Clinical trial NCT04694729: Telerehabilitation Approaches in Chronic Obstructive Pulmonary Patients
Official title: Comparison of the Effectiveness of Different Telerehabilitation Approaches in Chronic Obstructive Pulmonary Patients
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Telerehabilitation
COPD
Lead sponsor: Saglik Bilimleri Universitesi
Sponsor class: OTHER
First posted: 2021-01-05
Enrollment: 54
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Pulmonary rehabilitation (PR) is a first-line management strategy in chronic obstructive pulmonary patients (COPD) as it reduces shortness of breath, increases exercise capacity, and improves health-related quality of life. However, 8-50% of patients referred to PR do not participate at all, while 10-32% of those who start do not complete the program. Barriers to participation and completion include difficulty in accessing the program, poor mobility, lack of transport, and travel costs. Telerehabilitation is defined as the provision of rehabilitation services through telecommunication technology, including telephone, internet and video conference communications between the patient and the healthcare provider. Different technologies (from phone to video conferencing) have been tested in patients with COPD to enhance daily activities, exercise training and walking prescription. All of them showed positive effects on exercise tolerance, dyspnea, physical activity and quality of life. However, there is no study about which telerehabilitation program is more effective on COPD patients. The aim of this study is to investigate which telerehabilitation approach is more effective in COPD.


Eligibility criteria: Inclusion Criteria:

* Being diagnosed with COPD (FEV1 / FVC \<70% in the stable phase of the disease)
* Age \> 18 years old
* Have the ability to use a smartphone

Exclusion Criteria:

* Musculoskeletal disorders that limit exercise
* Dizziness, significant sensory or motor impairments, dementia or terminal illnesses that prevent education
* Serious comorbidities such as unstable heart disease, irregular diabetes, known malignant disease, any other disease that makes the patient unsuitable for participation in the study.
* Incompatible patient
* Severe vision or hearing impairment
* Unwillingness or inability to follow the protocol
* Have had a COPD exacerbation in the previous 6 weeks

Primary outcomes:
measure: 6 minute walk test(6MWT)
timeFrame: 6 week
measure: Pulmonary function testing
timeFrame: 6 week
Secondary outcomes:
measure: 30-Second Chair Stand Test
timeFrame: 6 week
measure: Time Up and Go Test
timeFrame: 6 week
measure: Copd Assessment Test
timeFrame: 6 week
measure: St George's Respiratory Questionnaire
timeFrame: 6 week
measure: Hospital Anxiety and Depression Scale
timeFrame: 6 week
measure: Medical Research Council Scale
timeFrame: 6 week
measure: Short Physical Performance Battery
timeFrame: 6 week
measure: International Physical Activity Questionnaire-Short Form
timeFrame: 6 week
measure: Static Lung Volumes
timeFrame: 6 week
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Istanbul Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital
Study officials:
References: