Evaluate Efficacy of Respiratory Rehabilitation Personalized Mobile Services for Respiratory Diseases

Not Applicable

Completed

Interventions: Other: Fixed respiratory rehabilitation
Other: Responsive respiratory rehabilitation

Brief Summary: This trial is multicenter prospective study to evaluate clinical efficacy of respiratory rehabilitation personalized mobile services for respiratory disease.

Detailed Description: Patients with Lung Cancer or COPD who need respiratory rehabilitation were enrolled in this trial. The subjets were randomized to 3 group(A: Fixed respiratory rehabilitation program group, B: Mixed respiratory rehabilitation program group(Fixed respiratory rehabilitation for 6 weeks, and then responsive respiratory rehabilitation for 6 weeks) and C: Control group(Ordinary rehabilitation service of the site)).

Patients in Group A\&B were provided with mobile application and wearable O2 saturation machine and mobile application monitors physical activity and provides

1. how to do stretching, weight training with The-ra Band

2. daily and weekly target of exercise

3. alarm algorithms depending on patient's respiratory status(purse rate and O2 saturation)

Recruitment & Eligibility

Inclusion Criteria

Patients with Lung cancer or COPD
Patients with FEV1<80% or FVC<80% in Pulmonary function test
- In case of COPD, post-bronchodilator FEV1 or FVC will be used.
- Exceptionally Lung Cancer patients with operation, FEV1>80% or FVC>80% will be permitted
The distance walked for 6 minutes in 6-minute walk test ≥ 150 m
Patients with android phone
Patients who voluntarily agree to study participation and provide written informed consent form

Exclusion Criteria

Patients with diseases which could be cause of death or significant disability for 1 year after study enrollment.
Patients with diseases that are difficult to walk or improve walking at screening
Patients with significant diseases which are difficult to include in this study in accordance with the investigator's judgment
Patients who are illiterate or have communication limitations
Patients who have a difficulty to complete a questionnaire or are uncooperative due to deterioration of recognition function

Arm && Interventions

Group	Intervention	Description
Mixed respiratory rehabilitation program(B)	Fixed respiratory rehabilitation	Fixed respiratory rehabilitation for 6 weeks, and then responsive respiratory rehabilitation for 6 weeks
Mixed respiratory rehabilitation program(B)	Responsive respiratory rehabilitation	Fixed respiratory rehabilitation for 6 weeks, and then responsive respiratory rehabilitation for 6 weeks
Fixed respiratory rehabilitation program(A)	Fixed respiratory rehabilitation	respiratory rehabilitation program for 12 weeks

Primary Outcome Measures

Name	Time	Method
change from baseline in real distance walked for 6 minutes	12 weeks
change from baseline in Modified Medical Research Council dyspnea score	12 weeks	The MMRC dyspnea scale is a five-option grading system. The scale measures a person's limitation base on a scale of 0-4 and uses the final value to determine how much disability is caused by shortness of breath.
change from baseline in COPD Assessment Test(CAT) score	12 weeks	The CAT is a validated, short and simple subject completed questionnaire which has been developed for use in routine clinical practice to measure the health status of subjects with COPD. Subjects are scored on eight items (cough, phlegm, chest tightness, breathlessness, activity limitation, confidence, sleep and energy) on a scale of 0-5 depending on their impact. The sum of scores for each item gives the subject's impact score ranging from 0 (no impact) to 40 (worst possible impact).

Secondary Outcome Measures

Name	Time	Method
change from baseline in Physical activity	12 weeks	Physical activity will be assessed with the daily walking distance monitored by the application and wearable device.
subject satisfaction with health status	12 weeks	changed from baseline in EQ-5D-5L
subject satisfaction with service	12 weeks	Assessment tool: Patient's Global Assessment - Subjects are scored on four items (general, easy-to-follow, helpful in exercise and Physical fitness ) on a scale of 1-5 depending on their satisfaction level. The sum of scores for each item will be used for assessement of the subject's satisfaction in the trial.
change in Healthcare resource utilisation(the number of hospitalization) in COPD(chronic obstructive pulmonary disease) Patients	12 weeks	Comparison with the number of hospitalization during the same period last year
change in Healthcare resource utilisation(hospitalization period) in COPD(chronic obstructive pulmonary disease) Patients	12 weeks	Comparison with hospitalization period during the same period last year
change in Healthcare resource utilisation(the number of visiting emergency room) in COPD(chronic obstructive pulmonary disease) Patients	12 weeks	Comparison with the number of visiting emergency room during the same period last year

Locations (5): Asan Medical Center
🇰🇷
Seoul, Korea, Republic of
Wonju Severance Christian Hospital
🇰🇷
Wonju, Gangwon-do, Korea, Republic of
Smg-Snu Boramae Medical Center
🇰🇷
Seoul, Korea, Republic of
KyungHee University Medical Center
🇰🇷
Seoul, Korea, Republic of
Hanyang University Guri Hospital
🇰🇷
Guri-si, Gyeonggi-do, Korea, Republic of