chronic obstructive pulmonary disease
Conditions
Interventions
At home, half of the patients (45 max) will, besides the physical activity
sensor, receive the Philips coaching system. Patients will use the system for 8
weeks at home after rehabilitation.
The ot
Sponsors
Philips Research
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: * Age > 45 * Clinical diagnosis of COPD according to Global Initiative for Chronic Obstructive Lung Disease (GOLD)1 referred for pulmonary rehabilitation; * Physically and mentally capable to cooperate * Sufficient understanding of the Dutch language * Clinical stability concerning pulmonary infections or acute exacerbations within last four weeks; * Absence of recent Myocardial Infarction (within last 3 months), unstable angina, other significant cardiac problems, SBP > 180 mmHg, DBP > 100 mmHg or tachycardia; * Absence of significant orthopaedic, neurological, cognitive and/or psychiatric impairment restricting mobility; * Internet access at home.
Exclusion criteria
Exclusion criteria: * Subjects who do not meet the above mentioned inclusion criteria * Subjects who are not primarily diagnosed with COPD * Subjects unwilling or unable to sign the informed consent form (if applicable) * Subjects with any significant disorder or disease other than COPD expected to significantly interfere with the study * Subjects with orthopaedic, neurological or other complaints that significantly impair normal biome-chanical movement patterns, as judged by the investigator; * Subjects with respiratory diseases other than COPD (e.g. asthma); * Subjects with COPD exacerbations within 4 weeks prior to Visit 1; * Subjects with cognitive impairment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary endpoint of the study is physical activity data measured by the activity monitor. | — |
Secondary
| Measure | Time frame |
|---|---|
| The secondary endpoint of the study is the patients' psychology, quality of life, and personality, measured by several questionnaires: - 4x Symptoms/Exacerb., COPD Assessment Test, CAT (Mackay et al., 2012) Measured at start of rehab, at the end of rehab, and at the end of the study: - 3x Exercise Self Efficacy Scale, (Kroll et al. 2007) - 3x Responses to physical activity, PAAS (Physical Activity Affect Scale, Lox, Tuholski, Wasley and Treasure, 2000) - 3x COPD Self-efficacy, CSES (Wigal, Creer, et al., 1991) - 3x Motivation/self-efficacy for ADL/leisure activities (IPAQ-SF) - 5x Breathlessness during daily activities (functional status), London Chest Activity of Daily Living, LCADL (Garrod et al, 2000) - 3x St George*s Respiratory Questionnaire Dutch for Netherlands (SGRQ; Jones, Quirk, & Baveystock, 1991). - 3x Anxiety and depression (HADS; Zigmond & Snaith, 1983) - 3x Motivation for PA, Treatment Self Regulation Questionnaire - Physical activity (TSRQ-PA, Williams, Grow, et al., 1996; Levesque et al., 2007) - 3x Dyspnoea general, Medical Research Council (part of BODE index), MRC (Bestall, Paul, Garrod et al., 1999) Measured at the start of rehab: - 1x Perceived health status, Medical Outcomes Study 36 (1 item selection), MOS-36 (Ware & Sherbourne, 1992) - 1x Health literacy, Short Test of Functional Health Literacy, STOHFLA (Chew, Bradley, Boyko et al., 2004) - 1x via CIRO Assessment: Nederlandse Persoonlijkheids Vragenlijst, NPV (Barelds, Luteijn, van Dijk, & Starren, 2007) - 1x via CIRO Assessment: Utrechts Coping List, UCL (Schreurs, van de Willige, Brosschot, Tellegen, & Graus, 1993) Measured at the end of rehab: - 1x Some questions about personality-based activity orientation & some questions about prefernces for physical activities and social context - 1x Social Support for Exercise, SSE (Sallis et al., 1987) Measured at the end of the study: - 1x Social Support for Exercise, SSE (Sallis et al., 1987) - 8x Some (3) questio | — |
Countries
Netherlands
Outcome results
None listed