Acceptability and validity of a home exercise diary used in home-based pulmonary rehabilitation: A secondary analysis of a randomised controlled trial

Aroub Lahham, Christine F. Mcdonald, Ajay Mahal, Annemarie L. Lee, Catherine J. Hill, Angela T. Burge, Narelle S. Cox, Rosemary Moore, Caroline Nicolson, Paul O'halloran, Rebecca Gillies, Anne E. Holland

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Introduction: Evaluating adherence to home-based pulmonary rehabilitation (PR) could be challenging due to lack of direct supervision and the complex nature of the rehabilitation model. To measure adherence to home-based PR in the HomeBase trial, participants were encouraged to work towards a goal of at least 30 min of whole-body exercise on most days of the week and report their participation using a home exercise diary. Objective: This project aimed to evaluate the acceptability and validity of the home exercise diary. Methods: Diary return and completion rates assessed acceptability of the home exercise diary. Home participants underwent physical activity (PA) monitoring using the Sensewear armband during the final week of an 8-week PR. The correlation between self-documented and objective daily exercise minutes was calculated. Objective exercise minutes were defined as bouts of ≥10 min spent in≥moderate PA. Differences in self-documented weekly exercise minutes between sufficiently active (≥7000 daily steps) and inactive participants were computed. Results: Diaries were returned by 92% of programme completers. Of those who returned diaries, 72% have completed exercise documentation. Fifteen programme completers underwent PA monitoring [mean age 69 (9) (SD) years, FEV1 55 (19) %predicted]. A moderate correlation was observed between self-documented and objective mean daily exercise minutes (r=.59, P=.02). Active participants [n = 6, 10 253 (1521) daily steps] documented more exercise (111 min) during week eight compared with inactive participants [n = 9, 2705 (1772) daily steps, P=.002]. Conclusion: The self-documented home exercise diary is an acceptable and valid method to reflect exercise participation during home-based PR.

Original languageEnglish
Pages (from-to)2057-2064
Number of pages8
JournalClinical Respiratory Journal
Volume12
Issue number6
DOIs
Publication statusPublished - Jun 2018
Externally publishedYes

Keywords

  • Motivational interviewing
  • Physical activity
  • Pulmonary disease, chronic obstructive

Cite this

Lahham, Aroub ; Mcdonald, Christine F. ; Mahal, Ajay ; Lee, Annemarie L. ; Hill, Catherine J. ; Burge, Angela T. ; Cox, Narelle S. ; Moore, Rosemary ; Nicolson, Caroline ; O'halloran, Paul ; Gillies, Rebecca ; Holland, Anne E. / Acceptability and validity of a home exercise diary used in home-based pulmonary rehabilitation : A secondary analysis of a randomised controlled trial. In: Clinical Respiratory Journal. 2018 ; Vol. 12, No. 6. pp. 2057-2064.
@article{ba434c4d13fe429c9df09ebab1963bad,
title = "Acceptability and validity of a home exercise diary used in home-based pulmonary rehabilitation: A secondary analysis of a randomised controlled trial",
abstract = "Introduction: Evaluating adherence to home-based pulmonary rehabilitation (PR) could be challenging due to lack of direct supervision and the complex nature of the rehabilitation model. To measure adherence to home-based PR in the HomeBase trial, participants were encouraged to work towards a goal of at least 30 min of whole-body exercise on most days of the week and report their participation using a home exercise diary. Objective: This project aimed to evaluate the acceptability and validity of the home exercise diary. Methods: Diary return and completion rates assessed acceptability of the home exercise diary. Home participants underwent physical activity (PA) monitoring using the Sensewear armband during the final week of an 8-week PR. The correlation between self-documented and objective daily exercise minutes was calculated. Objective exercise minutes were defined as bouts of ≥10 min spent in≥moderate PA. Differences in self-documented weekly exercise minutes between sufficiently active (≥7000 daily steps) and inactive participants were computed. Results: Diaries were returned by 92{\%} of programme completers. Of those who returned diaries, 72{\%} have completed exercise documentation. Fifteen programme completers underwent PA monitoring [mean age 69 (9) (SD) years, FEV1 55 (19) {\%}predicted]. A moderate correlation was observed between self-documented and objective mean daily exercise minutes (r=.59, P=.02). Active participants [n = 6, 10 253 (1521) daily steps] documented more exercise (111 min) during week eight compared with inactive participants [n = 9, 2705 (1772) daily steps, P=.002]. Conclusion: The self-documented home exercise diary is an acceptable and valid method to reflect exercise participation during home-based PR.",
keywords = "Motivational interviewing, Physical activity, Pulmonary disease, chronic obstructive",
author = "Aroub Lahham and Mcdonald, {Christine F.} and Ajay Mahal and Lee, {Annemarie L.} and Hill, {Catherine J.} and Burge, {Angela T.} and Cox, {Narelle S.} and Rosemary Moore and Caroline Nicolson and Paul O'halloran and Rebecca Gillies and Holland, {Anne E.}",
year = "2018",
month = "6",
doi = "10.1111/crj.12773",
language = "English",
volume = "12",
pages = "2057--2064",
journal = "Clinical Respiratory Journal",
issn = "1752-6981",
publisher = "Wiley-Blackwell",
number = "6",

}

Lahham, A, Mcdonald, CF, Mahal, A, Lee, AL, Hill, CJ, Burge, AT, Cox, NS, Moore, R, Nicolson, C, O'halloran, P, Gillies, R & Holland, AE 2018, 'Acceptability and validity of a home exercise diary used in home-based pulmonary rehabilitation: A secondary analysis of a randomised controlled trial' Clinical Respiratory Journal, vol. 12, no. 6, pp. 2057-2064. https://doi.org/10.1111/crj.12773

Acceptability and validity of a home exercise diary used in home-based pulmonary rehabilitation : A secondary analysis of a randomised controlled trial. / Lahham, Aroub; Mcdonald, Christine F.; Mahal, Ajay; Lee, Annemarie L.; Hill, Catherine J.; Burge, Angela T.; Cox, Narelle S.; Moore, Rosemary; Nicolson, Caroline; O'halloran, Paul; Gillies, Rebecca; Holland, Anne E.

In: Clinical Respiratory Journal, Vol. 12, No. 6, 06.2018, p. 2057-2064.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Acceptability and validity of a home exercise diary used in home-based pulmonary rehabilitation

T2 - A secondary analysis of a randomised controlled trial

AU - Lahham, Aroub

AU - Mcdonald, Christine F.

AU - Mahal, Ajay

AU - Lee, Annemarie L.

AU - Hill, Catherine J.

AU - Burge, Angela T.

AU - Cox, Narelle S.

AU - Moore, Rosemary

AU - Nicolson, Caroline

AU - O'halloran, Paul

AU - Gillies, Rebecca

AU - Holland, Anne E.

PY - 2018/6

Y1 - 2018/6

N2 - Introduction: Evaluating adherence to home-based pulmonary rehabilitation (PR) could be challenging due to lack of direct supervision and the complex nature of the rehabilitation model. To measure adherence to home-based PR in the HomeBase trial, participants were encouraged to work towards a goal of at least 30 min of whole-body exercise on most days of the week and report their participation using a home exercise diary. Objective: This project aimed to evaluate the acceptability and validity of the home exercise diary. Methods: Diary return and completion rates assessed acceptability of the home exercise diary. Home participants underwent physical activity (PA) monitoring using the Sensewear armband during the final week of an 8-week PR. The correlation between self-documented and objective daily exercise minutes was calculated. Objective exercise minutes were defined as bouts of ≥10 min spent in≥moderate PA. Differences in self-documented weekly exercise minutes between sufficiently active (≥7000 daily steps) and inactive participants were computed. Results: Diaries were returned by 92% of programme completers. Of those who returned diaries, 72% have completed exercise documentation. Fifteen programme completers underwent PA monitoring [mean age 69 (9) (SD) years, FEV1 55 (19) %predicted]. A moderate correlation was observed between self-documented and objective mean daily exercise minutes (r=.59, P=.02). Active participants [n = 6, 10 253 (1521) daily steps] documented more exercise (111 min) during week eight compared with inactive participants [n = 9, 2705 (1772) daily steps, P=.002]. Conclusion: The self-documented home exercise diary is an acceptable and valid method to reflect exercise participation during home-based PR.

AB - Introduction: Evaluating adherence to home-based pulmonary rehabilitation (PR) could be challenging due to lack of direct supervision and the complex nature of the rehabilitation model. To measure adherence to home-based PR in the HomeBase trial, participants were encouraged to work towards a goal of at least 30 min of whole-body exercise on most days of the week and report their participation using a home exercise diary. Objective: This project aimed to evaluate the acceptability and validity of the home exercise diary. Methods: Diary return and completion rates assessed acceptability of the home exercise diary. Home participants underwent physical activity (PA) monitoring using the Sensewear armband during the final week of an 8-week PR. The correlation between self-documented and objective daily exercise minutes was calculated. Objective exercise minutes were defined as bouts of ≥10 min spent in≥moderate PA. Differences in self-documented weekly exercise minutes between sufficiently active (≥7000 daily steps) and inactive participants were computed. Results: Diaries were returned by 92% of programme completers. Of those who returned diaries, 72% have completed exercise documentation. Fifteen programme completers underwent PA monitoring [mean age 69 (9) (SD) years, FEV1 55 (19) %predicted]. A moderate correlation was observed between self-documented and objective mean daily exercise minutes (r=.59, P=.02). Active participants [n = 6, 10 253 (1521) daily steps] documented more exercise (111 min) during week eight compared with inactive participants [n = 9, 2705 (1772) daily steps, P=.002]. Conclusion: The self-documented home exercise diary is an acceptable and valid method to reflect exercise participation during home-based PR.

KW - Motivational interviewing

KW - Physical activity

KW - Pulmonary disease, chronic obstructive

UR - http://www.scopus.com/inward/record.url?scp=85042172893&partnerID=8YFLogxK

U2 - 10.1111/crj.12773

DO - 10.1111/crj.12773

M3 - Article

VL - 12

SP - 2057

EP - 2064

JO - Clinical Respiratory Journal

JF - Clinical Respiratory Journal

SN - 1752-6981

IS - 6

ER -