Health Condition 1: J00-J99- Diseases of the respiratory system
Conditions
Interventions
Intervention1: Peer-led, Professionals Assisted Pulmonary Rehabilitation: Pulmonary rehabilitation will be provided to patients with chronic respiratory disease at the sub-center level by the peers ch
peers will visit the patients home for supervision weekly.
Control Intervention1: Not Applicable: Not Applicable
Sponsors
Professor Aziz Sheikh
Eligibility
Inclusion criteria
Inclusion criteria: 1. Participant with chronic respiratory disease (COPD, Asthma, Bronchiectasis & Post TB sequelae) with an MRC grade of 3 or more. 2. Participant with a pulmonary function test (PFT) showing an FVC 3. Participant with adequate cognitive ability and willingness to participate in PR program. 4. Participants who have consented to take part in the study.
Exclusion criteria
Exclusion criteria: 1. Any diagnosis with angina pectoris, recent myocardial infarction, severe pulmonary hypertension, congestive heart failure, unstable diabetes. 2. Inability to do exercise due to orthopedic or other reasons. 3. Psychiatric illness. 4. Severe exercise-induced hypoxemia, not correctable with O2 supplementation. 5. Unwilling to give consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome is to develop and test the feasibility of implementing a peer-led, professionals assisted PR programme including respiratory exercise training, nutritional and psychosocial counseling and support in a resource limited rural setting in South IndiaTimepoint: Minimum 50% of participants continuing with PR at the end of the intervention period | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. To assess if the comprehensive PR program led by peers and professionals could impact detectable change in shortness of breath, lung volume capacity, exercise endurance, physical activity, quality of life and activities of daily living. 2. To assess perspectives, knowledge and awareness of pulmonary rehabilitation among patients. 3. Identify the effective factors that improve uptake and compliance to PR.Timepoint: 1. Minimal detectable improvement of 54 meters in 6-minute walk test, improvement up to a minimum of 5 Kg in hand strength in both hands using Handheld grip strengthener, improvement up to a minimum of 20 repetitions in bicycle ergometer at the end of 8 weeks of pulmonary rehabilitation. 2. Improved dietary changes, psychosocial changes, and activities of daily living. 3. Participant is aware, compliant, and develops a positive attitude towards pulmonary rehabilitation supported by peers. | — |
Countries
India
Contacts
Public ContactDr Rita Isaac
Christian Medical College
Outcome results
None listed