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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.
Specific aims will guide the proposed project:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Home based exercise | Experimental | Home based exercise with health coaching |
|
| Usual care | No Intervention | Usual care, waiting list |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Home based exercise | Behavioral | Exercise at home and behavioural change to increase daily exercise |
|
| Measure | Description | Time Frame |
|---|---|---|
| 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 |
| Measure | Description | Time Frame |
|---|---|---|
| GAD to asses anxiety and depression symptoms | assessing anxiety and depression symptoms | 8-12 weeks |
| Online breathing and mindful movement exercises/ exercise routine | Total time performing the breathing exercises |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Marian Papp, PhD | Contact | +46706946553 | marian.papp@ki.se |
| Name | Affiliation | Role |
|---|---|---|
| Marian Papp, PhD | Karolinska Institutet | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Karolinska Institutet | Stockholm | Sweden |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37811474 | Result | Benzo MV, Hagstromer M, Nygren-Bonnier M, Benzo RP, Papp ME. Home-Based Physical Activity Program With Health Coaching for participants With Chronic Obstructive Pulmonary Disease in Sweden: A Proof-of-Concept Pilot Study. Mayo Clin Proc Innov Qual Outcomes. 2023 Sep 30;7(5):470-475. doi: 10.1016/j.mayocpiqo.2023.07.005. eCollection 2023 Oct. |
| Label | URL |
|---|---|
| Home-Based Physical Activity Program With Health Coaching for participants With Chronic Obstructive Pulmonary Disease in Sweden: A Proof-of-Concept Pilot Study | View source |
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| ID | Term |
|---|---|
| D029424 | Pulmonary Disease, Chronic Obstructive |
| ID | Term |
|---|---|
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D002908 | Chronic Disease |
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starting with a small pilot and will follow with parallell design RCT - starting later
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| 8-12 weeks |
| Activity monitoring | number of steps | 8-12 weeks |
| D020969 |
| Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |