Early Telemedicine Training in Patients With COPD

Not Applicable

Completed

• Conditions: Chronic Obstructive Pulmonary Disease (COPD)
• Interventions: Other: Telemedicine training and counselling

• Registration Number: NCT02085187
• Lead Sponsor: Odense University Hospital

Brief Summary

Chronic obstructive pulmonary disease (COPD) is a widespread disease that can have a major impact on the lives of individuals. An essential element in the treatment of COPD is rehabilitation of which supervised training is an important part. However, not all individuals with severe COPD can participate in the rehabilitation provided by hospitals and municipal training centres due to distance to the training venues and transportation difficulties. The aim of the feasibility study was to evaluate an individualised home based training and counselling programme via video conference to patients with severe COPD after hospitalization with regard to safety, clinical outcomes, patients' perception, organisational aspects and economic aspects.

Detailed Description

Not available

Study Timeline

• Study Start: 2012-01
• Primary Completion: 2012-12
• Study Completion: 2013-01
• Status Verified: 2014-03
• Study First Submitted: 2014-03-06
• Study First Submitted QC: 2014-03-10
• Last Update Submitted: 2014-03-10
• Study First Posted: 2014-03-12
• Last Update Posted: 2014-03-12

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 50

Inclusion Criteria

• severe and very severe COPD (i.e. with an FEV1 (forced expiratory volume in 1 second) value under 50% of the predicted value, an FEV1/FVC (forced vital capacity) ratio < 70%, MRC (Medical Research Council Dyspnoea Scale) grade 3)
• ≥40 years
• hospitalization with exacerbation of COPD
• declined participation in the hospital based rehabilitation
• participation in videoconference sessions with a nurse for one week immediately after discharge.

Read More

Exclusion Criteria

• inability to communicate via telephone and computer
• systolic BP <100mm Hg
• X-rays of the thorax showing abnormalities suspicious of thoracic malignancy or lobar pneumonia
• a diagnosis of cancer or recurrence of cancer within the last 5 years
• hospitalization with septic shock, acute myocardial infarction (AMI) or other serious medical conditions (e.g. kidney disorder)
• heart failure (EF<30%)
• if the patient did not wish to participate.

Read More

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Telemedicine training and counselling	Telemedicine training and counselling	-

Primary Outcome Measures

Name	Time	Method
Timed Up & Go test (TUG)	Up to 3 weeks	Measuring the time in seconds (with 2 decimals), it takes a person to rise from an ordinary chair (with back and armrest), walk 3 meters, turn around and walk back to the chair and sit down again
Clinical COPD Questionnaire (CCQ)	Up to 3 weeks	A self-administered validated questionnaire measuring the health status of patients with COPD.
The five time sit to stand test (FTSST)	Up to 3 weeks	Measures functional lower limb muscle strength, where the time in seconds (2 decimals) used for 5 times rising from a chair is measured.
Need for acute contact to the general practitioner	Up to 3 weeks
Patient subjective perception	Up to 3 weeks	The patients submitted a postcard with information about their experience. The postcard was an open ended question and was printed with the text "Dear Department of rehabilitation. My experience of training and counselling by use of the Patient briefcase was ... ".
Costs per patient participating in the telemedicine rehabilitation	Up to 3 weeks	This included renting of the "patient briefcase", establishing of a safe line for data transmission and use of hospital staff.
Reimbursement to the hospital	Up to 3 weeks	Estimated as the DRG (Diagnose Related Groups) value of the rehabilitation activity similar to the payment for the activity from the regional health system (The Region of Southern Denmark) to the hospital in accordance with health care financing system).
Focus Group interview	Up to 3 weeks	The perception of the hospital staff of the telemedicine intervention programme was assessed by a focus group interview with the occupational- and physiotherapists who carried out the telemedicine rehabilitation training and thus were familiar with the programme.
Patients' falls during training	Up to 3 weeks

Trial Locations

Locations (1)

Odense University Hospital; 🇩🇰 Odense, Denmark