The purpose of this study is to investigate to what extent patients with COPD, who have participated in physical training for 12 weeks, can maintain their physical activity behaviour and physical capacity on a long-term basis if they get a behavioural medicine intervention.

Brief Title

Behavioral Intervention to Maintain Physical Capacity and Activity in Patients With Chronic Obstructive Pulmonary Disease (COPD)

Official Title

Behavioral Medicine Intervention to Maintain Physical Capacity and Level of Physical Activity in Patients With Chronic Obstructive Pulmonary Disease (COPD)

Brief Summary

The purpose of this study is to investigate to what extent patients with COPD, who have<br /> participated in physical training for 12 weeks, can maintain their physical activity<br /> behaviour and physical capacity on a long-term basis if they get a behavioural medicine<br /> intervention.

Detailed Description

Chronic Obstructive Pulmonary Disease (COPD) is a progressive disease and the number of
patients is increasing. Persons with COPD have a low physical capacity and a low physical
activity level. The risk of premature morbidity and mortality is high especially in persons
with a low level of physical capacity and activity. Rehabilitation including physical
training is recommended and results in decreased morbidity and mortality and increased
physical capacity and quality of life. Unfortunately improvements decrease if patients do not
maintain their physical activity level.

To change physical activity behaviour in is challenging. Different methods as Social
Cognitive Theory, SCT and the Transtheoretical model, TTM have been suggested as theoretical
framework. According to SCT, to improve physical activity behaviour you should use
goal-setting, outcome expectancy, self-efficacy, and self-monitoring.

To use motivational interviewing (MI) improves the success of a behaviour change.

Patients will be randomized after the 12-week training period, tested, and thereafter both
the intervention group and the control group will get information about the importance of
physical activity and the recommendations.

Thereafter patients in the intervention group will receive weekly telephone calls for the
first month, telephone calls every second week for the following two months and thereafter
monthly telephone calls for the following three months. The telephone calls will be in
accordance with MI and discuss goal-setting, out-come expectancy, and self-monitoring.

Patients will be tested after 6,12,and 24 months.

Outcome Measures

Outcome measures are the tests that investigators perform to prove whether or not a treatment being tested in a clinical trial is having any effect.

Inclusion Criteria:

  -  Patients with COPD at Uppsala and Umeå university hospitals, who have participated in
     physical training at the hospital for 12 weeks.

  -  Diagnose of COPD

Exclusion criteria:

  -  Understand the Swedish language

  -  Be able to be physically active