TITLE:
Interventions to improve daily activity in individuals with COPD and CHF: A systematic review
AUTHORS:
Michael J. Shoemaker, Brian Keenoy, Brad Smith, Patrick Slotman
KEYWORDS:
Heart Failure; Chronic Obstructive Pulmonary Disease; Daily Activity
JOURNAL NAME:
World Journal of Cardiovascular Diseases,
Vol.3 No.3,
June
4,
2013
ABSTRACT:
Introduction: The purpose was to systematically review
the literature regarding interventions to improve daily activity in
individuals with chronic obstructive pulmonary disease (COPD) and chronic
heart failure (CHF). Methods: Articles found by searching CINAHL Plus Full-Text,
PubMed, and PsycINFO databases were included in the review if the study
examined the effect of exercise- and/or psychosocial-based interventions on
daily activity in individuals with COPD or CHF. Article selection, data
extraction, and evaluation of methodological rigor and quality were performed
by two independent reviewers. Nine articles for COPD and seven articles for
CHF met the inclusion criteria and were used in this review. Results: Only four
of nine studies in COPD and two of seven studies in CHF resulted in improvement
in daily activity, and of those, all but one study included a psychosocial-based
intervention. Improvements in daily activity did not occur concurrently with
changes in other outcomes such as exercise performance, quality of life,
functional status, or anxiety/depression in COPD or CHF. Conclusions: Exercise-based
interventions serve a limited, if any, role in improving daily activity in
individuals with COPD and CHF. Disrupting the cycle of inactivity and deconditioning
requires more than just addressing the deconditioning aspect of this cycle. Psychosocial-based interventions are a promising, but under-investigated, intervention.