Effects of a Comprehensive Health Coaching Program in Advanced Chronic Obstructive Pulmonary Disease.
Effects of a Comprehensive Health Coaching Program on Lung Function, Exercise Tolerance, Symptom Distress, Quality of Life, Readmission, and Survival in Advanced Chronic Obstructive Pulmonary Disease Patients: A Randomized Controlled Trial.
Chronic obstructive pulmonary disease due to incurable and prevalence has increased steadily, chronic respiratory disease is considered hazardous to health and quality of life of the disease. GOLD treatment guidelines (global initiative for chronic obstructive lung disease guideline) pointed out the pulmonary rehabilitation is one of the non-drug treatment in patients with severe COPD, shown to improve exercise capacity and reduce the short of breathing, improve the quality of life and reduce the anxiety associated and depression and improved survival advantages. Meanwhile, a few studies have examined effect the exercise training in severe COPD patients' symptom distress and quality of life, so as to make severe COPD patients to improve the effectiveness of the campaign to ongoing regular pulmonary rehabilitation movement, is considered an important issue.
It has been proposed that physical activity enhancement or exercise training can be effective in improving symptoms and quality of life in these patients. However, it has not been examined systematically. Therefore, the main purposes of this study are: 1.Prevalence of symptom distress; 2.The physical preferences; 3.The relationship between quality of life and physical activity; 4.Effects of Comprehensive Health coaching exercise training on improving fatigue, sleep disturbances, quality of life, readmission, and survival. In the first year of this study, a descriptive-correlational design will be used and in the second and third years of study, the experimental design and prospective longitudinal study will be undertaken. Instruments include motion sensors, physical activity scale, Physical Activity Preferences, Pittsburgh Sleep Quality of Life Index. Statistical analyses include descriptive statistics, t-test, one-way ANOVA, latent growth modeling, Logistic models, GEE, and survival analysis. Results from this study will provide important implications for improving symptom management and quality of life for sever chronic obstructive pulmonary disease patients.
研究概览
地位
研究类型
注册 (预期的)
阶段
- 不适用
联系人和位置
学习联系方式
- 姓名:Huang Ya-Hsuan, PhD
- 电话号码:0979306004
- 邮箱:d432104001@tmu.edu.tw
学习地点
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Taipei、台湾
- 招聘中
- Taipei Medical Hospital-Shuang Ho Hospital,Ministry of Health and Welfare
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- age ≥40 years and ≦80 years
- patients with advanced COPD are defined according to the diagnostic criteria for severe (GOLD 3) and very severe (GOLD 4)
- pulmonologist assess need pulmonary rehabilitation, but not accept any rehabilitation exercise program.
- pulmonologist assessment the patients with a stable state.
- awareness, has the ability to read, write, and communication.
- willing to communicate by phone, and can operate smart phones.
Exclusion Criteria:
- COPD AE requiring corticosteroids, antibiotics, emergency room visit or hospitalization within the past 3 month.
- diagnosed mentally or cognitive disorder, such as dementia or unable to cooperate.
- severe hip, knee disease, can not perform exercise, or with neuromuscular dysfunction, such as limb hemiplegia, no independent walking function or other deterioration due to bone and joint disease.
- combined with severe heart disease, such as AMI, severe arrhythmia or heart failure.
- current regular practice of physical activity
学习计划
研究是如何设计的?
设计细节
- 主要用途:支持治疗
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:单身的
武器和干预
参与者组/臂 |
干预/治疗 |
---|---|
实验性的:Experiment
Comprehensive Health Coaching Program
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Comprehensive Health Coaching Program: included physical activity and motivational interviewing techniques, participants were encouraged to set goals with decision-making, self-management and self-monitor their progress, and received support from researcher.
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无干预:Control
Guideline-based usual care
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研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
---|---|---|
Change from Baseline Lung function at 3 months, 6months
大体时间:3 months, 6months
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Spirometry (FEVl % predicted )
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3 months, 6months
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Change from Baseline Exercise Tolerance at 3 months, 6months
大体时间:3 months, 6months
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6 Minute walking test
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3 months, 6months
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
---|---|---|
Change from Baseline Health-related quality of life at 3 months, 6months
大体时间:3 months, 6months
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St. George's Respiratory Questionnaire
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3 months, 6months
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Change from Baseline Fatigue at 3 months, 6months
大体时间:3 months, 6months
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Brief Fatigue Inventory Short Form BFI-Taiwan Form
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3 months, 6months
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Change from Baseline Psychological distress at 3 months, 6months
大体时间:3 months, 6months
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Hospital Anxiety and Depression Scale
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3 months, 6months
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Change from Baseline Symptom Distress at 3 months, 6months
大体时间:3 months, 6months
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Taiwanese version of the M. D. Anderson Symptom Inventory
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3 months, 6months
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Change from Baseline Quality of Sleep at 3 months, 6months
大体时间:3 months, 6months
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Taiwanese version of the Pittsburgh Sleep Quality Index
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3 months, 6months
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Readmission rate Survival
大体时间:1 year
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pulmonologists blinded to allocation reviewed admission summaries and information to determine as COPD related readmission or mortality
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1 year
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合作者和调查者
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (预期的)
研究完成 (预期的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
与本研究相关的术语
其他相关的 MeSH 术语
其他研究编号
- N201704032
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