Home-based Pulmonary Rehabilitation for COPD Patients
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 80
- 试验地点
- 1
- 主要终点
- Modified Medical Research Council Dyspnea scale (mMRC),
研究概览
简要总结
Objectives The objective of this project is to motivate patients with COPD to incorporate the habit of doing daily mindful physical activity by using the proposed home-based pulmonary rehabilitation program that integrates video guided exercises, activity monitoring daily steps and health coaching. This program will allow patients to complete Pulmonary Rehabilitation (PR) at home and promote behavior change and lead to a more active lifestyle for patients with COPD who have been prescribed PR.
The program will be able to effectively monitor daily step count. A health coach will receive more this detailed data and will guide weekly health coaching sessions designed to increase awareness of the physical activities completed and ignite inner motivation for healthy behaviors.
The proposed PR program is innovative and responds to an unmet need in chronic care for COPD patients in the context of COVID-19 pandemic and it mitigates the common accessibility barriers.
详细描述
Specific aims will guide the proposed project:
- Aim 1: To determine the feasibility of the proposed home-based PR program. We will additionally address adherence and appropriateness of the program.
- Aim 2: To determine improvements in quality of life and mental health of the proposed home-based PR determined.
- Aim 3: To evaluate if the average number of daily step counts increase after the home-based PR program
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 40 Years 至 100 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Men and women age 40 years and older
- •FEV1 <80% or less (forced expiratory volume in one second) as documented by pulmonary function.
- •Medical diagnosis of COPD, GOLD classification B,D, and C based on symptoms and history of exacerbations.
- •The patients must be able to access a smart-phone or computer tablet with internet service.
排除标准
- •Unable to perform low intensity exercise.
- •Patients with a high likelihood of being lost to follow-up or contact (patients with active chemical dependency), are planning to move, are not living in the healthcare area.
- •Patients with an inability to provide good data or follow commands (patients who are disoriented, have a severe neurologic or psychiatric condition).
研究组 & 干预措施
Usual care
Usual care, waiting list
Home based exercise
Home based exercise with health coaching
干预措施: Home based exercise (Behavioral)
结局指标
主要结局
Modified Medical Research Council Dyspnea scale (mMRC),
时间窗: 8-12 weeks
Dyspnea
Disease specific quality of life
时间窗: 8-12 weeks
Chronic Respiratory Questionnaire (CRQ)
COPD assessment Test (CAT)
时间窗: 8-12 weeks
assess symptoms of breathing
次要结局
- GAD to asses anxiety and depression symptoms(8-12 weeks)
- Online breathing and mindful movement exercises/ exercise routine(8-12 weeks)
- Activity monitoring(8-12 weeks)