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| Name | Class |
|---|---|
| Spanish Society of Pneumology and Thoracic Surgery | OTHER |
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Patients with COPD are more inactive and more sedentary than subjects of the same age and patients with other chronic diseases. This inactivity and sedentary behavior is accentuated after hospitalizations due to a COPD exacerbation, and it increases the risk for future hospitalizations and mortality. Therefore, there is a need for intervention to promote physical activity and to reduce sedentary behavior after these events. The present study aims to evaluate the efficacy of a coaching program to promote physical activity and reduce sedentary behavior in patients with COPD who have suffered a hospitalization due to a COPD exacerbation. Sixty-six COPD patients admitted to the hospital will be recruited during 18 months. Physical activity, sedentary behaviors, as well as other clinical and functional parameters will be evaluated after hospital discharge. Patients will be then randomized to an intervention and control group (1:1). The intervention group will receive an individualized coaching program. During a motivational interview an experienced physiotherapist will asses participant's usual exercise habits, possible barriers and facilitators, self-efficacy and motivation to increase physical activity and reduce sedentary time. Based on these data (and baseline physical activity/sedentary information) an individualized, progressive program with specific goals setting and self-monitoring will be established (patients will be active participants and decision makers in this process). The control group will receive the usual care during follow-up. Physical activity, sedentary behaviors, as well as the clinical and functional variables will be evaluated again at 12 weeks in both patients' groups.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention group | Experimental | Patients in the intervention group will receive an individualized coaching program to increase physical activity and reduce sedentary behavior during 12 weeks |
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| Control group | No Intervention | Patients in the control group will receive the standard care for patients with COPD during 12 weeks. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Physical activity and sedentary behavior coaching program | Behavioral | The intervention group will receive an individualized coaching program. During a motivational interview an experienced physiotherapist will asses participant's usual exercise habits, possible barriers and facilitators, self-efficacy and motivation to increase physical activity and reduce sedentary time. Based on these data (and baseline physical activity/sedentary information) an individualized, progressive program with specific goals setting and self-monitoring will be established (patients will be active participants and decision makers in this process). |
| Measure | Description | Time Frame |
|---|---|---|
| Change in steps per day | Steps per day will be objectively measured with an accelerometer | Baseline and 12 weeks |
| Change in the number of active periods per day | Number of periods spent standing, walking or shuffling objectively measured with an accelerometer | Baseline and 12 weeks |
| Change in time spend in light and moderate physical activity | Time spend in light and moderate physical activity (1.5-3 and 3-6 METS) objectively measured with an accelerometer | Baseline and 12 weeks |
| Change in time spend in sedentary behavior | Time spend in sedentary behavior (sitting or lying) objectively measured with an accelerometer | Baseline and 12 weeks |
| Breaks in sedentary behaviour | Number of transitions from sedentary behavior to standing or walking objectively measured with an accelerometer | Baseline and 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Change in exercise capacity | Distance walked in the 6-minute walk test | Baseline and 12 weeks |
| Change in muscle force | Quadriceps muscle force tested with a hand-held dynamometer |
| Measure | Description | Time Frame |
|---|---|---|
| Change in patients's anxiety and depression | Patient's anxiety and depression measured using the Hospital Anxiety and Depression scale (HADS) | Baseline and 12 weeks |
| Change in dyspnoea during daily activities |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Maria A Ramon, PT, PhD | Contact | 0034932746107 | maramon@vhebron.net | |
| Esther Rodriguez, MD, PhD | Contact | 0034932746083 | estherod@vhebron.net |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital Vall d'Hebron | Recruiting | Barcelona | Spain |
IPD will not be shared
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|
| Baseline and 12 weeks |
| Change in patient's quality of life | patient's quality of life measured using the St. George's Respiratory Questionnaire (SGRQ) anbd the COPD assesment test (CAT) | Baseline and 12 weeks |
Dyspnoea during daily activities measures using the London Chest Activity of Daily Living scale (LCADL)
| Baseline and 12 weeks |
| ID | Term |
|---|---|
| D029424 | Pulmonary Disease, Chronic Obstructive |
| D009043 | Motor Activity |
| D057185 | Sedentary Behavior |
| ID | Term |
|---|---|
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001519 | Behavior |
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| ID | Term |
|---|---|
| D015444 | Exercise |
| ID | Term |
|---|---|
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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