Efficacy of 8-week Supervision in Home Based Pulmonary Rehabilitation

Asan Medical Center41 enrolled

Overview

In korea, it is not easy to practice standard pulmonary rehabilitation (PR). in this study, we'll educate PR to patients and make reservation for re-visiting outpatients clinics with PR diary. we want to confirm whether patients, who perform home based PR during more than 30 minutes in 3 days per week, present improved dyspnea score or quality of life compared with non-compliance group.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Chronic Obstructive Pulmonary Disease

Interventions

Pulmonary rehabilitationBEHAVIORAL

In this study, we'll educate pulmonary rehabilitation to patients and make reservation for re-visiting outpatients clinics with PR diary after 8 weeks. we want to confirm whether patients, who perform home based PR during more than 30 minutes in 3 days per week, present improved dyspnea score or quality of life compared with non-compliance group.

Eligibility

Sex: ALLMin age: 40 Years

Medical Language ↔ Plain English

Inclusion Criteria: * forced expiratory volume-one second / forced vital capacity \< 0.7 in post-bronchodilator pulmonary function test * adults 40 years or older * no history of acute exacerbation within 4 weeks * no history of education for pulmonary rehabilitation within 6 months * no change of medication for chronic obstructive pulmonary disease within 4 weeks * dyspnea more than Modified Medical Research Council grade 0 Exclusion Criteria: * adults under 40 years old * no consent * history of acute exacerbation within 4 weeks * history of education for pulmonary rehabilitation within 6 months * change of medication for chronic obstructive pulmonary disease within 4 weeks * dyspnea only Modified Medical Research Council grade 0 * comorbidity, including cardiovascular disease, orthopedic disease, neurologic disease, optic disease, uncontrolled hypertension * enrolled other clinical trial * on long term oxygen therapy

Locations (1)

Department of Pulmonary and Critical Care Medicine and Clinical Research Center for Chronic Obstructive Airway Diseases, Asan Medical Center, University of Ulsan College of Medicine

Seoul, South Korea

Outcomes

Primary Outcomes

Change from basline Chronic obstructive pulmonary disease (COPD) assessment Test (CAT) at 8 weeks

Self reported Patient-completed questionnaire assessing globally the impact of COPD (cough, sputum, dyspnea, chest tightness) on health status. Each item is scored 0-5, yielding a total between 0 and 40

Time frame: 8 weeks

Secondary Outcomes

change from 6 minutes walk test at 8 weeks

This test measures the distance that a patient can quickly walk on a flat, hard surface in a period of 6 minutes (the 6MWD).

Time frame: 8 weeks

Change from the Short Form 36 Health survey (SF-36), version 2.0 at 8 weeks

a 36-item, patient-reported survey of patient health. The SF-36 consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability. The higher the score the less disability.

Time frame: 8 weeks

Change from BODE index at 8 weeks

BODE index include forced expiratory volume-one second, 6 minutes walk distance, modified Medical Research Council dyspnea scale, body mass index. The BODE Index is used to predict mortality.

Time frame: 8 weeks

Data from ClinicalTrials.gov

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