Development of a Health Action Process Approach-grounded self-management intervention to increase physical activity and exercise in people with chronic pulmonary disease

Project: Research project

Project Details


Most people going through pulmonary rehabilitation make significant and meaningful short-term changes in function, exercise capacity, and quality of life, largely through the hard work of exercise and physical activity.1,2 Unfortunately, these gains are largely lost after 6-12 months.3 Pulmonary rehabilitation’s lack of long-term impact is particularly problematic in the context of Medicare’s 36-visit lifetime maximum benefit.
The proposed project is a development study designed to develop an intervention that improves physical activity and exercise adherence in people with chronic pulmonary disease. This project will bring together patient stakeholders, clinicians, and researchers to develop a self- management intervention that will use shared decision making and current models of behavior change to facilitate increased physical activity and exercise capacity. The proposed intervention is a self-management program that would be offered concurrently with pulmonary rehabilitation, thus extending the effectiveness of the current model of pulmonary rehabilitation within the Medicare lifetime benefit. We plan to convene the stakeholder group six times over the course of this year-long grant to develop, pilot test, and refine the self-management intervention.
Following project conclusion, we will apply for the CHEST Foundation Research Grant in Chronic Obstructive Pulmonary Disease to pilot test the effectiveness of this intervention in people with COPD. The long-term goal of this work is to apply for Patient-Centered Outcomes Research Institute (PCORI) funding to conduct comparative clinical effectiveness research to investigate the effectiveness of pulmonary rehabilitation combined with this self-management intervention compared to pulmonary rehabilitation alone. This project addresses the HPA’s high priority research goals of increasing the impact of physical therapy interventions through health promotion, shared decision making with clients, and the promotion of behavior change by developing a novel self-management intervention that will serve as an adjunct to current
physical therapy practice, extend the benefit of physical therapy, and maximize client outcomes.
Effective start/end date5/1/204/30/21


  • American Physical Therapy Association (Agmt 2/17/20)


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