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Pulmonary rehabilitation maintenance interventions: a systematic review.
Am J Health Behav. 2014 May;38(3):321-30
Authors: Busby AK, Reese RL, Simon SR
Abstract
OBJECTIVE: To examine existing research on pulmonary exercise
rehabilitation (PR) maintenance interventions.
METHODS: Authors conducted a systematic review of PR maintenance
interventions. The primary outcome of interest was physical endurance.
RESULTS: Eight studies met inclusion criteria. Most showed initial positive
intervention effects, which declined to non-significance within 3-12 months
after completion of maintenance. Only one of the 8 studies described a
theoretical framework underlying the maintenance intervention.
CONCLUSIONS: Existing interventions generally fail to maintain benefits
derived from PR programs. Future studies should evaluate maintenance
interventions that are theoretically-based and seek to impact known
maintenance mediators. Evaluation of these interventions should include
substantial follow-up periods and adherence measurements.
PMID: 24636028 [PubMed - indexed for MEDLINE]
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www.ncbi.nlm.nih.gov/home/about/policies).
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