Background
Methods
Design
Recruitment
Intervention
Framework
Health risk appraisal
Behavior change modules
Feedback message
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Dress warmly before you go outside. Start slowly and warm up your muscles before you go.
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Sign up at a gym, so you can be physically active and exercise inside.
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Plan to be physically active at home. Certain exercises, such as flexibility and muscle strengthening exercises can be done at home.
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If you exercise outside, breathe in through your nose and a scarf, so the cold air will be warmed up before it enters your lungs.
Nurse feedback
Data collection
Reminders
Measures
Patient self-management and health status
Organization of care
Application use and appreciation
Analysis
Quantitative analysis
Qualitative analysis
Results
Participants
Variable | N = 11 |
---|---|
Age (range), yr | Median = 56 (39 to 82) |
Gender
| |
Male | 8 (72.7%) |
Female | 3 (27.3%) |
GOLD
| |
Stage 0 | 1 (9.1%) |
Stage 1 | 3 (27.3%) |
Stage 2 | 7 (63.6%) |
FEV1% post-BD (range) | Median = 64.3 (45.2 to 74.0) |
BMI (range) | Median = 26.2 (17.3 to 31.4) |
Marital Status
| |
In a relationship | 1 (9.1%) |
Married | 9 (81.8%) |
Divorced | 1 (9.1) |
Nationality
| |
Dutch | 11 (100%) |
Education level
| |
Primary school/basic vocational school | 3 (27.3%) |
Secondary vocational school/high school degree | 7 (63.6%) |
Higher professional degree/university degree | 1 (9.1%) |
Current work status
| |
Employed | 8 (72.7%) |
Not employed | 3 (27.3%) |
The impact on patients’ self-management and health status
Quantitative results
Smoking
Measure | Pre-intervention median (range) | Post-intervention median (range) | Within-person difference median (range) |
---|---|---|---|
Smoking
| |||
cigarettes/day (n = 4) | 20.0 (10.0 to 40.0) | 15.0 (10.0 to 40.0) | −2.5 (0.0 to 5.0) |
Physical activity
| |||
days/week (n = 8) | 5.0 (0.0 to 7.0) | 5.0 (0.0 to 7.0) | 0.0 (−5.0 to 5.0) |
SQUASH (minutes/day) (n = 4) | 336.0 (54.0 to 564.0) | 347.5 (132.0 to 540.0) | −39.0 (−66.0 to 161.0) |
Medication adherence
| |||
Poor/moderate/good (scoring 1 to 3) (n = 8) | 3.0 (2.0 to 3.0) | 3.0 (2.0 to 3.0) | 0.0 (−1.0 to 1.0) |
MARS5 (scoring: 0 to 25) (n = 4) | 23.5 (23.0 to 24.0) | 23.0 (20.0 to 25.0) | −0.5 (−4.0 to 2.0) |
Health status
| |||
FEV1% post-PB (n = 8) | 66.2 (45.2 to 73.6) | 63.1 (46.3 to 72.4) | 0,4 (−7.4 to 4.3) |
MRC (scoring: 1 to 5) (n = 5) | 1.0 (1.0 to 2.0) | 1.0 (1.0 to 1.0) | 0.0 (−1.0 to 0.0) |
CCQ (scoring: 0 to 6) (n = 4) | 1.0 (0.5 to 1.6) | 0.8 (0.1 to 2.4) | −0.2 (−0.4 to 0.8) |