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Pulmonary Rehabilitation Maintenance Interventions: A Systematic Review

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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.
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Document Type: Research Article

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: [email protected] 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: 2014-05-01

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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.

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