Randomized Trial of Physical Activity Self-Management Intervention for Patients With COPD

Completed · Not applicable

Conditions studied: Chronic Obstructive Pulmonary Disease

In brief

Chronic obstructive pulmonary disease (COPD) is a common condition associated with major disability. There is strong evidence that pulmonary rehabilitation (PR) improves outcomes and is cost saving, but fewer than 2% of patients have access to these programs. New methods of PR are needed to increase access of patients with COPD to these established benefits. To address this gap we propose a novel physical activity self-management (PASM) program based on an evidence-based physical activity intervention designed to increase physical activity and quality of life. Key components of the program include tailored telephone counseling, a workbook, and computer-assisted telephone follow-up. We will test the following two hypotheses: 1) Patients with COPD who receive PASM have clinically and statistically significant improvements in functional performance (i.e., Chronic Respiratory Questionnaire \[CRQ\] dyspnea domain and 6-minute walk) compared to patients who receive UC. 2) The PASM program is more cost-effective compared to the UC. The project addresses a major gap in the current management of COPD and may provide a novel, cost-effective strategy for improving functional performance and health status.

Key facts

Study ID

NCT01108991

Run by

The University of Texas Health Science Center at Tyler

People needed

325

Starts

2010-04-01

Expected to finish

2014-04-01

Last updated by the study team

2015-12-29

Who can join

Age: 45 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• A physician diagnosis of COPD
• Age 45 years and older
• Affirmative response to "Are you short of breath when hurrying on the level or walking up a slight hill?"
• Post-bronchodilator FEV1/FVC <0.7 and FEV1 <70%

You may not qualify if…

• Inability to speak/read English
• Lives in a chronic care facility (i.e., nursing home, assisted living)
• Plans to move from the area within the next 18 months
• Life expectancy less than 12 months
• Participation in pulmonary rehabilitation or other clinical research in the past 12 months
• Inability to walk without assistance of a wheelchair or walker
• Inability to walk at least 110m on a 6-minute walk
• Uncontrolled angina, hypertension, psychiatric illness, or dementia
• Inability to obtain supplemental oxygen if indicated

Where it is running

• University of Texas Health Science Center-Tyler — Tyler, Texas, United States

Full record on ClinicalTrials.gov

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