Home-based Pulmonary Rehabilitation for COPD Patients

Обзор

Objectives The objective of this project is to motivate patients with COPD to incorporate the habit of doing daily mindful physical activity by using the proposed home-based pulmonary rehabilitation program that integrates video guided exercises, activity monitoring daily steps and health coaching. This program will allow patients to complete Pulmonary Rehabilitation (PR) at home and promote behavior change and lead to a more active lifestyle for patients with COPD who have been prescribed PR. The program will be able to effectively monitor daily step count. A health coach will receive more this detailed data and will guide weekly health coaching sessions designed to increase awareness of the physical activities completed and ignite inner motivation for healthy behaviors. The proposed PR program is innovative and responds to an unmet need in chronic care for COPD patients in the context of COVID-19 pandemic and it mitigates the common accessibility barriers.

Подробное описание

Specific aims will guide the proposed project:

* Aim 1: To determine the feasibility of the proposed home-based PR program. We will additionally address adherence and appropriateness of the program. * Aim 2: To determine improvements in quality of life and mental health of the proposed home-based PR determined. * Aim 3: To evaluate if the average number of daily step counts increase after the home-based PR program

Вмешательства

• Поведенческое Home based exercise
  Exercise at home and behavioural change to increase daily exercise

Первичные конечные точки

• Disease specific quality of life [Срок оценки: 8-12 weeks]
• Modified Medical Research Council Dyspnea scale (mMRC), [Срок оценки: 8-12 weeks]
• COPD assessment Test (CAT) [Срок оценки: 8-12 weeks]

Вторичные конечные точки (3)

• GAD to asses anxiety and depression symptoms [Срок оценки: 8-12 weeks]
• Online breathing and mindful movement exercises/ exercise routine [Срок оценки: 8-12 weeks]
• Activity monitoring [Срок оценки: 8-12 weeks]

Критерии участия

Критерии включения

• Men and women age 40 years and older
• FEV1 <80% or less (forced expiratory volume in one second) as documented by pulmonary function.
• Medical diagnosis of COPD, GOLD classification B,D, and C based on symptoms and history of exacerbations.
• The patients must be able to access a smart-phone or computer tablet with internet service.

Критерии исключения

• Unable to perform low intensity exercise.
• Patients with a high likelihood of being lost to follow-up or contact (patients with active chemical dependency), are planning to move, are not living in the healthcare area.
• Patients with an inability to provide good data or follow commands (patients who are disoriented, have a severe neurologic or psychiatric condition).

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Открытое

Основная цель

Организация здравоохранения

Центры проведения

Швеция · 1 центр

• Karolinska Institutet — Stockholm

Публикации

• Benzo MV, Hagstromer M, Nygren-Bonnier M, Benzo RP, Papp ME. Home-Based Physical Activity Program With Health Coaching for participants With Chronic Obstructive Pulmonary Disease in Sweden: A Proof-of-Concept Pilot Study. Mayo Clin Proc Innov Qual Outcomes. 2023 Sep 30;7(5):470-475. doi: 10.1016/j.mayocpiqo.2023.07.005. eCollection 2023 Oct. PMID 37811474

Идентификаторы

NCT: NCT04820257 · 2021-01151:DNR

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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