Health Condition 1: J449- Chronic obstructive pulmonary disease, unspecified
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Adults 18years old (the age of majority in all the countries). No upper age limit. • Assessed by referring physician as having persistent and functionally limiting respiratory symptoms (mMRC more than 2) after optimisation of pharmacological therapy. • Resident locally and willing to engage with either Centre-PR and Home-PR schedules if randomised to either of these groups. • Willing and able to provide written informed consent.
Exclusion criteria
Exclusion criteria: • People with non-respiratory causes for the symptoms (stable co-morbidity may be included if clinically appropriate). • Active TB infection. • Any condition that would increase risk (e.g. uncontrolled cardiac disease) interfere with PR (e.g. neurological disorders, severe arthritis, dementia).[44] or be inappropriate (very severe frailty, end-of-life) • On-going, or completed PR (including other exercise programme) within previous 18 months. • Living in the same house as another participant • Unwilling or unable to provide informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Endurance Shuttle Walking Test (ESWT)Timepoint: 8 weeks post intervention and 6 months post intervention | — |
Secondary
| Measure | Time frame |
|---|---|
| Health related quality of life (HRQoL);anxiety/depression level, breathlessness level, physical activity levelTimepoint: 8 weeks post intervention and 6 months post intervention | — |
Countries
India
Contacts
KEM Hospital Research Centre