Interactive 3D Visualization Technique Used in Pulmonary Rehabilitation Programme in COPD

Interactive 3D Visualization Technique Used in Pulmonary Rehabilitation Programme in Chronic Obstructive Pulmonary Disease (COPD)

A new education material with 3D technique was developed, by integrating 3D technology in an existing evidence-based pulmonary educational program, to enable an increased personalized education within a group setting. The investigators believe that this educational model will lead to increased adherence to treatment, and suggested lifestyle changes, which in turn improves patients' HRQL

The purpose of this study was therefore to develop a pulmonary educational program in interactive 3D visualization technology and to evaluate differences between education with 3D technique or conventional technique in patient with COPD.

Furthermore the LCQ will be translated and culturally adapted into Swedish and tested for validity and reliability.

Study Overview

• Status: Active, not recruiting
• Conditions: Chronic Obstructive Pulmonary Disease
• Intervention / Treatment: Other: Interactive 3D visualization technique

Detailed Description

Chronic obstructive pulmonary disease (COPD) is one of the major health scourges. In 2002 COPD was the fifth leading cause of death and estimates show that COPD becomes in 2030 the third leading cause of death worldwide. The dominant cause of COPD is tobacco smoking. COPD now affects men and women almost equally. The most common symptoms of COPD are breathlessness, excessive sputum production, and a chronic cough which causes decrease in health related quality of life (HRQL). Dyspnea and movement limitations are also common symptoms in patients with COPD and this often leads to reduced levels of physical activity, physical capacity and HRQL. The Leicester Cough Questionnaire (LCQ) is a valid evaluation tool for HRQL in patients with chronic cough. Currently no specific cough questionnaire exists in Swedish.

Pulmonary rehabilitation including education and exercise training improves health. The Physiotherapy department has conducted rehabilitation programs for patients with COPD since 1995. The COPD-program has several times been updated according to existing evidence.

Education in anatomy, physiology, physical therapy and self-training is a big part of the physical therapist's workday. The education imparts complex knowledge. It is demanding to mediate this as education is expected to raise the patient's desire to understand, create opportunities to understand and leave a lasting impression. In effective learning repetition, own search for information, stimulation, emotional impact and experience are important factors. Information technology is developing rapidly and patient's use of this technology is increasing. It is therefore essential that education is adapted to new requirements. Interactive 3 dimensional (3D) visualization techniques can be used to represent the human body. Interactive 3D technique used in patient education has not yet been studied.

A new education material with 3D technique was developed, by integrating 3D technology in an existing evidence-based pulmonary educational program, to enable an increased personalized education within a group setting. The investigators believe that this educational model will lead to increased adherence to treatment, and suggested lifestyle changes, which in turn improves patients' HRQL

In the current study it will be investigated whether och not there are differences between pulmonary educational program in interactive 3D visualization technology and in conventional technique in patients with COPD.

Furthermore the LCQ will be translated and culturally adapted into Swedish and tested for validity and reliability.

• Study Type: Interventional
• Enrollment (Estimated): 40
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Sweden
  • Stockholm, Sweden, 14186
    • Department of physiotherapy, Karolinska University Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Clinical diagnosis of chronic obstructive pulmonary disease (COPD)
• Stadium II-IV of COPD
• Must be able to comprehend the Swedish language

Exclusion Criteria:

• Not diagnosed with COPD
• Does not understand written and verbal Swedish

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Interactive 3D visualization technique; The pulmonary rehabilitation consists of exercise training during 10 weeks and a theoretic part presented with 3D technique. Patients randomized into education by 3D technique.	Other: Interactive 3D visualization technique; The pulmonary rehabilitation consists of exercise training during two times/week for 10 weeks and a theoretic part presented with 3D visualization technique.
No Intervention: Conventional technique; The pulmonary rehabilitation consists of exercise training during 10 weeks and a theoretic part presented with conventional technique. Patients randomized into education by conventional technique.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Improved health related quality of life	COPD Assessment Test	Change from Baseline health related quality of life at 10 weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Improved health related quality of life	S:t George´s Respiratory Questionnaire	Change from Baseline health related quality of life at 10 weeks
Improved health related quality of life	Leicester Cough Questionnaire	Change from Baseline health related quality of life at 2 and 10 weeks
Improved exercise self efficacy	SCI Exercise Self Efficacy Scale (SCI=Spinal Cord Injury)	Change from Baseline exercise self efficacy at 10 weeks
Improved physical performance	JAMAR Hydraulic Hand Dynamometer	Change from Baseline physical performance at 10 weeks
Improved physical performance	6 minute walk test	Change from Baseline physical performance at 10 weeks
Attendance to rehabilitation programme	Attendance record	10 weeks
Improved knowledge of content in rehabilitation programme	Questionaire	Change from Baseline knowledge of content in rehabilitation programme at 6 months
Compliance to treatment	Single question about compliance to treatment	6 months
Compliance to physical activity	Single question about compliance to physical activity	6 months
Visits to hospital, primary care	Single question about number of visits to hospital and primary care	6 months
Motivation with rehabilitation programme	Visual analog scale, focus group interview	6 months
Stimulation with the of rehabilitation programme	Visual analog scale, focus group interview	6 months

Collaborators and Investigators

• Sponsor: Karolinska University Hospital
• Collaborators: The Swedish Heart and Lung Association; Landstingens Ömsesidiga Försäkringsbolag (Löf); Flemingsberg Science; The Mats Kleberg Foundation
• Investigators: Principal Investigator: Ulrika Einarsson, PhD, Karolinska University Hospital

Study record dates

Study Major Dates

• Study Start: October 1, 2013
• Primary Completion (Estimated): March 1, 2024
• Study Completion (Estimated): March 1, 2024

Study Registration Dates

• First Submitted: May 27, 2016
• First Submitted That Met QC Criteria: June 15, 2016
• First Posted (Estimated): June 16, 2016

Study Record Updates

• Last Update Posted (Actual): March 12, 2024
• Last Update Submitted That Met QC Criteria: March 8, 2024
• Last Verified: March 1, 2024

More Information

Terms related to this study

• Keywords: Rehabilitation; Validity; Reliability; Education; Translation
• Additional Relevant MeSH Terms: Pathologic Processes; Respiratory Tract Diseases; Disease Attributes; Chronic Disease; Lung Diseases; Lung Diseases, Obstructive; Pulmonary Disease, Chronic Obstructive
• Other Study ID Numbers: 2013/1276-31/3

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO