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Monthly phone counseling increased willingness to set lifestyle goals in patients with chronic obstructive pulmonary diseaseMost COPD patients willing to set lifestyle goals after counseling

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Key Takeaway
Note that satisfaction with current habits often limits engagement in lifestyle goal-setting among patients with COPD.

This randomized controlled trial enrolled 103 patients with chronic obstructive pulmonary disease (COPD) to assess the impact of monthly phone calls over 12 months offering lifestyle counseling on diet and physical activity using motivational interviewing. The primary outcome measured was willingness to set lifestyle goals, while secondary outcomes included goal focus, adjustments over time, reasons for unwillingness, and differences between goal setters and non-goal setters.

At the 12-month follow-up, 71% of patients were willing to set lifestyle goals. Among those who set goals, the focus was most often on physical activity. Approximately one-quarter of participants adjusted their goals during the follow-up period. Reasons cited for unwillingness to set goals included satisfaction with current habits or no perceived need for change. No differences were found in demographic, physiological, lifestyle, or motivational characteristics between goal setters and non-goal setters.

Safety data, adverse events, and discontinuations were not reported in the provided evidence. A key limitation is that data were analyzed only for a subset of patients who had completed the trial by 12 February 2025. These findings provide input for the design of future interventions to support sustainable lifestyle change in COPD care, though the results reflect a subset analysis rather than the full trial population.

Researchers studied 103 patients with chronic obstructive pulmonary disease (COPD) to see if they would set lifestyle goals. The patients received monthly phone calls for 12 months that offered counseling on diet and physical activity using motivational interviewing techniques. The main goal was to measure how many patients were willing to set these goals and what those goals looked like.

The study found that 71% of the patients were willing to set lifestyle goals. Most of these goals focused on physical activity. About one-quarter of the patients adjusted their goals during the follow-up period. Those who were not willing to set goals often said they were satisfied with their current habits or did not feel a need to change.

There were no differences found between patients who set goals and those who did not, based on their demographics, health status, or motivation. The researchers did not report any safety concerns or adverse events related to the counseling calls. However, the data were analyzed only for a subset of patients who completed the trial by February 12, 2025. This means the results might not reflect the experience of all patients in the original study.

Readers should understand that this study provides useful information for designing future interventions to support lifestyle changes in COPD care. It does not prove that this specific counseling method works for everyone. The findings suggest that many patients are open to setting goals, but personal satisfaction with current habits can limit engagement. More research is needed to confirm these results with a larger group of patients.

What this means for you:
Most COPD patients were willing to set lifestyle goals, but satisfaction with current habits limited engagement.

Study Details

Study typeRct
EvidenceLevel 2
Follow-up12.0 mo
PublishedJan 2026
View Original Abstract ↓
PURPOSE: Healthy lifestyle changes can reduce symptoms and slow disease progression in patients with chronic obstructive pulmonary disease (COPD). To tailor strategies supporting long-term behavior change, this study investigated patients' willingness to set lifestyle goals during personalized counseling. Goal focus and content, goal adjustments over time, reasons for unwillingness, barriers and facilitators, and differences between goal setters and non-goal setters were also examined. PATIENTS AND METHODS: As part of an ongoing randomized controlled trial (NCT03807310), patients received monthly phone calls over 12 months, offering lifestyle counseling on diet and physical activity (PA) using motivational interviewing. Data were analyzed for a subset of patients who had completed the trial by 12 February 2025. Baseline trial data were used for patient characterization, and counseling notes were analyzed to assess willingness and factors affecting goal setting. RESULTS: Data from 103 patients (61.2% male, mean age 68.3±6.5 years, body mass index 26.3±4.9 kg/m, FEV1 56.6±18.1% predicted), were analyzed. Overall, 71% were willing to set lifestyle goals, most often focused on PA. About one-quarter adjusted their goals during follow-up due to achievement or health complaints (PA) and previous unsuccessful attempts (diet). Patients unwilling to set goals mainly reported satisfaction with current habits or no perceived need for change. Experienced facilitators included accountability and favorable weather (PA) and visual reminders, social support, and seasonal influences (diet). Barriers were mainly health complaints (PA) and low motivation (diet). No differences were found between goal setters and non-goal setters in demographic, physiological, lifestyle or motivational characteristics. CONCLUSION: A majority of patients with COPD were willing to set lifestyle goals, particularly related to PA, but satisfaction with current behaviors and health-related barriers often limited engagement. These findings provide input for the design of future interventions to support sustainable lifestyle change in COPD care.
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