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

NCT ID: NCT00542932

Last Updated: 2007-10-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

27 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-10-31

Study Completion Date

2006-10-31

Brief Summary

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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.

Detailed Description

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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.

Conditions

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Chronic Obstructive Pulmonary Disease (COPD)

Keywords

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COPD Exercise Home

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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I

Group Type NO_INTERVENTION

No interventions assigned to this group

II

Exercise

Group Type ACTIVE_COMPARATOR

Exercise

Intervention Type OTHER

Watched Film A (promotional film)

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

Interventions

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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

Intervention Type OTHER

Eligibility Criteria

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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
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Brighton

OTHER

Sponsor Role collaborator

King's College Hospital NHS Trust

OTHER

Sponsor Role lead

Principal Investigators

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John Moxham

Role: PRINCIPAL_INVESTIGATOR

King's College Hospital NHS Trust

Locations

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King's College Hospital

London, , United Kingdom

Site Status

Countries

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United Kingdom

Other Identifiers

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05/Q0703/151

Identifier Type: -

Identifier Source: org_study_id