Acceptability, Appropriateness and Feasibility of Integrating Street Racket Into Ambulatory Pulmonary Rehabilitation: A Prospective, Single-Arm Feasibility Study
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 12
- 试验地点
- 2
- 主要终点
- Acceptability, appropriateness and feasibility of Street Racket
研究概览
简要总结
This study looks at whether Street Racket is a feasable activity that can be added to pulmonary rehabilitation for people with chronic lung disease. Participants complete short questionnaires at the start and end of the program to rate the feasibility and rate their breathlessness during each session. Attendance is recorded to understand how well the activity is used and whether there are any barriers.
详细描述
Pulmonary rehabilitation (APR) is an effective and cost-efficient treatment for people with chronic lung diseases, as it can reduce hospital admissions and improve health. Despite this, many patients do not take part or drop out early. Common reasons include low motivation, difficulty attending sessions, or fear that the exercises are too demanding.
Street Racket is a simple, playful, and flexible form of physical activity that may help overcome these barriers. It is easy to adapt, enjoyable in a group setting, and similar in intensity to existing pulmonary rehabilitation exercises. Social and team-based activities like Street Racket may also have positive effects on mental well-being.
The study aims to assess how feasible the activity is, how well it is accepted by participants, and whether it can offer a more engaging and sustainable training option within APR.
Participation in Street Racket sessions is voluntary and possible with or without study participation. For those who take part in the study, the training itself is exactly the same as for non-participants. The only difference is the additional data collection.
Participants are asked to complete a short questionnaire after their first and last Street Racket session about how appropriate and feasible the activity feels. During each session, participants also rate their average and maximum breathlessness. Attendance is recorded, and if someone is absent, the reason is noted when known.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Any sex or gender
- •Age >18 years
- •Prescribed APR by a physician and currently participating in APR at the USZ
- •Physically and psychologically capable of following instructions and standing/walking for up to one hour (short, seated breaks are allowed if needed)
排除标准
- •Require supplemental oxygen therapy that cannot be delivered via a portable backpack system (e.g., large oxygen cylinders on wheels, which pose a fall risk)
- •Are unable to follow study procedures due to language barriers, psychological conditions, or orthopaedic limitations that prevent them from standing or walking for up to one hour
- •Require walking aids due to impaired balance (e.g., walking sticks, rollator, etc.)
研究组 & 干预措施
Street Racket Arm
Street Racket is a ball-and-racket game played on the ground without a net. It resembles table tennis or tennis but is highly flexible, allowing for various playing formats and easy adaptation to individual abilities.
干预措施: Street Racket (Other)
结局指标
主要结局
Acceptability, appropriateness and feasibility of Street Racket
时间窗: Each at the first training and at the end of the pulmonary rehabilitation (after max. 3 months).
The primary endpoints acceptability, appropriateness and feasibility will be assessed using patient reported outcomes with the Acceptability of Intervention Measure (AIM), Intervention Appropriateness Measure (IAM), \& Feasibility of Intervention Measure (FIM). These instruments have demonstrated strong psychometric properties and will collectively be referred to as the AAF questionnaire. The validated German translation of the AAF, which has also shown reliable and valid psychometric properties will be used in this study. The AAF questionnaire comprises three sections-Acceptability, Appropriateness, and Feasibility-each containing four questions rated on a 5-point Likert scale (1 = Completely disagree, 5 = Completely agree). Scores for each section will be calculated as the mean of the four responses. A mean score above 12 in each section will be considered indicative of a positive result.
次要结局
- Incidence of Treatment-Emergent Adverse Events (Safety and Tolerability)(After each street racket session, from enrollment until termination of ambulatory pulmonary rehabilitation (max 3 months).)
- Adherance rate(After each street racket session, from enrollment until termination of ambulatory pulmonary rehabilitation (max 3 months).)
- Drop-out rate(After each street racket session, from enrollment until termination of ambulatory pulmonary rehabilitation (max 3 months).)
- Perceived dyspnea(After each street racket session, from enrollment until termination of ambulatory pulmonary rehabilitation (max 3 months).)
- Hospital Anxiety and Depression Scale (HADS)(After each street racket session, from enrollment until termination of ambulatory pulmonary rehabilitation (max 3 months).)
- Qualitative Participant Feedback(After each street racket session, from enrollment until termination of ambulatory pulmonary rehabilitation (max 3 months).)
研究者
Mona Lichtblau
Senior Attending Physician, Department of Pulmonology
University of Zurich