Long-Term Integrated Telerehabilitation of COPD Patients. A Multi-Center Trial (iTrain)
Long-Term Integrated Telerehabilitation of COPD Patients. A Multi-Center Randomized Controlled Trial
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Diagnosis of COPD
- At least one COPD-related hospitalization or COPD-related emergency department presentation in the previous 12 months to enrollment
- Capable to provide signed written informed consent
Exclusion Criteria:
- Attendance to a rehabilitation program in the previous 6 months of enrollment
- Participation in another study that may have an impact on the outcome of this study
- Deemed by the health care team to be physically uncapable to perform the study procedures
- Presence of comorbidities wich might prevent the patient from safely undertake an exercise program at home
- Home environment not suitable for installation and use of rehabilitation and monitoring equipment (e.g. physical space, Wi-FI Internet or mobile Internet via 4G)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
No Intervention: Usual care
|
|
|
Experimental: Telerehabilitation
Exercise training at home, telemonitoring, and education/self-management
|
|
|
Experimental: Unsupervised exercise training at home
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Combined number of hospitalizations and emergency department presentations
Time Frame: Two years
|
Two years
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Hospitalizations
Time Frame: Two years
|
Two years
|
|
|
Emergency department presentations
Time Frame: Two years
|
Two years
|
|
|
Mortality
Time Frame: Two years
|
Two years
|
|
|
Time free from first hospitalization or emergency department presentation
Time Frame: Two years
|
Two years
|
|
|
Cost-effectiveness
Time Frame: Two years
|
Cost-Utility Analysis (Cost/QALY)
|
Two years
|
|
Change from baseline in COPD Assessment Test at 6 months
Time Frame: 6 months
|
6 months
|
|
|
Change from baseline in COPD Assessment Test at 1 year
Time Frame: One year
|
One year
|
|
|
Change from baseline in COPD Assessment Test at 2 years
Time Frame: Two years
|
Two years
|
|
|
Change from baseline in EQ-5D at 6 months
Time Frame: Six months
|
Six months
|
|
|
Change from baseline in EQ-5D at 1 year
Time Frame: One year
|
One year
|
|
|
Change from baseline in EQ-5D at 2 years
Time Frame: Two years
|
Two years
|
|
|
Change from baseline in Hospital Anxiety and Depression Scale at 6 months
Time Frame: Six months
|
Six months
|
|
|
Change from baseline in Hospital Anxiety and Depression Scale at 1 year
Time Frame: One Year
|
One Year
|
|
|
Change from baseline in Hospital Anxiety and Depression Scale at 2 years
Time Frame: Two years
|
Two years
|
|
|
Change from baseline in Generalized Self-Efficacy Scale at 6 months
Time Frame: Six months
|
Six months
|
|
|
Change from baseline in Generalized Self-Efficacy Scale at 1 year
Time Frame: One year
|
One year
|
|
|
Change from baseline in Generalized Self-Efficacy Scale at 2 years
Time Frame: Two years
|
Two years
|
|
|
Change from baseline in 6- minute walking distance at 6 months
Time Frame: Six months
|
Six months
|
|
|
Change from baseline in 6- minute walking distance at 1 year
Time Frame: One year
|
One year
|
|
|
Change from baseline in 6- minute walking distance at 2 years
Time Frame: Two years
|
Two years
|
|
|
Change from baseline in physical activity at 6 months
Time Frame: Six months
|
Six months
|
|
|
Change from baseline in physical activity at 1 year
Time Frame: One year
|
One year
|
|
|
Change from baseline in physical activity at 2 years
Time Frame: Two years
|
Two years
|
|
|
Patient Global Impression of Change after 2 years
Time Frame: Two years
|
Two years
|
|
|
Hospitalizations at 1 year
Time Frame: One year
|
One year
|
|
|
Emergency department presentations at 1 year
Time Frame: One year
|
One year
|
|
|
Mortality at 1 year
Time Frame: One year
|
One year
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Change from baseline in BODE Index at 6 months
Time Frame: 6 months
|
6 months
|
|
Change from baseline in BODE Index at 1 year
Time Frame: 1 year
|
1 year
|
|
Change from baseline in BODE Index at 2 years
Time Frame: 2 years
|
2 years
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Paolo Zanaboni, PhD, University Hospital of North Norway
- Principal Investigator: Anne E Holland, PhD, La Trobe University
Publications and helpful links
General Publications
- Cox NS, Dal Corso S, Hansen H, McDonald CF, Hill CJ, Zanaboni P, Alison JA, O'Halloran P, Macdonald H, Holland AE. Telerehabilitation for chronic respiratory disease. Cochrane Database Syst Rev. 2021 Jan 29;1(1):CD013040. doi: 10.1002/14651858.CD013040.pub2.
- Hoaas H, Zanaboni P, Hjalmarsen A, Morseth B, Dinesen B, Burge AT, Cox NS, Holland AE. Seasonal variations in objectively assessed physical activity among people with COPD in two Nordic countries and Australia: a cross-sectional study. Int J Chron Obstruct Pulmon Dis. 2019 Jun 5;14:1219-1228. doi: 10.2147/COPD.S194622. eCollection 2019.
- Zanaboni P, Dinesen B, Hjalmarsen A, Hoaas H, Holland AE, Oliveira CC, Wootton R. Long-term integrated telerehabilitation of COPD Patients: a multicentre randomised controlled trial (iTrain). BMC Pulm Med. 2016 Aug 22;16(1):126. doi: 10.1186/s12890-016-0288-z.
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 228919/DHE
- HST1117-13 (Other Grant/Funding Number: Northern Norway Regional Health Authority)
- HST1118-13 (Other Grant/Funding Number: Northern Norway Regional Health Authority)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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