Well Being and Rehabilitation in Chronically Ill Patients: Structured Patient Education and Physical Exercise

Not Applicable

Completed

• Conditions: Stroke; Heart Failure; Chronic Obstructive Pulmonary Disease
• Interventions: Behavioral: exercise only; Behavioral: Self management education programme

• Registration Number: NCT00989456
• Lead Sponsor: Norwegian University of Science and Technology

Brief Summary

This study addresses self management and maintenance of health through evaluation of a program of patient education in combination with physical training and with a structured follow-up.

It is hypothesized that such a program will:

1. improve quality of life, physical functioning, coping in everyday-life

2. reduce hospitalization and (re-)admissions for patients with chronic disease, reduce consumption of home care services and can increase consumption of general practice and physiotherapy services in primary health care.

3. improve patient satisfaction and health care providers satisfaction

Detailed Description

Patients with chronically, long-lasting illness, have complex needs for treatment and care, which none of the service providers can fulfill on their own. Both patients and their relatives are in danger of experiencing severe lack of quality. Integrated care path programs are increasingly put into use. There is insufficient research-based documentation of the effect of such care paths.

The available documentation of different integrated care paths emphasizes early mobilization and discharge, rehabilitation in familiar surroundings, more effective communication and exchange of competence between the different service providers and educational self-management for patients as main elements in order to expect effect.

There are no studies that evaluate the effect of quality of life, functional skills and personal coping if group-based educational self management is combined with physical exercise and patients with different chronically illnesses participate in the same group.

Study Timeline

• Study Start: 2009-09
• Study First Submitted: 2009-09-30
• Study First Submitted QC: 2009-10-02
• Study First Posted: 2009-10-05
• Primary Completion: 2011-11
• Study Completion: 2013-04
• Status Verified: 2017-02
• Last Update Submitted: 2017-02-28
• Last Update Posted: 2017-03-01

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 54

Inclusion Criteria

• 45 years of age or more
• Living at home
• Capable of active participation in a group setting
• Walking distance within 550 meter in 6 minutes
• Chronic obstructive pulmonary disease (COPD) I-III
• Chronic heart disease I-III
• Stroke(0-2 on Modified Rankin Scale)

Exclusion Criteria

• Speaking and language problems or other substantial communication problems
• Unstable medical or social situation
• Participation in another science study

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
exercise only	exercise only	Supervised physical exercise in groups.
exercise and education	Self management education programme	Supervised physical exercise in groups, plus a self management education programme (patient education).

Primary Outcome Measures

Name	Time	Method
Health related quality of life	One year

Secondary Outcome Measures

Name	Time	Method
Sustainability of the physiological effects of muscular training (6 Minutes Walk)	One year

Trial Locations

Locations (5)

Klæbu Municipality; 🇳🇴 Klaebu, Sør - Trøndelag, Norway

Surnadal municipality; 🇳🇴 Surnadal, Møre og Romsdal County, Norway

Hitra Municipality; 🇳🇴 Hitra, Sør-Trøndelag County, Norway

Sunndal Municipality; 🇳🇴 Sunndal, Møre og Romsdal county, Norway

Trondheim Municipality; 🇳🇴 Trondheim, Sør Trøndelag County, Norway