Counseling During Pulmonary Rehabilitation

Study Overview
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Brief Summary
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The purpose of this study is to investigate if a physical activity counseling program during pulmonary rehabilitation increases the physical activity level in daily life in patients with Chronic Obstructive Pulmonary Disease.

Detailed Description
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Participants performed a 12 weeks outpatient pulmonary rehab (PR) according to guidelines. Participants allocated to intervention received PR plus physical activity (PA) counselling. PA counselling was performed using motivational interviewing techniques and was provided by two experiences physiotherapists independant to the rehab team. After PR and three months follow-up was evaluated if PA counselling during PR increases PA elvel (primary outcome: steps per day) in daily life. Furthermore, individual, semi-structured interviews were performed in a subgroup of participants in order to gain more detailed information about barriers and enablers of participation in daily-life activities. Participants were invited to two interviews, one right after PR the other after 3 months follow up. A content analysis was performed.

Official Title
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Effect of Counseling During Pulmonary Rehabilitation on Self-determined Motivation Towards Physical Activity in Patients With Chronic Obstructive Pulmonary Disease

Conditions
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COPD

Intervention / Treatment
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* Behavioral: physical activity counseling
* Behavioral: Usual care


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: confirmed COPD (GOLD stages B-D) according to GOLD-guidelines Exclusion Criteria: Mental or physical disability (mini-mental score <20) precluding informed consent or compliance with the protocol morphine medication Primary diagnosis of heart failure Uncontrolled arrhythmias causing symptoms or hemodynamic compromise Severe co-morbidity (acute coronary syndrome, unstable angina terminal renal failure, concomitant pulmonary embolism, very severe pneumonia: CURB65>3) Severe untreated arterial hypertension at rest (> 200 mm Hg systolic, > 120 mm Hg diastolic)

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 90 Years

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: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Usual Care<br>outpatient pulmonary Rehabilitation program | Behavioral: Usual care<br> <br> |
| Experimental: Counseling<br>outpatient pulmonary Rehabilitation program plus physical activity counseling | Behavioral: physical activity counseling<br>* 5 face-to-face sessions a 30 minutes during 12 weeks pulmonary rehabilitation program.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| number of steps per day |  | 6 months |