Home-based Pulmonary Rehabilitation for COPD Patients

NCT04820257 | Not Yet Recruiting

• 1 other identifier: 2021-01151:DNR
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

Objectives The objective of this project is to motivate patients with COPD to incorporate the habit of doing daily mindful physical activity by using the proposed home-based pulmonary rehabilitation program that integrates video guided exercises, activity monitoring daily steps and health coaching. This program will allow patients to complete Pulmonary Rehabilitation (PR) at home and promote behavior change and lead to a more active lifestyle for patients with COPD who have been prescribed PR. The program will be able to effectively monitor daily step count. A health coach will receive more this detailed data and will guide weekly health coaching sessions designed to increase awareness of the physical activities completed and ignite inner motivation for healthy behaviors. The proposed PR program is innovative and responds to an unmet need in chronic care for COPD patients in the context of COVID-19 pandemic and it mitigates the common accessibility barriers.

Conditions

COPD, Chronic Obstructive Pulmonary Disease

Keywords

tele-health; behavioural change; motivational interviewing; home-based exercise; self-related health; quality of life

Outcome Measures

Primary Outcomes (3)

• Disease specific quality of life

  Chronic Respiratory Questionnaire (CRQ)

  8-12 weeks

• Modified Medical Research Council Dyspnea scale (mMRC),

  Dyspnea

  8-12 weeks

• COPD assessment Test (CAT)

  assess symptoms of breathing

  8-12 weeks

Secondary Outcomes (3)

• GAD to asses anxiety and depression symptoms

  8-12 weeks

• Online breathing and mindful movement exercises/ exercise routine

  8-12 weeks

• Activity monitoring

  8-12 weeks

Study Arms (2)

Home based exercise

EXPERIMENTAL

Home based exercise with health coaching

Behavioral: Home based exercise

Usual care

NO INTERVENTION

Usual care, waiting list

Interventions

Home based exercise BEHAVIORAL

Exercise at home and behavioural change to increase daily exercise

Home based exercise

Eligibility Criteria

• Age: 40 Years - 100 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Men and women age 40 years and older
• FEV1 \<80% or less (forced expiratory volume in one second) as documented by pulmonary function.
• Medical diagnosis of COPD, GOLD classification B,D, and C based on symptoms and history of exacerbations.
• The patients must be able to access a smart-phone or computer tablet with internet service.

You may not qualify if:

• Unable to perform low intensity exercise.
• Patients with a high likelihood of being lost to follow-up or contact (patients with active chemical dependency), are planning to move, are not living in the healthcare area.
• Patients with an inability to provide good data or follow commands (patients who are disoriented, have a severe neurologic or psychiatric condition).

Sponsors & Collaborators

• Karolinska Institutet: lead

Study Sites (1)

Karolinska Institutet

Stockholm, Sweden

Location

MeSH Terms

Conditions

Pulmonary Disease, Chronic Obstructive

Condition Hierarchy (Ancestors)

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

Study Officials

• Marian Papp, PhD

  Karolinska Institutet

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Marian Papp, PhD

CONTACT

+46706946553; marian.papp@ki.se

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD

Model Details: starting with a small pilot and will follow with parallell design RCT - starting later

Study Record Dates

• First Submitted: March 24, 2021
• First Posted: March 29, 2021
• Study Start: February 1, 2026
• Primary Completion (Estimated): December 1, 2027
• Study Completion (Estimated): December 1, 2028
• Last Updated: July 1, 2025

Record last verified: 2025-06

Locations

SE (1)