Early Telemedicine Training in Patients With COPD

NCT02085187 | Completed

• 1 other identifier: S-20110036
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

Chronic obstructive pulmonary disease (COPD) is a widespread disease that can have a major impact on the lives of individuals. An essential element in the treatment of COPD is rehabilitation of which supervised training is an important part. However, not all individuals with severe COPD can participate in the rehabilitation provided by hospitals and municipal training centres due to distance to the training venues and transportation difficulties. The aim of the feasibility study was to evaluate an individualised home based training and counselling programme via video conference to patients with severe COPD after hospitalization with regard to safety, clinical outcomes, patients' perception, organisational aspects and economic aspects.

Conditions

Chronic Obstructive Pulmonary Disease (COPD)

Keywords

Pulmonary rehabilitation; Training; Counselling; Telemedicine; Videoconference; COPD; Chronic disease; Internet.

Outcome Measures

Primary Outcomes (9)

• Clinical COPD Questionnaire (CCQ)

  A self-administered validated questionnaire measuring the health status of patients with COPD.

  Up to 3 weeks

• Timed Up & Go test (TUG)

  Measuring the time in seconds (with 2 decimals), it takes a person to rise from an ordinary chair (with back and armrest), walk 3 meters, turn around and walk back to the chair and sit down again

  Up to 3 weeks

• The five time sit to stand test (FTSST)

  Measures functional lower limb muscle strength, where the time in seconds (2 decimals) used for 5 times rising from a chair is measured.

  Up to 3 weeks

• Patients' falls during training

  Up to 3 weeks

• Need for acute contact to the general practitioner

  Up to 3 weeks

• Patient subjective perception

  The patients submitted a postcard with information about their experience. The postcard was an open ended question and was printed with the text "Dear Department of rehabilitation. My experience of training and counselling by use of the Patient briefcase was … ".

  Up to 3 weeks

• Costs per patient participating in the telemedicine rehabilitation

  This included renting of the "patient briefcase", establishing of a safe line for data transmission and use of hospital staff.

  Up to 3 weeks

• Reimbursement to the hospital

  Estimated as the DRG (Diagnose Related Groups) value of the rehabilitation activity similar to the payment for the activity from the regional health system (The Region of Southern Denmark) to the hospital in accordance with health care financing system).

  Up to 3 weeks

• Focus Group interview

  The perception of the hospital staff of the telemedicine intervention programme was assessed by a focus group interview with the occupational- and physiotherapists who carried out the telemedicine rehabilitation training and thus were familiar with the programme.

  Up to 3 weeks

Study Arms (1)

Telemedicine training and counselling

EXPERIMENTAL

Other: Telemedicine training and counselling

Interventions

Telemedicine training and counselling OTHER

Training and counselling by the physiotherapist consisted of 3 weekly sessions, lasting 30-45 minutes, over a 3 week period, i.e. a total of 9 supervised sessions. Heart rate and oxygen saturation were monitored during the exercise training. This included thoracic mobilization exercises, cardio training, strength training and breathing exercises. The training intensity was progressed continuously. There were 1-2 sessions with the occupational therapist, which consisted of training and counselling on energy conservation techniques. The first session was 60 minutes long and included assessment, counselling and training. This session was delivered in the second week of the intervention. The intervention concluded in the third week, with sessions of 30 minutes as required.

Telemedicine training and counselling

Eligibility Criteria

• Age: 40 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• severe and very severe COPD (i.e. with an FEV1 (forced expiratory volume in 1 second) value under 50% of the predicted value, an FEV1/FVC (forced vital capacity) ratio \< 70%, MRC (Medical Research Council Dyspnoea Scale) grade 3)
• ≥40 years
• hospitalization with exacerbation of COPD
• declined participation in the hospital based rehabilitation
• participation in videoconference sessions with a nurse for one week immediately after discharge.

You may not qualify if:

• inability to communicate via telephone and computer
• systolic BP \<100mm Hg
• X-rays of the thorax showing abnormalities suspicious of thoracic malignancy or lobar pneumonia
• a diagnosis of cancer or recurrence of cancer within the last 5 years
• hospitalization with septic shock, acute myocardial infarction (AMI) or other serious medical conditions (e.g. kidney disorder)
• heart failure (EF\<30%)
• if the patient did not wish to participate.

Sponsors & Collaborators

• Odense University Hospital: lead
• Region of Southern Denmark: collaborator

Study Sites (1)

Odense University Hospital

Odense, 5000, Denmark

Location

Related Publications (2)

• Cox NS, Dal Corso S, Hansen H, McDonald CF, Hill CJ, Zanaboni P, Alison JA, O'Halloran P, Macdonald H, Holland AE. Telerehabilitation for chronic respiratory disease. Cochrane Database Syst Rev. 2021 Jan 29;1(1):CD013040. doi: 10.1002/14651858.CD013040.pub2.

  PMID: 33511633 DERIVED

• Rosenbek Minet L, Hansen LW, Pedersen CD, Titlestad IL, Christensen JK, Kidholm K, Rayce K, Bowes A, Mollegard L. Early telemedicine training and counselling after hospitalization in patients with severe chronic obstructive pulmonary disease: a feasibility study. BMC Med Inform Decis Mak. 2015 Feb 7;15:3. doi: 10.1186/s12911-014-0124-4.

  PMID: 25886014 DERIVED

MeSH Terms

Conditions

Pulmonary Disease, Chronic Obstructive; Chronic Disease

Interventions

Counseling

Condition Hierarchy (Ancestors)

Lung Diseases, Obstructive; Lung Diseases; Respiratory Tract Diseases; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Mental Health Services; Behavioral Disciplines and Activities; Community Health Services; Health Services; Health Care Facilities Workforce and Services

Study Officials

• Lilian Møllegård, Reg. Nurce

  Odense University Hospital

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistent Professor

Study Record Dates

• First Submitted: March 6, 2014
• First Posted: March 12, 2014
• Study Start: January 1, 2012
• Primary Completion: December 1, 2012
• Study Completion: January 1, 2013
• Last Updated: March 12, 2014

Record last verified: 2014-03

Locations

DK (1)