Pulmonary Rehabilitation Through Tele Rehabilitation for COPD in Pakistan

NCT05828602 | Completed DMC

• 1 other identifier: Rec/01373 Mehwish Haider
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

To determine the feasibility of Tele-rehabilitation vs traditional center-based pulmonary rehabilitation for people with chronic obstructive pulmonary disease

Conditions

COPD

Outcome Measures

Primary Outcomes (7)

• Chronic respiratory questionnaire

  The chronic respiratory questionnaire has 20 items spread over four domains: dyspnea (5 items), tiredness (4 items), emotional function (7 items), and mastery. It can be administered by an interviewer or self-administered (4 items). Patients complete a 7-point rating scale on this form, with 1 being the worst possible experience and 7 being the best possible one (no impairment)

  40 Days

• Physical activity via IPAQ

  Any voluntary skeletal muscle-driven movement that involves an energy cost is referred to as physical activity. All activities, regardless of intensity or time of day or night, can be considered physical activity. Both physical activity and unplanned activities incorporated into everyday routines are included . International Physical Activity Questionnaire short from will be utilized to measure level of physical activity. It consists of 7 items which ask about the activity of the last 7 days

  40 Days

• Quality of life - Sf 12

  The World Health Organization defines quality of life as \"a person\'s view of their place in life in relation to their objectives, aspirations, standards, and concerns in the context of the culture and value systems in which they live.\" (20) . QOL will be assess via SF-12 Questionnaire. The SF-12 is a self-reported outcome measure that evaluates how one\'s health affects their day-to-day activities

  40 Days

• Body mass index

  The body mass index (BMI) is a measurement that is based on a person\'s height and weight. The BMI is calculated by dividing the body weight by the square of the height, and it is expressed in kilograms per square meter (kg/m2) since weight is measured in kilograms and height is measured in meters

  40 Days

• Borg Scale

  It is generally recognised that the Borg rating of perceived exertion scale is a reliable tool for determining perceived effort for a range of exercise modalities. The Borg scale (6-20) is intended to provide you with an approximation of your degree of effort based on your real heart rate when exercising. To determine your predicted heart rate, multiply your RPE by 10

  40 Days

• Level of satisfaction scale

  It is a question that ranges from one extreme attitude to another using a 5 or 7- point scale that is sometimes referred to as a satisfaction scale. Very satisfied, Satisfied, Neither satisfied nor unsatisfied, Dissatisfied, and Very dissatisfied are examples of common responses on a 5-point Likert scale used to gauge satisfaction

  40 Days

• Self-Structure open ended Questions

  Self-structured questionnaire was designed after reviewing the literature and with the help of experts in the field. it includes open ended questions, These questions will be asked in interview form from both the groups i.e Traditional Center Based Pulmonary Rehabilitation group and Tele Rehabilitation group, in which views on exercise, disease education, social contact, activity, accessibility, and support for participation will be assessed. This self-structured questionnaire will be a type of cognitive interview from both the groups.

  40 Days

Study Arms (2)

Conventional treatment

ACTIVE COMPARATOR

Other: Conventional treatment

TeleRehabilitation

EXPERIMENTAL

Other: TeleRehabilitation

Interventions

Conventional treatment OTHER

Conventional treatment

Conventional treatment

TeleRehabilitation OTHER

TeleRehabilitation

TeleRehabilitation

Eligibility Criteria

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

You may qualify if:

• have a primary diagnosis of a chronic obstructive pulmonary disease
• aged ≥40 years
• be able to read and speak Urdu
• Vitally stable
• both gender

You may not qualify if:

• Inability to use technology, inadequate home setting, and patient's refusal.
• pulmonary hypertension or lung cancer attended pulmonary rehabilitation within the previous 18 months and had no hospitalizations for a respiratory cause since rehabilitation completion
• oxygen desaturation resulting in cessation of cardiopulmonary exercise testing (e.g. SpO2 \< 80% during exercise on cycle ergometer)
• to ensure safety of unsupervised training
• unstable or brittle asthma with a hospital admission or emergency department presentation within the preceding 3 months, to ensure safety of unsupervised training
• co-morbidities which preclude exercise training, such as neurological or musculoskeletal impairment
• unable to follow verbal instructions, suffer from cognitive impairment, or have language difficulties

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Hayatabad Medical Complex

Peshawar, Khyber PkahtoonKhwa, Pakistan

Location

MeSH Terms

Conditions

Pulmonary Disease, Chronic Obstructive

Interventions

Telerehabilitation

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Health Services; Health Care Facilities Workforce and Services; Telemedicine; Delivery of Health Care; Patient Care Management; Health Services Administration

Study Officials

• Muhammad Iqbal Tariq, PhD*

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 12, 2023
• First Posted: April 25, 2023
• Study Start: April 20, 2023
• Primary Completion: July 1, 2023
• Study Completion: July 1, 2023
• Last Updated: July 10, 2023

Record last verified: 2023-07

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)