Interactive 3D Visualization Technique Used in Pulmonary Rehabilitation Programme in COPD

Study Overview
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Brief Summary
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A new education material with 3D technique was developed, by integrating 3D technology in an existing evidence-based pulmonary educational program, to enable an increased personalized education within a group setting. The investigators believe that this educational model will lead to increased adherence to treatment, and suggested lifestyle changes, which in turn improves patients' HRQL The purpose of this study was therefore to develop a pulmonary educational program in interactive 3D visualization technology and to evaluate differences between education with 3D technique or conventional technique in patient with COPD. Furthermore the LCQ will be translated and culturally adapted into Swedish and tested for validity and reliability.

Detailed Description
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Chronic obstructive pulmonary disease (COPD) is one of the major health scourges. In 2002 COPD was the fifth leading cause of death and estimates show that COPD becomes in 2030 the third leading cause of death worldwide. The dominant cause of COPD is tobacco smoking. COPD now affects men and women almost equally. The most common symptoms of COPD are breathlessness, excessive sputum production, and a chronic cough which causes decrease in health related quality of life (HRQL). Dyspnea and movement limitations are also common symptoms in patients with COPD and this often leads to reduced levels of physical activity, physical capacity and HRQL. The Leicester Cough Questionnaire (LCQ) is a valid evaluation tool for HRQL in patients with chronic cough. Currently no specific cough questionnaire exists in Swedish. Pulmonary rehabilitation including education and exercise training improves health. The Physiotherapy department has conducted rehabilitation programs for patients with COPD since 1995. The COPD-program has several times been updated according to existing evidence. Education in anatomy, physiology, physical therapy and self-training is a big part of the physical therapist's workday. The education imparts complex knowledge. It is demanding to mediate this as education is expected to raise the patient's desire to understand, create opportunities to understand and leave a lasting impression. In effective learning repetition, own search for information, stimulation, emotional impact and experience are important factors. Information technology is developing rapidly and patient's use of this technology is increasing. It is therefore essential that education is adapted to new requirements. Interactive 3 dimensional (3D) visualization techniques can be used to represent the human body. Interactive 3D technique used in patient education has not yet been studied. A new education material with 3D technique was developed, by integrating 3D technology in an existing evidence-based pulmonary educational program, to enable an increased personalized education within a group setting. The investigators believe that this educational model will lead to increased adherence to treatment, and suggested lifestyle changes, which in turn improves patients' HRQL In the current study it will be investigated whether och not there are differences between pulmonary educational program in interactive 3D visualization technology and in conventional technique in patients with COPD. Furthermore the LCQ will be translated and culturally adapted into Swedish and tested for validity and reliability.

Official Title
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Interactive 3D Visualization Technique Used in Pulmonary Rehabilitation Programme in Chronic Obstructive Pulmonary Disease (COPD)

Conditions
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Chronic Obstructive Pulmonary Disease

Intervention / Treatment
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* Other: Interactive 3D visualization technique


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Clinical diagnosis of chronic obstructive pulmonary disease (COPD) Stadium II-IV of COPD Must be able to comprehend the Swedish language Exclusion Criteria: Not diagnosed with COPD Does not understand written and verbal Swedish

Ages Eligible for Study
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Minimum Age: 18 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 |
| --- | --- |
| Experimental: Interactive 3D visualization technique<br>The pulmonary rehabilitation consists of exercise training during 10 weeks and a theoretic part presented with 3D technique. Patients randomized into education by 3D technique. | Other: Interactive 3D visualization technique<br>* The pulmonary rehabilitation consists of exercise training during two times/week for 10 weeks and a theoretic part presented with 3D visualization technique.<br>|
| No Intervention: Conventional technique<br>The pulmonary rehabilitation consists of exercise training during 10 weeks and a theoretic part presented with conventional technique. Patients randomized into education by conventional technique. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Improved health related quality of life | COPD Assessment Test | Change from Baseline health related quality of life at 10 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Improved health related quality of life | S:t George´s Respiratory Questionnaire | Change from Baseline health related quality of life at 10 weeks | 
| Improved health related quality of life | Leicester Cough Questionnaire | Change from Baseline health related quality of life at 2 and 10 weeks | 
| Improved exercise self efficacy | SCI Exercise Self Efficacy Scale (SCI=Spinal Cord Injury) | Change from Baseline exercise self efficacy at 10 weeks | 
| Improved physical performance | JAMAR Hydraulic Hand Dynamometer | Change from Baseline physical performance at 10 weeks | 
| Improved physical performance | 6 minute walk test | Change from Baseline physical performance at 10 weeks | 
| Attendance to rehabilitation programme | Attendance record | 10 weeks | 
| Improved knowledge of content in rehabilitation programme | Questionaire | Change from Baseline knowledge of content in rehabilitation programme at 6 months | 
| Compliance to treatment | Single question about compliance to treatment | 6 months | 
| Compliance to physical activity | Single question about compliance to physical activity | 6 months | 
| Visits to hospital, primary care | Single question about number of visits to hospital and primary care | 6 months | 
| Motivation with rehabilitation programme | Visual analog scale, focus group interview | 6 months | 
| Stimulation with the of rehabilitation programme | Visual analog scale, focus group interview | 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Validity, Reliability, Rehabilitation, Translation, Education