Pedometer-based Behavioural Intervention for Individuals With COPD to Stay Active After Rehabilitation
Condition: Chronic Obstructive Pulmonary Disease (COPD)
MeSH terms: Lung Diseases, Obstructive; Pulmonary Disease, Chronic Obstructive
Study type: Interventional

Summary: 
      The STAR-study (STay Active after Rehabilitation) investigates in a randomized controlled
      trial (RCT) the additional effect of a pedometer-based behavior change intervention (BCI)
      during in-patient pulmonary rehabilitation (PR) on objectively measured physical activity
      (PA) 6-weeks and 6-months post PR. The BCI uses the behaviour change techniques a)
      instruction on how, where and when to perform the behavior, b) prompt goal setting for
      physical activity, c) prompt self-monitoring of behavior and d) feedback on behavior. The
      primary outcome of PA will be measured using an accelerometer (Actigraph wGT3X) for a time
      period of seven days, firstly two weeks before rehabilitation begins (T0 = study phase I) as
      well as six weeks and six months (T3 and T4) after PR. Additionally to predict PA progression
      after PR, a complex personal diagnostic, including questionnaires as well as functional
      assessments, is to be carried out at the start (T1 = start of study phase II) and end of PR
      (T2). This diagnostic is based on the main ideas of the PA-related health competence model
      (PARC-model) and especially incorporates physical and psychological personal determinants of
      PA.
    

Detailed description: 
      A detailed description will be available in the study protocol publication which is generated
      at the moment (August, 2016).
    

Intervention name(s): Pedometer-based activity promotion; Short patient education and exercise; Pulmonary rehabilitation (Standard care)
Intervention type(s): Behavioral; Behavioral; Other
Intervention description(s): The central components of the 2 x 45 minutes lasting pedometer-based physical activity behaviour change intervention BCI are the following behaviour change techniques (BCTs):
Instruction on how, where and when to perform the behaviour
Prompt goal setting for physical activity
Prompt self-monitoring of behaviour
Feedback on behaviour. Participants receive a pedometer and a booklet with a physical activity diary and associated information on the importance of goal setting and keeping a physical activity diary, exercise recommendations, possibilities to stay active after rehabilitation and appropriate physical activities.; The central components of the 2 x 45 minutes lasting intervention are revisions of knowledge of the pulmonary rehabilitation (standard care) in combination with related exercises:
Revision of knowledge on exercise recommendations
Revision of knowledge on possibilities of self-regulation of endurance training exercise intensity with the rate of perceived exertion (BORG-Scale)
Revision of self-regulation of endurance exercise intensity
Revision of strengthening activities consistent with the exercise recommendations.
Participants receive a booklet with information on the rate of perceived exertion, exercise recommendations, possibilities to stay active after rehabilitation and appropriate physical activities.; Standard care is an in-patient pulmonary rehabilitation (PR) in a specialized German Rehabilitation Clinic. PR is a comprehensive, multidisciplinary intervention based on a patient assessment followed by a combination of patient-tailored therapies. PR lasts on average 25 days. PR includes the following obligatory main components: Checking and, if required, adjusting the current COPD medication according to current COPD-guidelines; physical training (4-5 units/week endurance training [45 min] and 3 units/week of strength training [45 min] per week, 7 units/week whole body vibration muscle training/week); structured COPD-patient education (6 hours patient education COPD + 1 hour device training); respiratory physiotherapy in groups [2-4 units/week with 45 min]. PR is implemented by an interdisciplinary rehabilitation team.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment
Keywords: Pulmonary Rehabilitation; Physical Activity; Behaviour Change; Pedometer