Liacos, A and McDonald, CF and Mahal, A and Hill, CJ and Lee, AL and Burge, AT and Moore, R and Nicolson, C and O'Halloran, P and Cox, NS and Lahham, A and Gilles, R and Holland, AE, The Pulmonary Rehabilitation Adapted Index of Self- Efficacy (PRAISE) tool predicts reduction in sedentary time following pulmonary rehabilitation in people with Chronic Obstructive Pulmonary Disease (COPD), Physiotherapy pp. 1-28. ISSN 0031-9406 (2018) [Refereed Article]
© 2018 Published by Elsevier Ltd on behalf of Chartered Society of Physiotherapy.
Design: Retrospective data analysis from HomeBase trial of home versus centrebased pulmonary rehabilitation.
Setting: Tertiary health service.
Participants: One hundred and sixty-six participants with COPD (100 men) with mean age 69 (standard deviation 9) years, FEV1% predicted 50% (19). Interventions: Eight-week pulmonary rehabilitation program, conducted at the hospital or at home.
Main Outcome Measures: The 15-item PRAISE tool comprising 10 general and 5 pulmonary rehabilitation-specific self-efficacy questions. Predictive validity was examined by exploring the relationship between baseline PRAISE score and objective change in physical activity following pulmonary rehabilitation using the SenseWear Armband. The MID was evaluated using anchor-based and distributionbased methods. Responsiveness was assessed with effect sizes.
Results: A higher baseline PRAISE score (indicating better self-efficacy) was an independent predictor of reduced sedentary time following pulmonary rehabilitation (p=0.03). A one point increase in PRAISE was associated with a decrease in sedentary time of 4 minutes/day (95% confidence interval -7.8 to -0.4 minutes/day. Anchor-based estimates of the MID were 0.5 to 1.5 points; however sensitivity and specificity were modest (area under the curve <0.70). Change in PRAISE score following pulmonary rehabilitation had an effect size of 0.21.
Conclusions: The PRAISE tool has predictive validity and may be useful to identify those with high self-efficacy who are more likely to achieve important health behaviour changes with pulmonary rehabilitation. The small effect size suggests that the PRAISE tool was not responsive to changes following pulmonary rehabilitation.
|Item Type:||Refereed Article|
|Keywords:||physical activity, pulmonary disease, chronic obstructive, self-efficacy, health behaviour|
|Research Division:||Biomedical and Clinical Sciences|
|Research Group:||Cardiovascular medicine and haematology|
|Research Field:||Respiratory diseases|
|Objective Division:||Expanding Knowledge|
|Objective Group:||Expanding knowledge|
|Objective Field:||Expanding knowledge in the health sciences|
|UTAS Author:||Lahham, A (Dr Aroub Lahham)|
|Web of Science® Times Cited:||19|
|Deposited By:||Menzies Institute for Medical Research|
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