The Pulmonary Rehabilitation Adapted Index of Self-Efficacy (PRAISE) tool predicts reduction in sedentary time following pulmonary rehabilitation in people with chronic obstructive pulmonary disease (COPD)
| Autor: | Catherine J. Hill, Anne E Holland, Aroub Lahham, Narelle S Cox, Ajay Mahal, Christine F McDonald, Rosemary Moore, Paul O'Halloran, Annemarie L. Lee, Rebecca Gillies, Angela T Burge, Athina Liacos, Caroline Nicolson |
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| Rok vydání: | 2017 |
| Předmět: |
Predictive validity
Male 030506 rehabilitation medicine.medical_specialty media_common.quotation_subject medicine.medical_treatment Health Behavior Psychological intervention Physical Therapy Sports Therapy and Rehabilitation 03 medical and health sciences Pulmonary Disease Chronic Obstructive 0302 clinical medicine Accelerometry Medicine Humans Pulmonary rehabilitation Single-Blind Method 030212 general & internal medicine Praise Exercise media_common Aged Retrospective Studies Self-efficacy Aged 80 and over COPD Exercise Tolerance business.industry Area under the curve Middle Aged medicine.disease Home Care Services Confidence interval Self Efficacy Physical therapy Female Sedentary Behavior 0305 other medical science business |
| Zdroj: | Physiotherapy. 105(1) |
| ISSN: | 1873-1465 |
| Popis: | Objectives To examine the predictive validity, minimal important difference (MID) and responsiveness of the PRAISE tool. Design Retrospective data analysis from HomeBase trial of home vs centre-based pulmonary rehabilitation. Setting Tertiary health service. Participants One hundred and sixty-six participants with COPD (100 men) with mean age 69 (SD 9) years, FEV1% predicted 50% (19). Interventions Eight-week pulmonary rehabilitation program, conducted at the hospital or at home. Main outcome measures The 15-item PRAISE tool comprising 10 general and five pulmonary rehabilitation-specific self-efficacy questions. Predictive validity was examined by exploring the relationship between baseline PRAISE score and objective change in physical activity following pulmonary rehabilitation using the SenseWear Armband. The MID was evaluated using anchor-based and distribution-based methods. Responsiveness was assessed with effect sizes. Results A higher baseline PRAISE score (indicating better self-efficacy) was an independent predictor of reduced sedentary time following pulmonary rehabilitation (P = 0.03). A one point increase in PRAISE was associated with a decrease in sedentary time of 4 minutes/day (95% confidence interval −7.8 to −0.4 minutes/day). Anchor-based estimates of the MID were 0.5 to 1.5 points; however sensitivity and specificity were modest (area under the curve Conclusions The PRAISE tool has predictive validity and may be useful to identify those with high self-efficacy who are more likely to achieve important health behaviour changes with pulmonary rehabilitation. The small effect size suggests that the PRAISE tool was not responsive to changes following pulmonary rehabilitation. Trial registration number NCT01423227, clinicaltrials.gov . |
| Databáze: | OpenAIRE |
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