Heart Failure; Chronic Obstructive Pulmonary Disease; Daily Activity


Introduction: The purpose was to systematically review the literature regarding interventions to improve daily activity in individuals with chronic obstructive pulmonary disease (COPD) and chronic heart failure (CHF). Methods: Articles found by searching CINAHL Plus Full-Text, PubMed, and PsycINFO databases were included in the review if the study examined the effect of exercise- and/or psychosocial-based interventions on daily activity in individuals with COPD or CHF. Article selection, data extraction, and evaluation of methodological rigor and quality were performed by two independent reviewers. Nine articles for COPD and seven articles for CHF met the inclusion criteria and were used in this review. Results: Only four of nine studies in COPD and two of seven studies in CHF resulted in improvement in daily activity, and of those, all but one study included a psychosocial-based intervention. Improvements in daily activity did not occur concurrently with changes in other outcomes such as exercise performance, quality of life, functional status, or anxiety/depression in COPD or CHF. Conclusions: Exercise-based interventions serve a limited, if any, role in improving daily activity in individuals with COPD and CHF. Disrupting the cycle of inactivity and deconditioning requires more than just addressing the deconditioning aspect of this cycle. Psychosocial-based interventions are a promising, but under-investigated, intervention.