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Validation of an Exercise DVD for Maintenance After Pulmonary Rehabilitation.

Information source: Nova Scotia Health Authority
ClinicalTrials.gov processed this data on August 20, 2015
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Lung Diseases

Intervention: Exercise DVD (Device); Usual Care (Behavioral)

Phase: Phase 3

Status: Completed

Sponsored by: Nova Scotia Health Authority

Official(s) and/or principal investigator(s):
Paul Hernandez, MDCM, FRCPC, Principal Investigator, Affiliation: QEII Health Sciences Centre

Summary

The Public Health Agency of Canada estimates that over 3. 5 million Canadians live with chronic respiratory diseases, such as COPD (chronic bronchitis and emphysema), asthma, sleep apnea, and lung cancer. Nova Scotia has been reported to have one of the highest rates of chronic lung disease among Canadian provinces, likely a reflection of both the age of the population and high rates of exposures to occupational dusts and smoking. Pulmonary rehabilitation is a multidisciplinary intervention, involving exercise and education for patients with chronic lung disease. Pulmonary rehabilitation has been demonstrated to improve patient symptoms, exercise capacity, and quality of life while reducing health resource utilization. Many studies have shown that the benefits of pulmonary rehabilitation tend to diminish over time after program completion. The best interventions to maintain the benefits of pulmonary rehabilitation remain unclear. The purpose of this study is to validate incorporation of an exercise DVD into a maintenance program after pulmonary rehabilitation. 100 subjects will be recruited over 2-years from pulmonary rehabilitation programs at Capital Health, with 50 individuals randomized to usual care following PR and 50 individuals randomized to usual care plus the exercise DVD. Study subjects will be evaluated at time of enrolment in pulmonary rehabilitation, at completion of pulmonary rehabilitation and 6-months post- pulmonary rehabilitation. Study outcome measures will include exercise capacity, exercise compliance, health-related quality of life, confidence with performing exercise, and satisfaction with the exercise DVD. The primary outcome measure will be a change in functional exercise capacity as determined by the distance walked in 6-minutes, a commonly used and validated assessment tool for patients with chronic lung disease.

Clinical Details

Official title: Validation of an Exercise DVD for Maintenance After 12-week Outpatient Pulmonary Rehabilitation Program: a Randomized Clinical Trial.

Study design: Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment

Primary outcome: 6MWD

Secondary outcome:

disease-specific quality of life (CRQ)

exercise compliance

exercise self-efficacy

subject satisfaction

Eligibility

Minimum age: 18 Years. Maximum age: N/A. Gender(s): Both.

Criteria:

Inclusion Criteria:

- any participant enrolled in pulmonary rehabilitation program

Exclusion Criteria:

- Patients who do not have access to a DVD player.

- Inability to commit to the study plan.

- Cognitive or language barriers interfering with completion of the study procedures

Locations and Contacts

QEII Health Sciences Centre, Halifax, Nova Scotia B3H 3A7, Canada

Cobequid Community Health Centre, Lower Sackville, Nova Scotia B4C 0A2, Canada

Additional Information

Starting date: December 2010
Last updated: May 12, 2015

Page last updated: August 20, 2015

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