@article {Busby:2014:1087-3244:321,title = "Pulmonary Rehabilitation Maintenance Interventions: A Systematic Review", journal = "American Journal of Health Behavior", parent_itemid = "infobike://png/ajhb", publishercode ="png", year = "2014", volume = "38", number = "3", publication date ="2014-05-01T00:00:00", pages = "321-330", itemtype = "ARTICLE", issn = "1087-3244", eissn = "1945-7359", url = "http://www.ingentaconnect.com/content/png/ajhb/2014/00000038/00000003/art00001", doi = "doi:10.5993/AJHB.38.3.1", keyword = "CHRONIC OBSTRUCTIVE PULMONARY DISEASE, EXERCISE, PHYSICAL ACTIVITY, BEHAVIOR CHANGE" abstract = " Objective: To examine existing research on pulmonary exercise rehabilitation (PR) maintenance interventions. Methods: Authors conducted a systematic review of PR maintenance interventions. The primary outcome of interest was physical endurance. Results: Eight studies met inclusion criteria. Most showed initial positive intervention effects, which declined to non-significance within 3-12 months after completion of maintenance. Only one of the 8 studies described a theoretical framework underlying the maintenance intervention. Conclusions: Existing interventions generally fail to maintain benefits derived from PR programs. Future studies should evaluate maintenance interventions that are theoretically-based and seek to impact known maintenance mediators. Evaluation of these interventions should include substantial follow-up periods and adherence measurements.", author = "Busby, Andrea K. and Reese, Rebecca L. and Simon, Steven R.", }