements.
Authors: A-M Selzler; J Wald; M Sedeno; T Jourdain; T Janaudis-Ferreira; R Goldstein; J Bourbeau; M K Stickland Journal: Chron Respir Dis Date: 2017-08-08 Impact factor: 2.444
Authors: Joana Berger-Estilita; José Miguel Padilha; Liliana Silva; Tiago Maricoto; Patrício Costa Journal: NPJ Prim Care Respir Med Date: 2022-10-03 Impact factor: 3.289
Authors: Alex R Jenkins; Holly Gowler; Ffion Curtis; Neil S Holden; Christopher Bridle; Arwel W Jones Journal: Int J Chron Obstruct Pulmon Dis Date: 2018-01-10
Authors: Wolfgang Geidl; Jana Semrau; René Streber; Nicola Lehbert; Silke Wingart; Alexander Tallner; Michael Wittmann; Rupert Wagner; Konrad Schultz; Klaus Pfeifer Journal: Trials Date: 2017-08-29 Impact factor: 2.279