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The Effects of a Home Exercise Video Programme for Patients With COPD

This study has been completed.
Sponsor:
Collaborator:
University of Brighton
Information provided by:
King's College Hospital NHS Trust
ClinicalTrials.gov Identifier:
NCT00542932
First received: October 11, 2007
Last updated: NA
Last verified: October 2007
History: No changes posted
  Purpose

Patients with COPD, suffer symptoms of breathlessness and leg weakness. Exercise programmes in the form of pulmonary rehabilitation (PR) have been shown to improve both of these symptoms significantly. PR involves patients attending a hospital or community centre. For some patients, leaving the house is an ordeal. This study investigated the effectiveness of an exercise video programme delivered in the patients home.


Condition Intervention Phase
Chronic Obstructive Pulmonary Disease (COPD)
Other: Exercise
Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: The Effects of a Home Exercise Video Programme for Patients With Chronic Obstructive Pulmonary Disease:Pilot Study

Resource links provided by NLM:


Further study details as provided by King's College Hospital NHS Trust:

Primary Outcome Measures:
  • Incremental Shuttle Walk Test [ Time Frame: Baseline and 6 weeks ]

Secondary Outcome Measures:
  • Chronic Respiratory Disease Questionnaire [ Time Frame: Baseline and 6 weeks ]

Enrollment: 27
Study Start Date: October 2005
Study Completion Date: October 2006
Arms Assigned Interventions
No Intervention: I
Active Comparator: II
Exercise
Other: Exercise

Watched Film A (promotional film)

Film B (30 min exercise video) asked to to perform 4 times a week for 6 weeks at home


Detailed Description:

Pulmonary Rehabilitation (PR) has been shown to deliver cost-effective improvements in dyspnoea, exercise tolerance and health-related quality of life (HRQoL) in people with chronic obstructive pulmonary disease (COPD). PR programmes in the United Kingdom (UK) are typically delivered on an outpatient basis, either at a hospital or suitable site in the community. It is not always possible however, for patients to access outpatient programmes due to lack of local availability or adequate transport from isolated locations. Severe breathlessness may reduce activity levels to such a degree that for many leaving the house is an ordeal. A British Lung Foundation (BLF) survey reported that less than 2% of UK COPD patients had access to a rehabilitation exercise programme, despite National Institute for Health and Clinical Excellence (NICE) and British Thoracic Society (BTS) recommendations that PR be made available to all patients who are functionally limited by dyspnoea. Meeting the demand for PR remains a challenge.

Access to the benefits of PR may be broadened if effective exercise could be administered at home. Current evidence suggests that home-based rehabilitation interventions result in smaller benefits as judged by exercise tolerance and quality of life when compared to supervised programmes. The impact of home based rehabilitation may be limited by multiple factors including, lack of health care professional supervision and lack of support from fellow COPD sufferers. This lack of support may lead to poor adherence to prescribed exercise intensity and frequency in home programmes.

One-to-one supervision on an individual basis is unlikely to be feasible or cost-effective, however, use of a home exercise video could enhance adherence to prescribed exercise programmes. Video media can be an effective means of delivering exercise instruction. No published research to date has investigated the effectiveness of a home exercise video for patients with COPD. We hypothesised that an exercise programme based on video instruction at home, could improve walking ability, breathlessness and quality of life.

  Eligibility

Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Moderate/severe COPD
  • Access to a video or DVD player

Exclusion Criteria:

  • Comorbid condition that precludes safe exercise
  • Previous attendance at a pulmonary rehabilitation programme
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00542932

Locations
United Kingdom
King's College Hospital
London, United Kingdom, SE5 9RS
Sponsors and Collaborators
King's College Hospital NHS Trust
University of Brighton
Investigators
Principal Investigator: John Moxham King's College Hospital NHS Trust
  More Information

No publications provided

ClinicalTrials.gov Identifier: NCT00542932     History of Changes
Other Study ID Numbers: 05/Q0703/151
Study First Received: October 11, 2007
Last Updated: October 11, 2007
Health Authority: United Kingdom: Department of Health

Keywords provided by King's College Hospital NHS Trust:
COPD
Exercise
Home

Additional relevant MeSH terms:
Lung Diseases
Lung Diseases, Obstructive
Pulmonary Disease, Chronic Obstructive
Respiratory Tract Diseases

ClinicalTrials.gov processed this record on November 27, 2014