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Chronic Obstructive Pulmonary DiseaseNCT04301245

Profile of COPD Patients Refusing Educational Program in Pulmonary Rehabilitation and Impact on the Benefits

An observational study of Chronic Obstructive Pulmonary Disease and Pulmonary Rehabilitation, run by ADIR Association at 1 site in France.

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

Pulmonary rehabilitation (PR) has proven its efficacy to improve dyspnea, health status, exercise tolerance and quality of life for patients with stable Chronic Obstructive Pulmonary Disease (COPD). Exercise training has previously been thoroughly studied but education has been less studied in PR. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Educational program
How many people
201 participants
Where
1 siteFrance
Study dates
28 Feb 2020to 10 Apr 2020
Phase
Observational
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients referred for pulmonary rehabilitation between July 2015 and July 2019 to ADIR Association, Rouen University Hospital, France

Who may be able to join

  • Clinical diagnosis of COPD,
  • >18 years old,
  • Stable state of COPD.

Who cannot join

  • Patients who have not been offered an educational program
  • Patients who have already been offered an educational program during a pulmonary rehabilitation in the same center.

Trial locations and contacts

1 site in 1 country.

France1 site
  • ADIR Association

    Bois-Guillaume

Other trials in France

About this study

Pulmonary rehabilitation (PR) has proven its efficacy to improve dyspnea, health status, exercise tolerance and quality of life for patients with stable Chronic Obstructive Pulmonary Disease (COPD). Exercise training has previously been thoroughly studied but education has been less studied in PR. Furthermore, only few studies have investigated the added value of an educational program (EP) to exercise training on clinical and physical factors. Characterizing those patients who refuse EP is therefore a first step to better target them and potentially improve their adherence and outcome following PR.

The aim of this study was to determine the characteristics of the COPD patients referred to PR who refused EP compare to those who accepted and to identify the independent predictive factors of refusal. The investigators also sought to compare the change in clinical outcomes and number and length of hospitalization at six months following PR among those patients who accepted or not to participate in EP.

Being tested
Educational program
Keywords
Chronic Obstructive Pulmonary Disease, Pulmonary Rehabilitation, Education
Medical subject headings
Pulmonary Disease, Chronic Obstructive

What participants receive

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

  • Educational programOther

    The educational program (EP) was offered during the initial session of the pulmonary rehabilitation. According to the french law, patients were free to participate or not.

    The EP consisted of an educational diagnosis, educational workshops and an individual final assessment.

Study groups in NCT04301245
Study groupRoleWhat they receive
ETEP groupExercise Training and Educational Program (ETEP) group. Patients who accepted the educational program in addition to the exercise training.
Receives: Other: Educational program
ET groupExercise Training (ET) group. Patients who refused the educational program and did only the exercise training.
Receives: Other: Educational program

What is being measured

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

  1. Multiple logistic regression between the variables defined and the refusal of educational program

    The variables are described below in primary outcomes

    Measured: Baseline

  2. Gender

    Gender will be analysed in logistic regression.

    Measured: Baseline

  3. Age

    Age will be analysed in logistic regression.

    Measured: Baseline

  4. Height

    Height will be analysed in logistic regression.

    Measured: Baseline

  5. Weight

    Weight will be analysed in logistic regression.

    Measured: Baseline

  6. Body mass index

    Body mass index will be analysed in logistic regression.

    Measured: Baseline

  7. COPD stages

    COPD stages will be analysed in logistic regression.

    Measured: Baseline

  8. Forced Expiratory Volume in one second

    Forced Expiratory Volume in one second will be analysed in logistic regression.

    Measured: Baseline

  9. Forced Vital Capacity

    Forced Vital Capacity will be analysed in logistic regression.

    Measured: Baseline

  10. Ratio between Forced Expiratory Volume in one second and Forced Vital Capacity

    Ratio between Forced Expiratory Volume in one second and Forced Vital Capacity will be analysed in logistic regression.

    Measured: Baseline

  11. Total Lung Capacity

    Total Lung Capacity will be analysed in logistic regression.

    Measured: Baseline

  12. Residual Volume

    Residual Volume will be analysed in logistic regression.

    Measured: Baseline

  13. Diffusing capacity of the lungs for carbon monoxide divided by alveolar volume

    Diffusing capacity of the lungs for carbon monoxide divided by alveolar volume will be analysed in logistic regression.

    Measured: Baseline

  14. Comorbidities

    Comorbidities will be analysed in logistic regression.

    Measured: Baseline

  15. Tabacco status

    Tabacco status will be analysed in logistic regression.

    Measured: Baseline

  16. Tabacco consumption

    Tabacco consumption will be analysed in logistic regression.

    Measured: Baseline

  17. Prescription of oxygen

    Prescription of oxygen will be analysed in logistic regression.

    Measured: Baseline

  18. Prescription of non invasive ventilation

    Prescription of non invasive ventilation will be analysed in logistic regression.

    Measured: Baseline

  19. Arterial oxygen partial pressure

    Arterial oxygen partial pressure will be analysed in logistic regression.

    Measured: Baseline

  20. Arterial carbon dioxide partial pressure

    Arterial carbone dioxide partial pressure will be analysed in logistic regression.

    Measured: Baseline

  21. Location of the training sessions

    Location of the training sessions will be analysed in logistic regression.

    Measured: Baseline

  22. Ambulance transport

    Number of patients with an ambulance transport will be analysed in logistic regression.

    Measured: Baseline

  23. Distance between patient's home and center

    Distance between patient's home and center will be analysed in logistic regression.

    Measured: Baseline

  24. Dyspnea

    Dyspnea assessed by the modified Medical Research Council scale will be analysed in logistic regression.

    Measured: Baseline

  25. 6-Minute Stepper Test

    Number of steps during the 6-Minute Stepper Test will be analysed in logistic regression.

    Measured: Baseline

  26. 6-Minute Walk Test

    Distance during the 6-Minute Walk Test will be analysed in logistic regression.

    Measured: Baseline

  27. Maximal oxygen consumption

    Maximal oxygen consumption during cardiopulmonary exercise testing will be analysed in logistic regression.

    Measured: Baseline

  28. Maximal workload

    Maximal workload achieved during cardiopulmonary exercise testing will be analysed in logistic regression.

    Measured: Baseline

  29. Saint George's Respiratory Questionnaire

    Quality of life assessed by Saint George's Respiratory Questionnaire will be analysed in logistic regression.

    Measured: Baseline

  30. Employment

    Employment will be analysed in logistic regression.

    Measured: Baseline

  31. Educational level

    Educational level assessed by the international classification "Classification Internationale Type de l'Education" will be analysed in logistic regression.

    Measured: Baseline

  32. Cognitive impairment

    Cognitive impairment assessed by the Montreal Cognitive Assessment will be analysed in logistic regression.

    Measured: Baseline

  33. Anxiety and depression level

    Anxiety and depression level assessed by the Hospital Anxiety and Depression scale will be analysed in logistic regression.

    Measured: Baseline

Secondary outcomes (9)
  1. 6-Minute Stepper Test

    Change in number of steps during the 6-Minute Stepper Test will be compared between groups.

    Measured: 2 months

  2. 6-Minute Walk Test

    Change in distance during the 6-Minute Walk Test will be compared between groups.

    Measured: 2 months

  3. Saint George's Respiratory Questionnaire

    Change in Saint George's Respiratory Questionnaire will be compared between groups.

    Measured: 2 months

  4. Anxiety and depression level

    Anxiety and depression level assessed by the Hospital Anxiety and Depression scale will be analysed in logistic regression.

    Measured: 2 months

  5. Cognitive impairment

    Change in cognitive impairment assessed by the Montreal Cognitive Assessment will be compared between groups.

    Measured: 2 months

  6. Number of hospitalizations

    Number of hospitalizations will be compared between groups.

    Measured: 6 months

  7. Number of hospitalized patients

    Number of hospitalized patients will be compared between groups.

    Measured: 6 months

  8. Number of days of hospitalization

    Number of days of hospitalization will be compared between groups.

    Measured: 6 months

  9. Attendance rate at educational sessions

    Attendance rate at education sessions will be analysed

    Measured: 2 months

Timeline

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

  1. First posted10 Mar 2020
  2. Study start28 Feb 2020
  3. Primary completion31 Mar 2020
  4. Study completion10 Apr 2020

Resources

More details

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

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Retrospective
Enrolment
201 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04301245
Sponsor's protocol ID
RETRO-ETP
Status last verified
May 2020
First submitted
6 Mar 2020
Last updated
1 Jun 2020
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Smondack P, Gravier FE, Combret Y, Muir JF, Cuvelier A, Debeaumont D, Medrinal C, Prieur G, Bonnevie T. Factors influencing participation in educational workshops as part of a pulmonary rehabilitation program in patients with chronic obstructive pulmonary disease: a retrospective study. Expert Rev Respir Med. 2022 Mar;16(3):341-349. doi: 10.1080/17476348.2022.1991793. Epub 2021 Nov 2.

    PubMed 34623218

Questions about this trial

What is this clinical trial studying?

An observational study of Chronic Obstructive Pulmonary Disease and Pulmonary Rehabilitation, run by ADIR Association at 1 site in France.

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 3 inclusion and 2 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 1 Jun 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 France. 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?

Multiple logistic regression between the variables defined and the refusal of educational program (time frame: Baseline). The study lists 33 primary outcomes in all. 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 NCT04301245, which also lists 1 linked publication.

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 1 Jun 2020.

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