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Counseling During Pulmonary Rehabilitation

Not Applicable
Completed
Conditions
COPD
Interventions
Behavioral: Usual care
Behavioral: physical activity counseling
Registration Number
NCT02455206
Lead Sponsor
Zurich University of Applied Sciences
Brief Summary

The purpose of this study is to investigate if a physical activity counseling program during pulmonary rehabilitation increases the physical activity level in daily life in patients with Chronic Obstructive Pulmonary Disease.

Detailed Description

Participants performed a 12 weeks outpatient pulmonary rehab (PR) according to guidelines. Participants allocated to intervention received PR plus physical activity (PA) counselling. PA counselling was performed using "motivational interviewing" techniques and was provided by two experiences physiotherapists independant to the rehab team. After PR and three months follow-up was evaluated if PA counselling during PR increases PA elvel (primary outcome: steps per day) in daily life.

Furthermore, individual, semi-structured interviews were performed in a subgroup of participants in order to gain more detailed information about barriers and enablers of participation in daily-life activities. Participants were invited to two interviews, one right after PR the other after 3 months follow up. A content analysis was performed.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
43
Inclusion Criteria
  • confirmed COPD (GOLD stages B-D) according to GOLD-guidelines
Exclusion Criteria
  • Mental or physical disability (mini-mental score <20) precluding informed consent or compliance with the protocol
  • morphine medication
  • Primary diagnosis of heart failure
  • Uncontrolled arrhythmias causing symptoms or hemodynamic compromise
  • Severe co-morbidity (acute coronary syndrome, unstable angina terminal renal failure, concomitant pulmonary embolism, very severe pneumonia: CURB65>3)
  • Severe untreated arterial hypertension at rest (> 200 mm Hg systolic, > 120 mm Hg diastolic)

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Usual CareUsual careoutpatient pulmonary Rehabilitation program
Counselingphysical activity counselingoutpatient pulmonary Rehabilitation program plus physical activity counseling
Primary Outcome Measures
NameTimeMethod
number of steps per day6 months
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Kantonsspital

🇨🇭

Winterthur, Switzerland

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