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Pulmonary Rehabilitation Maintenance Interventions: A Systematic Review

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Abstract:

Objective: To examine existing research on pulmonary exercise rehabilitation (PR) maintenance interventions.

Methods: Authors conducted a systematic review of PR maintenance interventions. The primary outcome of interest was physical endurance.

Results: Eight studies met inclusion criteria. Most showed initial positive intervention effects, which declined to non-significance within 3-12 months after completion of maintenance. Only one of the 8 studies described a theoretical framework underlying the maintenance intervention.

Conclusions: Existing interventions generally fail to maintain benefits derived from PR programs. Future studies should evaluate maintenance interventions that are theoretically-based and seek to impact known maintenance mediators. Evaluation of these interventions should include substantial follow-up periods and adherence measurements.

Keywords: BEHAVIOR CHANGE; CHRONIC OBSTRUCTIVE PULMONARY DISEASE; EXERCISE; PHYSICAL ACTIVITY

Document Type: Research Article

DOI: http://dx.doi.org/10.5993/AJHB.38.3.1

Affiliations: 1: Emergency Service, VA Boston Healthcare System, Boston, MA, USA; Lifespan Physician Group, Behavioral Medicine Clinical Services, The Miriam Hospital, Providence, RI, USA., Email: abusby@lifespan.org 2: Behavioral Medicine fellow, Behavioral Medicine Service, VA Boston Healthcare System, Boston, MA, USA 3: Chief, Section of General Internal Medicine, VA Boston Healthcare System, Boston, MA, USA

Publication date: May 1, 2014

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  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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