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Contact Information:

Prof Sally Singh
+44 (0)116 250 2535
sally.singh@uhl-tr.nhs.uk


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Be Part of Research - Trial Details - A Self-management Programme of Activity, Coping and Education for Chronic Obstructive Pulmonary Disease (COPD): is it a feasible alternative to conventional rehabilitation?
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A Self-management Programme of Activity, Coping and Education for Chronic Obstructive Pulmonary Disease (COPD): is it a feasible alternative to conventional rehabilitation?

Not Recruiting

Open to: All Genders

Age: Adult

Leicester

Medical Conditions

Chronic Obstructive Pulmonary Disease (COPD)

This information is provided directly by researchers and we recognise that it isn't always easy to understand. We are working with researchers to improve the accessibility of this information.


Recent evidence has shown pulmonary rehabilitation (classes containing exercise and advice) for patients with chronic obstructive pulmonary disease (COPD) to be of benefit. However, only 3% of individuals with COPD have access to such a service. It may be more appropriate for patients to have access to a manual which covers issues such as drug and symptom management, exercise and nutrition at home. This would give help and advice concerning managing their own condition without having to travel to the hospital. This study is needed in order to inform the current delivery of the rehabilitation service, optimise patient care and aid in the development of new COPD rehabilitation programmes. The aim of the study is to to develop a novel, truly independent self-management rehabilitation programme specifically for patients with COPD and to evaluate the effectiveness of self-management rehabilitation programme compared to conventional out-patient rehabilitation

Start dates may differ between countries and research sites. The research team are responsible for keeping the information up-to-date.  

The recruitment start and end dates are as follows:

15 Feb 2007 30 Jun 2013

Publications

2018 Results article in https://www.ncbi.nlm.nih.gov/pubmed/28756402 results2021 Results article in https://pubmed.ncbi.nlm.nih.gov/36188808/ (added 04/10/2022)

320 participants will be randomly allocated to either receiving conventional outpatient pulmonary rehabilitation or the home-based self-management programme. For those assigned to the hospital based rehabilitation programme, they will complete the normal 7 week programme of exercise and educational advice by attending classes twice weekly. Participants will undergo a standard assessment, consisting of lung function tests, exercise capacity (walking tests) and completing some questionnaires about their health status. Participants will be assessed before commencing the hospital programme, immediately after the programme is completed and then 6 months after the hospital programme, as is routine. For those assigned to the self-management group, participants will undergo the same assessments at the same time points as the hospital group, however, they will introduced to a manual for people with lung disease. The manual will outline how participants can manage their condition and include information on drug and symptom management, exercise and nutrition. Included will be some home-based exercises for participants to carry out daily. Participants will receive 2 phone calls to review their progression with the manual. This group will not participate in the exercise and educational sessions at the hospital.


Patients referred to pulmonary rehabilitation with an established diagnosis of COPD with an MRC breathlessness grade between 2 and 5.

You can take part if:



You may not be able to take part if:


1. Patients with significant neurological, locomotive, cardiac or psychological conditions which would exclude them from exercising2. Those unwilling to participate3. Who have participated in Pulmonary Rehabilitation in the previous 12 months


Below are the locations for where you can take part in the trial. Please note that not all sites may be open.

  • Glenfield Hospital
    Leicester
    LE3 9QP

We hope that the research will aid participants' understanding of their disease, its consequences, exercise and rehabilitation and inform both present and future pulmonary rehabilitation programmes therefore benefiting patients with COPD. For those placed in the self-management group, they will not participate in the routine 7 weeks of rehabilitation at the hospital. We do not yet know if the self-management manual is as effective as the hospital-based rehabilitation, however, if the self-management manual has proved to be ineffective for any patients, they will be offered the conventional rehabilitation at the end of the study.

Prof Sally Singh
+44 (0)116 250 2535
sally.singh@uhl-tr.nhs.uk



The study is sponsored by University Hospitals of Leicester NHS Trust (UK) and funded by Pulmonary Rehabilitation Research Group at University Hospitals of Leicester NHS Trust (UK).



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Read full details for Trial ID: ISRCTN81189044
Last updated 04 October 2022

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