The final assessment of the participants showed that the pedometer/ diary group had increased daily activity, 6MWT scores and QoL, while there was no improvement in the control group in these measures. There was no significant difference in dyspnoea severity between the 2 groups over the course of the study. It should be noted that there was a high dropout rate during the study due to disease progression. The results of this study indicate that an activity diary and pedometer combination can significantly increase functional mobility, QoL and activity levels in individuals with medically stable CRD. The authors noted that the increases in outcomes in the pedometer/ diary group were entirely self-motivated and that the act of keeping a diary and being able to objectively monitor their step count via the pedometer, may have led to a long term positive change in health behaviour. As physiotherapists, the use of pedometers and activity diaries should be considered with patients’ chronic diseases who are a medically stable and would benefit from increased activation levels.