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Chronic Obstructive Pulmonary Disease (COPD)STARNCT02966561

Pedometer-based Behavioural Intervention for Individuals With COPD to Stay Active After Rehabilitation

A study testing Pedometer-based activity promotion and Short patient education and exercise in people with Chronic Obstructive Pulmonary Disease (COPD), run by University of Erlangen-Nürnberg at 1 site in Germany.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The STAR-study (STay Active after Rehabilitation) investigates in a randomized controlled trial (RCT) the additional effect of a pedometer-based behavior change intervention (BCI) during in-patient pulmonary rehabilitation (PR) on objectively measured physical activity (PA) 6-weeks and 6-months post PR. Read more about this study

Who is it for?
Ages 18 to 80 years
What is being tested?
Pedometer-based activity promotion and Short patient education and exercise
Could I receive a placebo?
No, everyone receives an active treatment
How many people
418 participants
Where
1 siteGermany
Study dates
Jun 2016to Dec 2019
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Main diagnosis for the Pulmonary Rehabilitation is an International Classification of Diseases-Code J44.- (Other chronic obstructive pulmonary disease) at all 2011 Global Initiative for Chronic Obstructive Lung Disease (GOLD) Classifications A-D and stages 1-4.

Who cannot join

  • Considerably reduced health status (severe concomitant disease, which will affect the results of the outcome parameters, for example, cancer or severe cardiac, neurological or orthopaedic comorbidities)
  • Considerable reduction of sight and hearing
  • Severe psychiatric condition as secondary diagnosis
  • Lack of ability to speak German

Trial locations and contacts

1 site in 1 country.

Germany1 site
  • Bad Reichenhall Clinic, Center for Rehabilitation, Pulmonology and Orthopedics

    Bad Reichenhall, Bavaria, 83435

Other trials in Germany

About this study

Official title: Effects of a Brief Pedometer-based Behavioural Intervention for Individuals With COPD During In-patient Pulmonary Rehabilitation on 6-weeks and 6-months Objectively Measured Physical Activity - A Randomised Controlled Trial

The STAR-study (STay Active after Rehabilitation) investigates in a randomized controlled trial (RCT) the additional effect of a pedometer-based behavior change intervention (BCI) during in-patient pulmonary rehabilitation (PR) on objectively measured physical activity (PA) 6-weeks and 6-months post PR. The BCI uses the behaviour change techniques a) instruction on how, where and when to perform the behavior, b) prompt goal setting for physical activity, c) prompt self-monitoring of behavior and d) feedback on behavior. The primary outcome of PA will be measured using an accelerometer (Actigraph wGT3X) for a time period of seven days, firstly two weeks before rehabilitation begins (T0 = study phase I) as well as six weeks and six months (T3 and T4) after PR. Additionally to predict PA progression after PR, a complex personal diagnostic, including questionnaires as well as functional assessments, is to be carried out at the start (T1 = start of study phase II) and end of PR (T2). This diagnostic is based on the main ideas of the PA-related health competence model (PARC-model) and especially incorporates physical and psychological personal determinants of PA.

Read the detailed description

A detailed description will be available in the study protocol publication which is generated at the moment (August, 2016).

Being tested
Pedometer-based activity promotion, Short patient education and exercise, Pulmonary rehabilitation (Standard care)
Keywords
Pulmonary Rehabilitation, Physical Activity, Behaviour Change, Pedometer
Medical subject headings
Pulmonary Disease, Chronic Obstructive, Motor Activity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Pedometer-based activity promotionBehavioural

    The central components of the 2 x 45 minutes lasting pedometer-based physical activity behaviour change intervention BCI are the following behaviour change techniques (BCTs):

    • Instruction on how, where and when to perform the behaviour
    • Prompt goal setting for physical activity
    • Prompt self-monitoring of behaviour
    • Feedback on behaviour. Participants receive a pedometer and a booklet with a physical activity diary and associated information on the importance of goal setting and keeping a physical activity diary, exercise recommendations, possibilities to stay active after rehabilitation and appropriate physical activities.
  • Short patient education and exerciseBehavioural

    The central components of the 2 x 45 minutes lasting intervention are revisions of knowledge of the pulmonary rehabilitation (standard care) in combination with related exercises:

    • Revision of knowledge on exercise recommendations
    • Revision of knowledge on possibilities of self-regulation of endurance training exercise intensity with the rate of perceived exertion (BORG-Scale)
    • Revision of self-regulation of endurance exercise intensity
    • Revision of strengthening activities consistent with the exercise recommendations.

    Participants receive a booklet with information on the rate of perceived exertion, exercise recommendations, possibilities to stay active after rehabilitation and appropriate physical activities.

  • Pulmonary rehabilitation (Standard care)Other

    Standard care is an in-patient pulmonary rehabilitation (PR) in a specialized German Rehabilitation Clinic. PR is a comprehensive, multidisciplinary intervention based on a patient assessment followed by a combination of patient-tailored therapies. PR lasts on average 25 days. PR includes the following obligatory main components: Checking and, if required, adjusting the current COPD medication according to current COPD-guidelines; physical training (4-5 units/week endurance training [45 min] and 3 units/week of strength training [45 min] per week, 7 units/week whole body vibration muscle training/week); structured COPD-patient education (6 hours patient education COPD + 1 hour device training); respiratory physiotherapy in groups [2-4 units/week with 45 min]. PR is implemented by an interdisciplinary rehabilitation team.

Study groups in NCT02966561
Study groupRoleWhat they receive
Pedometer-based activity promotionExperimentalIn the context of pulmonary rehabilitation (standard care), the intervention group (IG) additionally receives a pedometer-based physical activity behaviour change intervention (BCI).
Receives: Behavioral: Pedometer-based activity promotion; Other: Pulmonary rehabilitation (Standard care)
Short patient education and exerciseActive comparatorIn the context of pulmonary rehabilitation (standard care), the control group (CG) additionally receives a short patient education in combination with related exercise.
Receives: Behavioral: Short patient education and exercise; Other: Pulmonary rehabilitation (Standard care)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Changes in objectively measured physical activity

    On each measurement occasion physical activity is going to be measured on seven consecutive days with a 3-axis accelerometer (Actigraph wGT3X-BT)

    Measured: 2 weeks before pulmonary rehabilitation (T0), 6 weeks after pulmonary rehabilitation (T3) and 6 months after pulmonary rehabilitation (T4)

Secondary outcomes (22)
  1. Body-mass index, obstruction, dyspnea, and exercise (BODE index)

    Questionnaire: Including body-mass index, airflow obstruction (FEV1), dyspnea (MRC-dyspnea scale) and exercise capacity (6-Min-Walk-Test)

    Measured: During the first week of pulmonary rehabilitation (T1); During the third and thus last week of pulmonary rehabilitation (T2)

  2. Baseline dyspnea index (BDI) and transitional dyspnea Index (TDI)

    Questionnaire: Baseline and transitional dyspnea

    Measured: During the first week of pulmonary rehabilitation (T1); During the third and thus last week of pulmonary rehabilitation (T2); 6 weeks after pulmonary rehabilitation (T3) and 6 months after pulmonary rehabilitation (T4)

  3. Dyspnea, cough, sputum, pain

    Questionnaire: Numeric Rating Scales (self-developed)

    Measured: During the first week of pulmonary rehabilitation (T1); During the third and thus last week of pulmonary rehabilitation (T2); 6 weeks after pulmonary rehabilitation (T3) and 6 months after pulmonary rehabilitation (T4)

  4. COPD-Anxiety Questionnaire (CAF)

    Questionnaire: COPD specific anxiety

    Measured: During the first week of pulmonary rehabilitation (T1); During the third and thus last week of pulmonary rehabilitation (T2); 6 months after pulmonary rehabilitation (T4)

  5. Patient Health Questionnaire (PHQ-D9)

    Questionnaire: Depression

    Measured: During the first week of pulmonary rehabilitation (T1); During the third and thus last week of pulmonary rehabilitation (T2); 6 months after pulmonary rehabilitation (T4)

  6. St. Georges Respiratory Questionnaire (SGRQ)

    Questionnaire: Health-related quality of life

    Measured: 2 weeks before pulmonary rehabilitation (T0); During the first week of pulmonary rehabilitation (T1); During the third and thus last week of pulmonary rehabilitation (T2); 6 weeks (T3) and 6 months (T4) after pulmonary rehabilitation

  7. COPD Assessment Test (CAT)

    Questionnaire: Impact of COPD on health status

    Measured: 2 weeks before pulmonary rehabilitation (T0); During the first week of pulmonary rehabilitation (T1); During the third and thus last week of pulmonary rehabilitation (T2); 6 weeks (T3) and 6 months (T4) after pulmonary rehabilitation

  8. Control competence for physical training, physical activity-specific mood regulation and self-control, physical activity-related self efficacy, psychological need satisfaction in exercise

    Questionnaire: Facets of physical activity-related health competence (PARC-Model)

    Measured: During the first week of pulmonary rehabilitation (T1); During the third and thus last week of pulmonary rehabilitation (T2)

  9. Single-target Implicit Association Test (ST-IAT)

    Computer-based test: Automatic affect towards physical activity

    Measured: During the first week of pulmonary rehabilitation (T1); During the third and thus last week of pulmonary rehabilitation (T2)

  10. Stage of change algorithm for physical activity

    Questionnaire: Adapted based on the transtheoretical model (TTM)

    Measured: During the first week of pulmonary rehabilitation (T1); During the third and thus last week of pulmonary rehabilitation (T2)

  11. Sport- and Movement-related Self-Concordance (SSK)

    Questionnaire: Self-concordance/ quality of motivation

    Measured: During the first week of pulmonary rehabilitation (T1); During the third and thus last week of pulmonary rehabilitation (T2)

  12. Affective explicit attitudes towards performing sports activities

    Questionnaire: Explicit cognitive and affective attitudes toward sports activities

    Measured: During the first week of pulmonary rehabilitation (T1); During the third and thus last week of pulmonary rehabilitation (T2)

  13. Breathlessness Catastrophizing

    Questionnaire: Breathlessness Catastrophizing Scale

    Measured: During the first week of pulmonary rehabilitation (T1); During the third and thus last week of pulmonary rehabilitation (T2); 6 months after pulmonary rehabilitation (T4)

  14. Intolerance of Uncertainty Scale (UI-18)

    Questionnaire: Disposition to react negative on uncertain situations

    Measured: During the first week of pulmonary rehabilitation (T1); During the third and thus last week of pulmonary rehabilitation (T2); 6 months after pulmonary rehabilitation (T4)

  15. Life Orientation Test-Revised (LOT-R)

    Questionnaire: Dispositional optimism

    Measured: During the first week of pulmonary rehabilitation (T1); During the third and thus last week of pulmonary rehabilitation (T2); 6 months after pulmonary rehabilitation (T4)

  16. 6 Minute Walking Test

    Functional Test

    Measured: During the first week of pulmonary rehabilitation (T1); During the third and thus last week of pulmonary rehabilitation (T2)

  17. Satisfaction with the pulmonary rehabilitation

    Questionnaire (self-developed): Satisfaction with interventional components of the pulmonary rehabilitation

    Measured: During the third and thus last week of pulmonary rehabilitation (T2)

  18. Demographic characteristics

    Questionnaire: sex, age, height, marital status, education, weight, self-reported work status

    Measured: During the first week of pulmonary rehabilitation (T1)

  19. Social medical characteristics

    Initial physical examination including diagnosis, medication, smoking status, lung function

    Measured: During the first week of pulmonary rehabilitation (T1)

  20. Sick days and use of health care services

    Questionnaire: Days of incapacity to work, days in hospital, COPD-related emergency treatment

    Measured: 6 weeks after pulmonary rehabilitation (T3); 6 months after pulmonary rehabilitation (T4)

  21. Fear avoidance COPD

    Questionnaire: COPD disease-related fears

    Measured: During the first week of pulmonary rehabilitation (T1); During the third and thus last week of pulmonary rehabilitation (T2); 6 months after pulmonary rehabilitation (T4)

  22. Self-reported physical activity

    Questionnaire: Physical Activity, Exercise, and Sport

    Measured: 2 weeks before pulmonary rehabilitation (T0), 6 weeks after pulmonary rehabilitation (T3) and 6 months after pulmonary rehabilitation (T4)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted17 Nov 2016 (estimated)
  2. Study startJun 2016
  3. Primary completionDec 2019
  4. Study completionDec 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
418 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02966561
Sponsor's protocol ID
5.011-6.031.115
Acronym
STAR
Status last verified
Nov 2020
First submitted
7 Oct 2016
Last updated
5 Nov 2020
Results posted
No
Data monitoring committee
No
Individual data sharing
No

Publications

  • Geidl W, Semrau J, Streber R, Lehbert N, Wingart S, Tallner A, Wittmann M, Wagner R, Schultz K, Pfeifer K. Effects of a brief, pedometer-based behavioral intervention for individuals with COPD during inpatient pulmonary rehabilitation on 6-week and 6-month objectively measured physical activity: study protocol for a randomized controlled trial. Trials. 2017 Aug 29;18(1):396. doi: 10.1186/s13063-017-2124-z.

    PubMed 28851462
  • Geidl W, Carl J, Cassar S, Lehbert N, Mino E, Wittmann M, Wagner R, Schultz K, Pfeifer K. Physical Activity and Sedentary Behaviour Patterns in 326 Persons with COPD before Starting a Pulmonary Rehabilitation: A Cluster Analysis. J Clin Med. 2019 Aug 29;8(9):1346. doi: 10.3390/jcm8091346.

    PubMed 31470678
  • Janssens T, Van de Moortel Z, Geidl W, Carl J, Pfeifer K, Lehbert N, Wittmann M, Schultz K, von Leupoldt A. Impact of Disease-Specific Fears on Pulmonary Rehabilitation Trajectories in Patients with COPD. J Clin Med. 2019 Sep 13;8(9):1460. doi: 10.3390/jcm8091460.

    PubMed 31540306
  • Carl J, Schultz K, Janssens T, von Leupoldt A, Pfeifer K, Geidl W. The "can do, do do" concept in individuals with chronic obstructive pulmonary disease: an exploration of psychological mechanisms. Respir Res. 2021 Oct 6;22(1):260. doi: 10.1186/s12931-021-01854-1.

    PubMed 34615520

Questions about this trial

What is this clinical trial studying?

A study testing Pedometer-based activity promotion and Short patient education and exercise in people with Chronic Obstructive Pulmonary Disease (COPD), run by University of Erlangen-Nürnberg at 1 site in Germany.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 5 Nov 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Germany. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Changes in objectively measured physical activity (time frame: 2 weeks before pulmonary rehabilitation (T0), 6 weeks after pulmonary rehabilitation (T3) and 6 months after pulmonary rehabilitation (T4)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02966561, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Nov 2020.

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STAR Clinical Trial NCT02966561 | AzTrials