Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/120532
Citations
Scopus Web of Science® Altmetric
?
?
Type: Journal article
Title: Exercise training combined with psychological interventions for people with chronic obstructive pulmonary disease
Author: Wiles, L.
Cafarella, P.
Williams, M.
Citation: Respirology, 2015; 20(1):46-55
Publisher: Wiley
Issue Date: 2015
ISSN: 1323-7799
1440-1843
Statement of
Responsibility: 
Louise Wiles, Paul Cafarella and Marie T. Williams
Abstract: Previous systematic reviews have confirmed the benefits of both exercise training and psychological interventions in people with chronic obstructive pulmonary disease (COPD). The objective of this systematic review was to examine the effect of interventions which combine exercise training and psychological interventions for a range of health outcomes in people with COPD. Database searches identified randomized controlled trials of people with COPD participating in interventions that combined exercise training with a psychological strategy compared with control (usual care, waiting list) or active comparators (education, exercise, psychological interventions alone). Health outcomes included dyspnoea, anxiety, depression, quality of life or functional exercise capacity. Standardized mean differences (SMD) were calculated for each intervention arm/control comparison. Across the 12 included studies (738 participants), compared with control conditions, SMD consistently favoured interventions which included both exercise + psychological components (SMD range dyspnoea -1.63 to -0.25; anxiety -0.50 to -0.20; depression -0.46 to -0.18; quality of life 0.09 to 1.16; functional exercise capacity 0.22 to 1.23). When compared with active comparators, SMD consistently favoured interventions that included exercise training + psychological component for dyspnoea (SMD range -0.35 to -0.97), anxiety (SMD range -0.13 to -1.00) and exercise capacity (SMD range 0.64 to 0.71) but were inconsistent for depression (-0.11 to 1.27) and quality of life (0.02 to -2.00). The magnitude of effect for most interventions was greater than the minimum required for clinical significance (i.e. > 0.32) in behavioural medicine. While interventions, outcomes and effect sizes differed substantially between studies, combining exercise training with a psychological intervention may provide a means of optimizing rehabilitation in people with COPD.
Keywords: Chronic obstructive pulmonary disease; exercise training; psychological intervention; pulmonary rehabilitation; systematic review
Rights: © 2014 Asian Pacific Society of Respirology
RMID: 0030120607
DOI: 10.1111/resp.12419
Grant ID: http://purl.org/au-research/grants/nhmrc/1010309
Appears in Collections:Psychology publications

Files in This Item:
There are no files associated with this item.


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.