title: Testing an intervention to improve functional capability in advanced cardiopulmonary illness.
abstract: The development of a conceptually driven exercise and self-management intervention for improving functional capability and reducing health care costs using social cognitive theory is described. The intervention has 2 components: a 1-month outpatient exercise intervention followed by a home component, lasting 5 months. The intervention is expected to have significant impact on daily function, quality of life, gait/balance, self-efficacy, and health care utilization in persons with advanced heart failure or chronic obstructive pulmonary disease. We report preliminary results related to process-related variables, including feasibility, safety, and intervention adherence. Intervention outcomes are currently under study and will be reported when available.
authors.affiliation: Department of Biobehavioral Nursing and Health Systems, School of Nursing, University of Washington, 1660 S. Columbian Way, Seattle, WA 98109, USA. cynthia.dougherty@va.gov
authors.forename: Cynthia M
authors.initials: CM
authors.lastname: Dougherty
authors.forename: Bonnie G
authors.initials: BG
authors.lastname: Steele
authors.forename: Jim
authors.initials: J
authors.lastname: Hunziker
mesh_terms: D015928:Cognitive Behavioral Therapy; D003256:Community Participation; D017046:Cost Savings; D006233:Persons with Disabilities / Q000193:education / Q000523:psychology / Q000534:rehabilitation; D005081:Exercise Therapy / Q000592:standards; D017079:Exercise Tolerance; D006333:Heart Failure / Q000503:physiopathology / Q000534:rehabilitation; D006801:Humans; D007398:Interpersonal Relations; D010353:Patient Education as Topic; D029424:Pulmonary Disease, Chronic Obstructive / Q000503:physiopathology / Q000534:rehabilitation; D011788:Quality of Life; D020127:Recovery of Function; D012648:Self Care / Q000379:methods / Q000523:psychology; D020377:Self Efficacy; D016896:Treatment Outcome