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Promoting Physical Activity in Chronic Obstructive Pulmonary Disease (COPD) Through New Technology and Health Coaching

This study has been completed.
National Institute on Aging (NIA)
Information provided by (Responsible Party):
Roberto P. Benzo, Mayo Clinic Identifier:
First received: October 6, 2010
Last updated: May 11, 2015
Last verified: May 2015
The objective of this project is to validate the proposed smartphone-based activity monitor and to test its use for Motivational Interviewing based counseling for physical activity in Chronic Obstructive Pulmonary Disease (COPD).

Condition Intervention Phase
Chronic Obstructive Pulmonary Disease Physical Activity Behavioral: Activity monitor/smartphone health coaching Phase 2

Study Type: Interventional
Study Design: Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Supportive Care
Official Title: Next Generation Technology for Chronic Care Self Management

Resource links provided by NLM:

Further study details as provided by Roberto P. Benzo, Mayo Clinic:

Primary Outcome Measures:
  • Validity of activity monitor/smartphone to accurately measure and record physical activity of COPD patients [ Time Frame: 3 months ]
    Conduct tests to evaluate the activity monitor/smartphone system's ability to capture physical activity for COPD patients in comparison with the gold standard device in the field. The average number of steps and minutes per day spent in physical activities recorded by the experimental device will be compared to the gold standard device.

Secondary Outcome Measures:
  • Determine the feasibility of using the smartphone/activity monitoring technology for motivational interviewing based counseling . [ Time Frame: 3 months ]
    Investigators will test the usability of the smartphone diary for chronic disease self-management health coaching. Several measures of the usability of the diary will be collected.

  • Determine the effectiveness of smartphone/activity monitor plus the motivational interviewing based coaching to increase physical activity, improve quality of life or palliate symptoms . [ Time Frame: 3 months ]
    Several measures will be collected,Physical Activity Level (total energy expenditure/resting metabolic rate), steps, quality of life, self efficacy and also a qualitative feedback .

Enrollment: 38
Study Start Date: April 2012
Study Completion Date: January 2014
Primary Completion Date: January 2014 (Final data collection date for primary outcome measure)
Intervention Details:
    Behavioral: Activity monitor/smartphone health coaching
    Initial health coaching at enrollment will involve the collaborative creation of an action plan with personally relevant, specific actions for increasing physical activity. The short term goals will be rated for self-efficacy and modified to maximize likelihood of success. Health coaches will discuss important mediators of physical activity (e.g., self-efficacy, enjoyment, social support, problem-solving). Weekly coaching calls will involve discussion of progress toward goals and problem-solving of barriers utilizing a motivational interviewing approach. Motivational messages will also be developed and sent daily to participants via the smartphone. These messages will indicate the percentage of steps related to their daily goal.

Ages Eligible for Study:   40 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Men and women age 40 years and older
  • Current or former smoker of at least 10 pack-years
  • Diagnosis of GOLD stage II to IV COPD as documented by pulmonary function testing (FEV1 (Forced expiratory volume in 1 second) <80 percent predicted, FEV1/FVC(Forced vital capacity)<0.71)
  • Able to walk independently or with a walking aid (e.g. wheeled walker, cane, standard walker)

Exclusion Criteria:

  • Unable to walk without assistance of another person
  • Patients with a high likelihood of being lost to follow-up or contact (patients with active chemical dependency), are planning to move out of the state, 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).
  Contacts and Locations
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Please refer to this study by its identifier: NCT01217710

United States, Minnesota
Mayo Clinic
Rochester, Minnesota, United States, 55905
Sponsors and Collaborators
Mayo Clinic
National Institute on Aging (NIA)
Principal Investigator: Roberto P Benzo, M.D., MSc Mayo Clinic
  More Information

Responsible Party: Roberto P. Benzo, Consultant Pulmonary and Critical Care Medicine, Mayo Clinic Identifier: NCT01217710     History of Changes
Other Study ID Numbers: 10-001171
2R44AG029087-02A1 ( U.S. NIH Grant/Contract )
Study First Received: October 6, 2010
Last Updated: May 11, 2015

Keywords provided by Roberto P. Benzo, Mayo Clinic:
Chronic Obstructive Pulmonary Disease
Physical Activity
Self Management
Motivational Interviewing

Additional relevant MeSH terms:
Lung Diseases
Lung Diseases, Obstructive
Pulmonary Disease, Chronic Obstructive
Respiratory Tract Diseases processed this record on August 18, 2017