The Effects of a Home Exercise Video Programme for Patients With COPD
The Effects of a Home Exercise Video Programme for Patients With Chronic Obstructive Pulmonary Disease:Pilot Study
研究概览
详细说明
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.
研究类型
注册 (实际的)
阶段
- 阶段2
联系人和位置
学习地点
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London、英国、SE5 9RS
- King's College Hospital
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参与标准
资格标准
适合学习的年龄
- 孩子
- 成人
- 年长者
接受健康志愿者
有资格学习的性别
描述
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
学习计划
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:随机化
- 介入模型:单组作业
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
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无干预:I
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有源比较器:II
Exercise
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Watched Film A (promotional film) Film B (30 min exercise video) asked to to perform 4 times a week for 6 weeks at home |
研究衡量的是什么?
主要结果指标
结果测量 |
大体时间 |
---|---|
Incremental Shuttle Walk Test
大体时间:Baseline and 6 weeks
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Baseline and 6 weeks
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次要结果测量
结果测量 |
大体时间 |
---|---|
Chronic Respiratory Disease Questionnaire
大体时间:Baseline and 6 weeks
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Baseline and 6 weeks
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合作者和调查者
调查人员
- 首席研究员:John Moxham、King's College Hospital NHS Trust
研究记录日期
研究主要日期
学习开始
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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Exercise的临床试验
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University of Maryland, BaltimoreNational Institute on Aging (NIA)完全的