What is it about?

How to produce and maintain such behavioural change in COPD remains a challenge. The Urban TrainingTM intervention was efficacious and this supports the use of behavioural strategies as part of the interventions aiming to increase physical activity in COPD patients. This trial suggests that interventions should be designed considering patients’ individual (biological and psychological), interpersonal (social support and cultural practices), and environmental (social, built and natural) factors.

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Why is it important?

The importance and novelty of this simple, reduced burden intervention is that results were observed at long-term (12 months) and in a large and clinically relevant magnitude, with few safety concerns. From the clinical viewpoint, this approach may appear more simple and feasible than others strongly based on technology solutions, particularly in countries with limited healthcare budgets.

Perspectives

The findings of this study are encouraging for COPD research and its management as well as for physical activity promotion in other populations, including those with other chronic diseases and/or settings.

Ane Arbillaga
Universidad de Deusto

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This page is a summary of: Long-term efficacy and effectiveness of a behavioural and community-based exercise intervention (Urban Training) to increase physical activity in patients with COPD: a randomised controlled trial, European Respiratory Journal, August 2018, European Respiratory Society (ERS), DOI: 10.1183/13993003.00063-2018.
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