Telemonitoring of Daily Activity and Symptom Behavior in Patients with COPD

Objectives. This study investigated the activity behavior of patients with COPD in detail compared to asymptomatic controls, and the relationship between subjective and objective activities (awareness), and readiness to change activity behavior. Methods. Thirty-nine patients with COPD (66.0 years; F...

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Main Authors: Monique Tabak, Miriam M. R. Vollenbroek-Hutten, Paul D. L. P. M. van der Valk, Job van der Palen, Thijs M. Tönis, Hermie J. Hermens
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:International Journal of Telemedicine and Applications
Online Access:http://dx.doi.org/10.1155/2012/438736
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author Monique Tabak
Miriam M. R. Vollenbroek-Hutten
Paul D. L. P. M. van der Valk
Job van der Palen
Thijs M. Tönis
Hermie J. Hermens
author_facet Monique Tabak
Miriam M. R. Vollenbroek-Hutten
Paul D. L. P. M. van der Valk
Job van der Palen
Thijs M. Tönis
Hermie J. Hermens
author_sort Monique Tabak
collection DOAJ
description Objectives. This study investigated the activity behavior of patients with COPD in detail compared to asymptomatic controls, and the relationship between subjective and objective activities (awareness), and readiness to change activity behavior. Methods. Thirty-nine patients with COPD (66.0 years; FEV1% predicted: 44.9%) and 21 healthy controls (57.0 years) participated. Objective daily activity was assessed by accelerometry and expressed as amount of activity in counts per minute (cpm). Patients' baseline subjective activity and stage of change were assessed prior to measurements. Results. Mean daily activity in COPD patients was significantly lower compared to the healthy controls ( cpm versus  cpm, ). COPD patients showed a temporary decrease in objective activities in the early afternoon. Objective and subjective activities were significantly moderately related and most patients (55.3%) were in the maintenance phase of the stages of change. Conclusions. COPD patients show a distinctive activity decrease in the early afternoon. COPD patients are moderately aware of their daily activity but regard themselves as physically active. Therefore, future telemedicine interventions might consider creating awareness of an active lifestyle and provide feedback that aims to increase and balance activity levels.
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spelling doaj-art-1d873aefe09f45ddbb7ce311169804262025-02-03T05:46:39ZengWileyInternational Journal of Telemedicine and Applications1687-64151687-64232012-01-01201210.1155/2012/438736438736Telemonitoring of Daily Activity and Symptom Behavior in Patients with COPDMonique Tabak0Miriam M. R. Vollenbroek-Hutten1Paul D. L. P. M. van der Valk2Job van der Palen3Thijs M. Tönis4Hermie J. Hermens5Telemedicine Group, Roessingh Research and Development, P.O. Box 310, 7500 AH Enschede, The NetherlandsTelemedicine Group, Roessingh Research and Development, P.O. Box 310, 7500 AH Enschede, The NetherlandsDepartment of Pulmonary Medicine, Medisch Spectrum Twente, 7500 KA Enschede, The NetherlandsDepartment of Research Methodology, Measurement and Data Analysis, University of Twente, 7500 AE Enschede, The NetherlandsTelemedicine Group, Roessingh Research and Development, P.O. Box 310, 7500 AH Enschede, The NetherlandsTelemedicine Group, Roessingh Research and Development, P.O. Box 310, 7500 AH Enschede, The NetherlandsObjectives. This study investigated the activity behavior of patients with COPD in detail compared to asymptomatic controls, and the relationship between subjective and objective activities (awareness), and readiness to change activity behavior. Methods. Thirty-nine patients with COPD (66.0 years; FEV1% predicted: 44.9%) and 21 healthy controls (57.0 years) participated. Objective daily activity was assessed by accelerometry and expressed as amount of activity in counts per minute (cpm). Patients' baseline subjective activity and stage of change were assessed prior to measurements. Results. Mean daily activity in COPD patients was significantly lower compared to the healthy controls ( cpm versus  cpm, ). COPD patients showed a temporary decrease in objective activities in the early afternoon. Objective and subjective activities were significantly moderately related and most patients (55.3%) were in the maintenance phase of the stages of change. Conclusions. COPD patients show a distinctive activity decrease in the early afternoon. COPD patients are moderately aware of their daily activity but regard themselves as physically active. Therefore, future telemedicine interventions might consider creating awareness of an active lifestyle and provide feedback that aims to increase and balance activity levels.http://dx.doi.org/10.1155/2012/438736
spellingShingle Monique Tabak
Miriam M. R. Vollenbroek-Hutten
Paul D. L. P. M. van der Valk
Job van der Palen
Thijs M. Tönis
Hermie J. Hermens
Telemonitoring of Daily Activity and Symptom Behavior in Patients with COPD
International Journal of Telemedicine and Applications
title Telemonitoring of Daily Activity and Symptom Behavior in Patients with COPD
title_full Telemonitoring of Daily Activity and Symptom Behavior in Patients with COPD
title_fullStr Telemonitoring of Daily Activity and Symptom Behavior in Patients with COPD
title_full_unstemmed Telemonitoring of Daily Activity and Symptom Behavior in Patients with COPD
title_short Telemonitoring of Daily Activity and Symptom Behavior in Patients with COPD
title_sort telemonitoring of daily activity and symptom behavior in patients with copd
url http://dx.doi.org/10.1155/2012/438736
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