Evidence map›Paper›PMID 26530543›Full record

Trial reportBMC pulmonary medicine2015

The effects of a physical activity counseling program after an exacerbation in patients with Chronic Obstructive Pulmonary Disease: a randomized controlled pilot study.

Miek Hornikx, Heleen Demeyer, Carlos Augusto Camillo, Wim Janssens, Thierry Troosters

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC pulmonary medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02223962 (The Effects of a Physical Activity Counseling Program Immediately After an Exacerbation in Patients With COPD.), which is not on this map. Cited by 30 papers, 14 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 14 pooled it
4.1field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02223962 nacompletednot on this map

The Effects of a Physical Activity Counseling Program Immediately After an Exacerbation in Patients With COPD.

TypeinterventionalSponsorKU LeuvenRan2013 to 2014Enrolled30ConditionsCOPD ExacerbationArmsPhysical activity
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 14 syntheses or guidelines pooled it, 59 citations in OpenAlex.

  1. Pooled it
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  5. Physical activity promotion interventions in chronic airways disease: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2023
    Pooled it
  6. Pooled it
  7. Pooled it
  8. Telerehabilitation for chronic respiratory disease.The Cochrane database of systematic reviews · 2021
    Pooled it
  9. Pooled it
  10. Pooled it
  11. Use of pedometers as a tool to promote daily physical activity levels in patients with COPD: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2019
    Pooled it
  12. Counseling for health behavior change in people with COPD: systematic review.International journal of chronic obstructive pulmonary disease · 2017
    Pooled it
  13. Pooled it
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  15. Trial
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  18. Article
  19. Content, uptake and adherence of exercise interventions after an acute exacerbation of COPD: a scoping review.European respiratory review : an official journal of the European Respiratory Society · 2025
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Miek HornikxDepartment of Cardiovascular Diseases, University Hospitals Leuven, KU Leuven-University of Leuven, B-3000, Leuven, Belgium. miek.hornikx@faber.kuleuven.be.
Heleen DemeyerDepartment of Respiratory Diseases, University Hospitals Leuven, KU Leuven-University of Leuven, B-3000, Leuven, Belgium. heleen.demeyer@faber.kuleuven.be.
Carlos Augusto CamilloDepartment of Respiratory Diseases, University Hospitals Leuven, KU Leuven-University of Leuven, B-3000, Leuven, Belgium. carlos.camillo@faber.kuleuven.be.
Wim JanssensDepartment of Respiratory Diseases, University Hospitals Leuven, KU Leuven-University of Leuven, B-3000, Leuven, Belgium. wim.janssens@uzleuven.be.
Thierry TroostersDepartment of Respiratory Diseases, University Hospitals Leuven, KU Leuven-University of Leuven, B-3000, Leuven, Belgium. thierry.troosters@med.kuleuven.be.
KU Leuven · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn some patients with COPD, the disease is characterized by exacerbations. Severe exacerbations warrant a hospitalization, with prolonged detrimental effects on physical activity. Interventions after an exacerbation may improve physical activity, with longstanding health benefits. Physical activity counseling and real-time feedback were effective in stable COPD. No evidence is available on the use of this therapeutic modality in patients after a COPD exacerbation.

methodsThirty patients were randomly assigned to usual care or physical activity counseling, by telephone contacts at a frequency of 3 times a week and real-time feedback. Lung function, peripheral muscle strength, functional exercise capacity, symptom experience and COPD-related health status were assessed during hospital stay and 1 month later.

resultsBoth groups significantly recovered in physical activity (PAsteps: control group: 1013 ± 1275 steps vs intervention group: 984 ± 1208 steps (p = 0.0005); PAwalk: control group: 13 ± 14 min vs intervention group: 13 ± 16 min (p = 0.0002)), functional exercise capacity (control group: 64 ± 59 m (p = 0.002) vs intervention group: 67 ± 84 m (p = 0.02)) and COPD-related health status (CAT: control group: -5 [-7 to 1] (p = 0.02) vs intervention group: -3 [-10 to 1] points (p = 0.03)). No differences between groups were observed.

conclusionFrom our pilot study, we concluded that telephone based physical activity counseling with pedometer feedback after an exacerbation did not result in better improvements in physical activity and clinical outcomes compared to usual care. Because of the difficult recruitment and the negative intermediate analyses, this study was not continued.

trial registrationClinicaltrials.gov NCT02223962. Registered 4 September 2013.

Indexed as

Exercise ToleranceHealth StatusMotor ActivityMuscle StrengthTelephoneAccelerometryAgedCounselingDisease ProgressionExercise TestFeedbackFemaleForced Expiratory VolumeHospitalizationHumansMale

Identifiers

PMID26530543
PMCPMC4632467
OpenAlexW2126477996

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.