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Phenotypic Measurements and Their Relation to Disease Exacerbation in COPD Patients

Completed
Conditions
Copd
COPD Exacerbation
Registration Number
NCT03300739
Lead Sponsor
Massachusetts General Hospital
Brief Summary

This is an observational pilot study focused on collecting data on clinical variables that can improve the understanding of potential predictors of disease exacerbation and readmissions in COPD patients. The study aim is to understand how the variability of clinical parameters (respiratory rate, forced expiratory volume in one second, and oxygen saturation), physical activity and quality of life is associated with the risk of exacerbation in COPD patients.

Detailed Description

The investigational product to be used in this trial is the ResMed Biomotion Sensor (ResMed Sensor Technologies, Dublin, Ireland). This device uses very low power radio waves (\~1/100th of the strength of a mobile phone signal) to detect respiratory movements of a person while asleep- without physical contact with the individual. The device is designed to measure up to 5 feet, so that only the person on the side of the bed nearest the device is monitored. Algorithms have been developed to analyze the respiratory movement signals and extract information about respiration rate, bodily movements, sleep/wake patterns and sleep disordered respiration.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
20
Inclusion Criteria
  1. Medically stable and ambulatory COPD (primary diagnosis) patients who have had an emergency room visit or hospitalization for an acute exacerbation of COPD within the past 30 days.
  2. Sufficient understanding of the English language to be able to read and understand study procedures.
Exclusion Criteria
  1. Currently on admission in the hospital, on non-invasive positive airway pressure ventilation
  2. Visual, hearing or cognitive impairments at the discretion of their physician.
  3. Currently participating in a COPD telemonitoring program.
  4. No AT&T cellular coverage at their primary residence
  5. Any other medical or psychological condition that, in the opinion of the investigator may present an unreasonable risk to the study participant as a result of his/her participation in this study, may make participant's participation unreliable, or may interfere with study assessments.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Respiratory rate (breaths per minute)Daily, 16 weeks

Collected by study device, Reassure Respiration Monitor. This device uses very low power radio waves to detect respiratory movements of a person while asleep.

Secondary Outcome Measures
NameTimeMethod
DepressionMonthly for 16 weeks

Collected via PHQ-8 questionnaire

Oxygen saturation (%)Daily for 16 weeks

Collected via pulse oximeter.

Forced Expiratory Volume in 1 Second (FEV1). FEV1 is the volume of air forcefully exhaled in 1 second.Weekly for16 weeks

Collected via spirometer

Quality of lifeBaseline (Day 0) and Close-out (16 weeks)

Collected via SF-12 questionnaire

COPD symptom assessmentWeekly for 16 weeks

Collected via CAT questionnaire

Physical activityDaily for 16 weeks

Collected via step counts

Body Mass Index (kg/m^2)Baseline (Day 0) and Close-out (16 weeks)

Weight and height will be combined to report BMI

AnxietyBaseline (Day 0) and Close-out (16 weeks)

Collected via GAD-7 questionnaire

Functional impairment due to dyspneaWeekly for 16 weeks

Collected via mMRC dyspnea scale

Medical treatmentBaseline (Day 0) and Close-out (16 weeks)

Collected via electronic health record

Hospitalization recordsBaseline (Day 0) and Close-out (16 weeks)

Collected via electronic health record

Study device usabilityClose-out (16 week)

Collected via usability questionnaire

Trial Locations

Locations (1)

Partners Connected Health

🇺🇸

Boston, Massachusetts, United States

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