Health Literacy, Physical and Cognitive Function, Health-related Behaviors, and Quality of Life in COPD
NCT Number: NCT06497816
Status: RECRUITING
Study Type: OBSERVATIONAL
Conditions: COPD|Health Literacy|Health-Related Behavior
Interventions: OTHER: No intervention
Sponsor: Hacettepe University
Sex: ALL
Age: ADULT, OLDER_ADULT
Enrollment: 144
Study Design: Observational Model: |Time Perspective: p
Start Date: 2024-06-15
Completion Date: 2027-06-15
Locations: Hacettepe University Faculty of Physical Therapy and Rehabilitation, Ankara, 06100, Turkey

Summary:
Health literacy is important for controlling disease progression and living a healthy life with illness. High health literacy is associated with higher cognitive performance and lower health-related quality of life. Physical, psychological, and social impairments are seen in chronic obstructive pulmonary disease (COPD). Studies investigating the relationship between health literacy and functional capacity, quality of life, physical activity, cognitive function, health-related behavior, and activities of daily living in individuals with COPD are limited. Therefore, the aim of this study was to compare individuals with COPD with healthy individuals in terms of health literacy, functional capacity, quality of life, physical activity, cognitive function, health-related behavior, and activities of daily living and to investigate the relationship between health literacy and functional capacity, quality of life, physical activity, cognitive function, health-related behavior, and activities of daily living in individuals with COPD.

Primary Outcome Measures: Functional capacity, Functional capacity assessment using self-paced 6-minute walk test., 1st day|Health literacy, Test of Functional Health Literacy in Adults will be used to evaluate health literacy. The TOFHLA is scored on a scale of 0 to 100 and higher scores indicate higher health literacy., 1st day|Health literacy, The Rapid Estimate of Adult Literacy in Medicine questionnaires will be performed. A score of 59 or less is defined as indicating low health literacy and a score of 60 or more indicates adequate health literacy., 1st day|Cognitive function, Montreal Cognitive Assessment will be used to evaluate cognitive function. The Montreal Cognitive Assessment scores range between 0 and 30. A score of 26 or over is considered to be normal., 1st day|Health-related behavior, Health-related Behavior Scale II will be performed to assess health-related behavior. The Health-related Behavior Scale II measures various health-related behaviors and is designed to assess the frequency or extent of engagement in these behaviors. Higher scores of the scale indicate more frequent or healthier behaviors, depending on the specific behavior being measured., 1st day|Functional exercise capacity, One-minute sit to stand test will be performed. The number of repetitions will be recorded., 1st day
Secondary Outcome Measures: Forced vital capacity, Pulmonary function test using a spirometer will be performed. Forced vital capacity will be recorded., 1st day|Forced expiratory volume in one second, Pulmonary function test using a spirometer will be performed. Forced expiratory volume in one second will be recorded., 1st day|forced expiratory volume in one second/forced vital capacity ratio, Pulmonary function test using a spirometer will be performed. Forced expiratory volume in one second/forced vital capacity ratio will be recorded., 1st day|Peak expiratory flow, Pulmonary function test using a spirometer will be performed. Peak expiratory flow will be recorded., 1st day|Forced mid-expiratory flow (FEF25-75), Pulmonary function test using a spirometer will be performed. Forced mid-expiratory flow (FEF25-75) will be recorded., 1st day|Physical activity level, Physical activity will be evaluated with International Physical Activity Questionnaire questionnaire. The questionnaire assesses physical activity across different domains, including leisure time, domestic and gardening activities, work-related activities, and transport-related activities. Scores are calculated based on the duration (minutes) and frequency (days) of these activities over the past seven days. Higher scores on the IPAQ indicate a higher level of physical activity., 1st day|Assessment of quality of life, St. George quality of life questionnaire will be used to assess quality of life. Higher scores reflect worse health status., 1st day|Activities of daily living, Activities of daily living will be evaluated using Leicester Cough Questionnaire. Each question is scored on a scale from 1 (maximum impact) to 7 (minimal impact). An average score is calculated for each domain (physical, psychological, and social), resulting in scores ranging from 1 to 7 per domain, and a total score between 3 and 21. A higher score indicates less impact., 1st day|Assessment of quality of life, Short Form-36 will be applied for assessing quality of life. Higher scores indicate better health status., 1st day