Real-Time Support for Exercise Persistence in COPD
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Purpose
The purpose of this exploratory study is to determine the feasibility, acceptability, and efficacy of an exercise persistence intervention for patients with chronic obstructive pulmonary disease (COPD) following pulmonary rehabilitation (PR).
| Condition | Intervention | Phase |
|---|---|---|
|
Pulmonary Disease, Chronic Obstructive COPD Emphysema Chronic Bronchitis |
Behavioral: Coached exercise persistence intervention Behavioral: Self-Monitored exercise persistence intervention |
Phase 1 Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) |
| Official Title: | Real-Time Support for Exercise Persistence in COPD |
- Exercise behavior [ Time Frame: 3 & 6 Months ] [ Designated as safety issue: No ]
- Self-efficacy for exercise [ Time Frame: 3 & 6 Months ] [ Designated as safety issue: No ]
- Perception of support [ Time Frame: 3 & 6 Months ] [ Designated as safety issue: No ]
- COPD exacerbation [ Time Frame: 3 & 6 Months ] [ Designated as safety issue: No ]
- Exercise Performance [ Time Frame: 3 & 6 months ] [ Designated as safety issue: No ]
- Health related quality of life [ Time Frame: 3 & 6 months ] [ Designated as safety issue: No ]
| Enrollment: | 17 |
| Study Start Date: | May 2006 |
| Study Completion Date: | December 2008 |
| Primary Completion Date: | December 2008 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: MOBILE-A
Coached exercise persistence intervention
|
Behavioral: Coached exercise persistence intervention
Collaborative symptom and exercise monitoring and weekly reinforcement for exercise persistence from nurse coach via a mobile device and telephone.
|
|
Active Comparator: MOBILE-B
Self-monitored exercise persistence intervention
|
Behavioral: Self-Monitored exercise persistence intervention
Self-monitoring of symptoms and exercise using a mobile device
|
Detailed Description:
Exercise, a cornerstone of PR, is effective in improving dyspnea, functioning, and health related quality of life (HRQL) in patients with COPD. However, these improvements gradually dissipate following program completion. There are currently few successful interventions that support patients' persistence with community-based exercise after PR and that have closely monitored the potentially negative impact that COPD exacerbations have on exercise behaviors. Emerging technologies such as wirelessly enabled personal digital assistants (PDA) may provide an innovative means to support exercise persistence through real-time collaborative monitoring of exercise and signs and symptoms of COPD exacerbations and reinforcement to enhance exercise self-efficacy. Patient graduates of two PR programs who have COPD (n=20) will first undergo a 2-week run-in prior to being randomized to either the MOBILE (Mobilizing Support for Long-term Exercise) intervention or attention control for 6 months.
Eligibility| Ages Eligible for Study: | 40 Years to 85 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Moderate to severe COPD (FEV1/FVC <70% and FEV1%<80%)
- Ability to speak, read and write English
- Age 40 or older
- Willingness to complete a 6 month program
Exclusion Criteria:
- Illnesses such as bronchiectasis, active malignancies or other end stage diseases
- Plans to continue in a maintenance program after rehabilitation.
Contacts and Locations| United States, Washington | |
| University of Washington | |
| Seattle, Washington, United States, 98195 | |
| Principal Investigator: | Huong Q. Nguyen, PhD | University of Washington |
More Information
No publications provided by University of Washington
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Huong Q. Nguyen, PhD, University of Washington |
| ClinicalTrials.gov Identifier: | NCT00373932 History of Changes |
| Other Study ID Numbers: | 29494-V2, R03NR009361-01A1 |
| Study First Received: | September 6, 2006 |
| Last Updated: | December 3, 2009 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by University of Washington:
|
Exercise Physical Activity Adherence |
Additional relevant MeSH terms:
|
Bronchitis Bronchitis, Chronic Chronic Disease Emphysema Pulmonary Emphysema Lung Diseases Respiration Disorders |
Pulmonary Disease, Chronic Obstructive Bronchial Diseases Respiratory Tract Diseases Lung Diseases, Obstructive Respiratory Tract Infections Disease Attributes Pathologic Processes |
ClinicalTrials.gov processed this record on June 17, 2013