title: The effects of a lifestyle physical activity counseling program with feedback of a pedometer during pulmonary rehabilitation in patients with COPD: a pilot study.
abstract: OBJECTIVE
  To study the effects of a lifestyle physical activity counseling program with feedback of a pedometer during pulmonary rehabilitation.
  
  
  METHODS
  Twenty-one chronic obstructive pulmonary disease (COPD) patients were randomized to an experimental group that followed a regular rehabilitation program plus the counseling intervention or to a control group that only followed rehabilitation. The primary outcome was daily physical activity assessed by pedometers. Secondary outcomes were physical fitness, health-related quality of life, activities of daily living, depression and self-efficacy.
  
  
  RESULTS
  The experimental group showed an increase of 1,430 steps/day (+69% from baseline), whereas the control group showed an increase of 455 steps/day (+19%) (p = 0.11 for group x time interaction). The secondary outcomes showed no differences.
  
  
  CONCLUSIONS
  This study showed that the use of the pedometer, in combination with exercise counseling and the stimulation of lifestyle physical activity, is a feasible addition to pulmonary rehabilitation which may improve outcome and maintenance of rehabilitation results.
authors.affiliation: Institute of Human Movement Sciences, University of Groningen, Anton Deusinglaan 1, P.O. Box 196, 9700 AD Groningen, The Netherlands.
authors.forename: Bertine M J
authors.initials: BM
authors.lastname: de Blok
authors.forename: Mathieu H G
authors.initials: MH
authors.lastname: de Greef
authors.forename: Nick H T
authors.initials: NH
authors.lastname: ten Hacken
authors.forename: Siska R
authors.initials: SR
authors.lastname: Sprenger
authors.forename: Klaas
authors.initials: K
authors.lastname: Postema
authors.forename: Johan B
authors.initials: JB
authors.lastname: Wempe
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D016009:Chi-Square Distribution; D003376:Counseling; D003863:Depression / Q000523:psychology; D005246:Feedback; D005260:Female; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D009043:Motor Activity; D010349:Patient Compliance / Q000523:psychology*; D010865:Pilot Projects; D029424:Pulmonary Disease, Chronic Obstructive / Q000523:psychology / Q000534:rehabilitation*; D011788:Quality of Life; D020377:Self Efficacy; D018709:Statistics, Nonparametric