Pulmonary Disease, Chronic Obstructive
Conditions
Keywords
COPD, Behavioral intervention, Physical capacity, Physical activity
Brief summary
The purpose of this study is to investigate to what extent patients with COPD, who have participated in physical training for 12 weeks, can maintain their physical activity behaviour and physical capacity on a long-term basis if they get a behavioural medicine intervention.
Detailed description
Chronic Obstructive Pulmonary Disease (COPD) is a progressive disease and the number of patients is increasing. Persons with COPD have a low physical capacity and a low physical activity level. The risk of premature morbidity and mortality is high especially in persons with a low level of physical capacity and activity. Rehabilitation including physical training is recommended and results in decreased morbidity and mortality and increased physical capacity and quality of life. Unfortunately improvements decrease if patients do not maintain their physical activity level. To change physical activity behaviour in is challenging. Different methods as Social Cognitive Theory, SCT and the Transtheoretical model, TTM have been suggested as theoretical framework. According to SCT, to improve physical activity behaviour you should use goal-setting, outcome expectancy, self-efficacy, and self-monitoring. To use motivational interviewing (MI) improves the success of a behaviour change. Patients will be randomized after the 12-week training period, tested, and thereafter both the intervention group and the control group will get information about the importance of physical activity and the recommendations. Thereafter patients in the intervention group will receive weekly telephone calls for the first month, telephone calls every second week for the following two months and thereafter monthly telephone calls for the following three months. The telephone calls will be in accordance with MI and discuss goal-setting, out-come expectancy, and self-monitoring. Patients will be tested after 6,12,and 24 months.
Interventions
BEHAVIORALBehavioural intervention
Patients in the behavioural intervention group will get a personal meeting with the physiotherapist and get advice about the value of physical activity and also get recommendations on how to be physically active. The behavioural intervention to support physical activity behaviour includes weekly motivational interviewing telephone calls for the first month, two telephone calls for the following two months and thereafter monthly telephone calls.
BEHAVIORALUsual care group
Patients in the usual care group will get a personal meeting with the physiotherapist and get advice about the value of physical activity and also get recommendations on how to be physically active.
Sponsors
Umeå University
Uppsala University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
40 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Patients with COPD at Uppsala and Umeå university hospitals, who have participated in physical training at the hospital for 12 weeks. * Diagnose of COPD
Exclusion criteria
* Understand the Swedish language * Be able to be physically active
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Six-minute walking distance | Change from baseline and 6 months and up to 24 months | Change in six-minute walking distance |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Physical activity level | Change from baseline and 6 months and up to 24 months | Number of steps, energy expenditure, time in different positions |
| Short Form 36 | Change from baseline and 6 months and up to 24 months | Measures health related quality of life |
| Hospital anxiety and depression scale | Change from baseline and 6 months and up to 24 months | Measures anxiety and depression |
| Chronic Respiratory Disease Questionnaire | Change from baseline and 6 months and up to 24 months | Measures health related quality of life |
| Grippit | Change from baseline and 6 months and up to 24 months | Hand muscle strength |
Countries
Sweden
Contacts
Primary ContactMargareta Emtner, PhD
Outcome results
None listed