{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T20:38:12Z","timestamp":1774384692718,"version":"3.50.1"},"reference-count":96,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,1,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Physical activity (PA) coaching, defined as a structured one-to-one intervention using behavior-change techniques, may increase PA in people with chronic obstructive pulmonary disease (COPD). This systematic review aimed to assess the effects of individual PA coaching components.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Randomized clinical trials comparing PA coaching vs usual care in COPD were searched. Effect direction plots synthesized results, and meta-analyses were conducted for selected outcomes, subgroup analyses exploring individual PA coaching components.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thirty-two studies involving 5483 people with COPD (67\u2005\u00b1\u20059 years; 55% male; 53\u2005\u00b1\u200518 FEV1%predicted) were included. PA coaching, mostly delivered remotely, weekly, for 12 weeks, consisted of education, exercise, feedback, goal setting\/review, motivational interviews, problem-solving, self-monitoring, and social support. Effect direction plots showed a positive impact of PA coaching on PA (73%, 95%CI 58-89% of studies), with minimal or no effects on emotional, physical, symptoms, and health-related quality of life domains. Meta-analyses revealed a significant increase in steps\/day (MD[95%CI]\u2005=\u2005806.84[478.99,1134.70]steps\/day, I2\u2005=\u200566, P\u2005&amp;lt;\u20050.01); however, no clinically relevant changes were observed in other outcomes. Compliance rate across studies was 86% 95%CI, 83%-89%.<\/jats:p>\n                    <jats:p>Subgroups analyses for self-monitoring (MD[95%CI]\u2005=\u2005861[555 1166]steps\/day; I2\u2005=\u200566, P\u2005&amp;lt;\u20050.01) and goal setting\/review (MD[95%CI]\u2005=\u2005916[563 1296]steps\/day; I2\u2005=\u200569, P\u2005&amp;lt;\u20050.01) demonstrated significant and clinically relevant improvements in steps\/day. Significant between-group differences in whether self-monitoring (\u03c72\u2005=\u20059.84, P\u2005&amp;lt;\u20050.01) and goal setting\/review (\u03c72\u2005=\u20057.59, P\u2005&amp;lt;\u20050.01) were included suggest these components may moderate PA coaching effectiveness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>PA coaching increases daily steps in people with COPD without significantly affecting emotional, physical, symptoms or health-related quality of life domains. Including self-monitoring and goal setting\/review may enhance its effectiveness.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/abm\/kaaf044","type":"journal-article","created":{"date-parts":[[2025,7,17]],"date-time":"2025-07-17T13:29:41Z","timestamp":1752758981000},"source":"Crossref","is-referenced-by-count":3,"title":["Physical activity coaching in people with chronic obstructive pulmonary disease: a systematic literature review with meta-analysis"],"prefix":"10.1093","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0487-4819","authenticated-orcid":false,"given":"Nicola S","family":"Diciolla","sequence":"first","affiliation":[{"name":"Physiotherapy in Women\u2019s Health Research Group \u2013 FPSM, Department of Nursing and Physiotherapy, University of Alcal\u00e1 , 28805, Alcal\u00e1 de Henares, Madrid ,","place":["Spain"]},{"name":"Respiratory Research and Rehabilitation Laboratory \u2013 Lab3R, School of Health Sciences - ESSUA, University of Aveiro , 3810-193, Aveiro ,","place":["Portugal"]},{"name":"Institute of Biomedicine \u2013 iBiMED, University of Aveiro , 3810-193, Aveiro ,","place":["Portugal"]}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0059-4991","authenticated-orcid":false,"given":"Maria Jos\u00e9","family":"Yuste-S\u00e1nchez","sequence":"additional","affiliation":[{"name":"Physiotherapy in Women\u2019s Health Research Group \u2013 FPSM, Department of Nursing and Physiotherapy, University of Alcal\u00e1 , 28805, Alcal\u00e1 de Henares, Madrid ,","place":["Spain"]},{"name":"Ram\u00f3n y Cajal Institute of Health Research - IRYCIS, Ram\u00f3n y Cajal University Hospital , 28034, Madrid ,","place":["Spain"]}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7051-3130","authenticated-orcid":false,"given":"Maria","family":"Torres-Lacomba","sequence":"additional","affiliation":[{"name":"Physiotherapy in Women\u2019s Health Research Group \u2013 FPSM, Department of Nursing and Physiotherapy, University of Alcal\u00e1 , 28805, Alcal\u00e1 de Henares, Madrid ,","place":["Spain"]},{"name":"Ram\u00f3n y Cajal Institute of Health Research - IRYCIS, Ram\u00f3n y Cajal University Hospital , 28034, Madrid ,","place":["Spain"]}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5896-6209","authenticated-orcid":false,"given":"C\u00e1tia","family":"Paix\u00e3o","sequence":"additional","affiliation":[{"name":"Respiratory Research and Rehabilitation Laboratory \u2013 Lab3R, School of Health Sciences - ESSUA, University of Aveiro , 3810-193, Aveiro ,","place":["Portugal"]},{"name":"Institute of Biomedicine \u2013 iBiMED, University of Aveiro , 3810-193, Aveiro ,","place":["Portugal"]}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4980-6200","authenticated-orcid":false,"given":"Alda","family":"Marques","sequence":"additional","affiliation":[{"name":"Respiratory Research and Rehabilitation Laboratory \u2013 Lab3R, School of Health Sciences - ESSUA, University of Aveiro , 3810-193, Aveiro ,","place":["Portugal"]},{"name":"Institute of 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