Physical Activity Augmentation Using Pedometers During Pulmonary Rehabilitation in Chronic Obstructive Pulmonary Disease

Study Overview
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Brief Summary
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Patients with chronic lung diseases such as Chronic Obstructive Pulmonary Disease (COPD), who perform regular physical activity, have improved health and wellbeing compared with those who do little exercise. The purpose of the study is to evaluate whether the use of a simple pedometer (step counter) to set targets for daily physical activity can encourage COPD patients referred for an 8-week pulmonary exercise based programme (PR) to be more active. The investigators also want to know whether the use of pedometers during PR can improve adherence, self-management and outcome in COPD.

Official Title
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Physical Activity Augmentation Using Pedometers During Pulmonary Rehabilitation in Chronic Obstructive Pulmonary Disease

Conditions
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Lung Diseases, Obstructive, Pulmonary Disease, Chronic Obstructive, Bronchitis, Chronic

Intervention / Treatment
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* Device: Yamax Digi-Walker CW-700


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: All patients with COPD Exclusion Criteria: Any patient in whom mobility and lower limb function have been significantly affected by a neuromuscular disease, severe peripheral vascular disease or amputation Any patient whom the chief investigator feels it is unsafe to exercise (eg. unstable cardiac disease)
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Usual Care<br>Standard 8-week pulmonary rehabilitation programme with 2 supervised sessions per week and a written home exercise plan/diary. | |
| Experimental: Intervention<br>Standard 8-week pulmonary rehabilitation programme with 2 supervised sessions per week. In addition they will receive a pedometer with a daily step count target set by a physiotherapist and a written home exercise plan/diary. | Device: Yamax Digi-Walker CW-700<br>* A pedometer with a daily step count target set by a physiotherapist.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from baseline of time spent in at least moderate physical activity (3>METS equivalent) |  | 8 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from baseline of Incremental Shuttle Walk |  | 8 weeks | 
| Change from baseline of Chronic Respiratory Disease Questionaire (CRDQ) |  | 8 weeks | 
| Change from baseline of Medical Outcomes Survey Short Form 36 item questionaire SF-36 |  | 8 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Treatment Outcome [E01.789.800], Rehabilitation [N02.421.784], Physical Fitness [I03.621], Lung Diseases, Obstructive [C08.381.495], Pulmonary Disease, Chronic Obstructive [C08.381.495.389], Bronchitis, Chronic [C08.381.495.389.500]