COPD, Chronic Obstructive Pulmonary Disease
Conditions
Keywords
tele-health, behavioural change, motivational interviewing, home-based exercise, self-related health, quality of life
Brief summary
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.
Detailed description
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
Interventions
BEHAVIORALHome based exercise
Exercise at home and behavioural change to increase daily exercise
Sponsors
Karolinska Institutet
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
starting with a small pilot and will follow with parallell design RCT - starting later
Eligibility
Sex/Gender
ALL
Age
40 Years to 100 Years
Healthy volunteers
No
Inclusion criteria
* 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.
Exclusion criteria
* 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).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Disease specific quality of life | 8-12 weeks | Chronic Respiratory Questionnaire (CRQ) |
| Modified Medical Research Council Dyspnea scale (mMRC), | 8-12 weeks | Dyspnea |
| COPD assessment Test (CAT) | 8-12 weeks | assess symptoms of breathing |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| GAD to asses anxiety and depression symptoms | 8-12 weeks | assessing anxiety and depression symptoms |
| Online breathing and mindful movement exercises/ exercise routine | 8-12 weeks | Total time performing the breathing exercises |
| Activity monitoring | 8-12 weeks | number of steps |
Countries
Sweden
Contacts
Primary ContactMarian Papp, PhD
Outcome results
None listed