Key result
The Mindful Steps intervention is proposed to be tested in a 42-patient randomized feasibility trial to promote long-term physical activity in older adults with COPD and heart failure, with no clinical results yet available.
Why the study?
Long-term physical activity engagement remains challenging for patients with COPD and heart failure despite current rehabilitation programs, highlighting a need for novel strategies.
Does the Mindful Steps intervention improve physical activity and self-efficacy in older adults with COPD and/or HF?
Does the Mindful Steps intervention improve physical activity and self-efficacy in older adults with COPD and/or HF?
This protocol describes a planned randomized feasibility trial of a multimodal mind-body physical activity intervention for patients with COPD and heart failure.
Trial protocol for Mindful Steps now available; leaves open whether mind-body intervention improves activity and self-efficacy in comorbid COPD and HF.
BACKGROUND: Despite current rehabilitation programs, long-term engagement in physical activity remains a significant challenge for patients with chronic obstructive pulmonary disease (COPD) and heart failure (HF). Novel strategies to promote physical activity in these populations are greatly needed. Emerging literature on the benefits of both mind-body interventions and web-based interventions provide the rationale for the development of the Mindful Steps intervention for increasing walking behavior. OBJECTIVE: This study aims to develop a novel multimodal mind-body exercise intervention through adaptation of an existing web-based physical activity intervention and incorporation of mind-body exercise, and to pilot test the delivery of the new intervention, Mindful Steps, in a randomized controlled feasibility trial in older adults with COPD and/or HF. METHODS: In phase 1, guided by a theoretical conceptual model and review of the literature on facilitators and barriers of physical activity in COPD and HF, we convened an expert panel of researchers, mind-body practitioners, and clinicians to inform development of the novel, multimodal intervention. In phase 2, we are conducting a pilot randomized controlled feasibility trial of the Mindful Steps intervention that includes in-person mind-body exercise classes, an educational website, online mind-body videos, and a pedometer with step-count feedback and goals to increase walking behavior in patients with COPD and/or HF. Outcomes include feasibility measures as well as patient-centered measures. RESULTS: The study is currently ongoing. Phase 1 intervention development was completed in March 2019, and phase 2 data collection began in April 2019. CONCLUSIONS: Through the integration of components from a web-based physical activity intervention and mind-body exercise, we created a novel, multimodal program to impact long-term physical activity engagement for individuals with COPD and HF. This developmental work and pilot study will provide valuable information needed to design a future clinical trial assessing efficacy of this multimodal approach. TRIAL REGISTRATION: ClinicalTrials.gov NCT03003780; https://clinicaltrials.gov/ct2/show/NCT03003780. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/27826.
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Litrownik et al. (2021) studied Chronic obstructive pulmonary disease (COPD) and chronic heart failure (HF) (n=42). Mindful Steps (web-based physical activity intervention with mind-body principles) vs. Usual care was evaluated on Feasibility, self-efficacy, and overall physical activity level. The Mindful Steps intervention is proposed to be tested in a 42-patient randomized feasibility trial to promote long-term physical activity in older adults with COPD and heart failure, with no clinical results yet available.
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