Chronic obstructive pulmonary disease (COPD) Respiratory Chronic obstructive pulmonary disease
Conditions
Interventions
Patients will be randomised (1:1:1) to one of three groups:
1. Usual Care (control): will not receive information or advice about sedentary behaviour. They will receive the educational material at th
Sponsors
University Hospitals of Leicester NHS Trust (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Aged between 40 and 85 years 2. Have a confirmed diagnosis of COPD 3. Have experienced fewer than 4 exacerbations requiring hospital admission in the last 12 months 4. Have a confirmed acute exacerbation as the reason for hospitalisation 5. Are willing and able to comply with the trial protocol 6. Are physically able to participate in light intensity physical activity (i.e. walking with an aid) 7. Are able to provide informed consent (read and understand English)
Exclusion criteria
Exclusion criteria: 1. If the Respiratory Discharge Service (REDS) nurses or clinicians deem them unsuitable for the project for any reason (e.g. terminally ill) 2. Patients with an injury or additional health condition that precludes their ability to take part in light intensity physical activity 3. Patients with an overlying medical disorder that interferes with provision of consent, completion of measurements, intervention, interview, or follow-up
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Assessing the feasibility of the processes, tools and management fundamental to the success of a future definitive intervention. Measurements include: 1. The number of eligible patients 2. Response rate of eligible patients 3. The number of eligible patients who refuse the intervention 4. Willingness of patients to be randomised 5. The practicality of delivering the intervention in the proposed setting 6. Follow-up rates, completion of measures, compliance with technology, level of missing data 7. The time needed to collect and analyse the data 8. The occurrence of adverse events related to the intervention Added on 31/05/2016: All outcomes are assessed at a follow-up appointment 2 weeks after commencement of the intervention. Previous Patient outcomes are assessed at a follow-up appointment 4 weeks after commencement of the intervention. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Sedentary behaviour as determined by inclinometry 2. Physical activity as determined by accelerometry 3. Physical function measured using the Short Physical Performance Battery, grip strength and 20m gait analysis using foot-worn inertial sensors 4. Breathlessness measured by the modified Medical Research Council dyspnea scale 5. Health status measured by the COPD Assessment Test and EuroQol (EQ-5D-5L) 6. Fatigue measured by the Functional Assessment of Chronic Illness Therapy (FACIT-F) 7. Anxiety and depression measured by the Hospital Anxiety and Depression Scale 8. Fear of falling measured by the Falls Efficacy Scale-International Added 31/05/2016: 9. Body composition determined by body mass index index and waist circumference Previous: 9. Body composition determined by body mass index index, waist circumference and body fat percentage Added on 31/05/2016: All outcomes are assessed at a follow-up appointment 2 weeks after commencement of the intervention. Previous All outcomes are assessed at a follow-up appointment 4 weeks after commencement of the intervention. | — |
Countries
United Kingdom
Outcome results
None listed