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COPDNCT04870632

Tele-based Resisted Exercise for COPD

A study testing Education, Video-based pulmonary rehabilitation and Booklet-based pulmonary rehabilitation in people with COPD and Pulmonary Rehabilitation, run by National Cheng-Kung University Hospital at 1 site in Taiwan.

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 present study aims to investigate the effect of six weeks tele-based resisted exercises on cardiopulmonary function, quality of life, muscle strength and functioanl performance among patients with chronic obstructive pulmonary disease. Read more about this study

Who is it for?
Ages 40 years and older
Conditions the study is for
COPD, Pulmonary Rehabilitation, Telerehabilitation
What is being tested?
Education, Video-based pulmonary rehabilitation and Booklet-based pulmonary rehabilitation
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
40 participants
Where
1 siteTaiwan
Study dates
2 Mar 2020to 10 Jul 2021
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 40 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • COPD
  • Be medically stable
  • Ability to use a smartphone and applications (LINE and Youtube)
  • Access to the internet
  • Have visual and auditory impairments corrected with assistive devices

Who cannot join

  • Other respiratory disease as main complaint other than COPD
  • Exacerbations within 4 weeks
  • Had enrolled PR programs within the last 6 months
  • Unable to follow verbal instructions, suffer from cognitive impairment, or have language difficulties
  • Unstable medical conditions
  • Any comorbidities which precluded exercise training

Trial locations and contacts

1 site in 1 country.

Taiwan1 site
  • National Cheng Kung University Hospital

    Tainan, 704

Other trials in Taiwan

About this study

Official title: Six Weeks Tele-based Resistance Exercise Improves the Respiratory Muscle Strength and Biceps Strength Among Patients With Chronic Obstructive Pulmonary Disease

The present study aims to investigate the effect of six weeks tele-based resisted exercises on cardiopulmonary function, quality of life, muscle strength and functioanl performance among patients with chronic obstructive pulmonary disease. In addition, the effect of different forms of exercise instruction (i.e., booklet and video) was also investigated.

Read the detailed description

Background and Purpose: Chronic obstructive pulmonary disease (COPD) is the 3rd global cause of deaths. Pulmonary rehabilitation (PR) is the standard treatment for this disease. However, the dropout rate remains high (33-50%) because of traffic issues and patients' low mobility. Therefore, telerehabilitation seems to be a better way to deliver PR. Using videos to deliver PR is not only easy to manipulate on the cellphone or ipad, but also improve patients' attention and compliance. Thus, the aim of this study is to assess whether tailor-made PR video rehabilitation program improves patients' quality of life (QoL), muscle strengths, cardiopulmonary functions, and compliance.

Methods: This is a quasi-experimental study. Participants were medically stable COPD patients and able to use LINE and YOUTUBE in cellphone. They voluntarily choose to participate in control group, booklet group or video groups to conduct 6-week tele-based resisted exercise program. Patients in control group received conventional intervention and exercise instruction booklet. Participants in booklet and video groups additionally received a COPD exercise package with 2 elastic bands in different weight (4 ponds and 8 ponds). Participants in booklet group received the exercise instructed in education booklet with words and pictures. Patients in video group received exercise instructed using YouTube videos. Both participants in booklet and video groups were asked to record their rating of perceived exertion (RPE) scores. A physical therapist would weekly contact them to monitor and modify the exercise intensity using their RPE scores. The videos included 5-minute breathing reeducation, 20-minute interval strengthening exercise and 5-minute education animation. All patients were assessed the performance of spirometry, cardiopulmonary exercise test (CPET), questionnaires about symptoms, QoL, muscle strengths and distances of 6-minute walk test (6MWT) before intervention, after intervention and after 6-week follow-up.

Being tested
Education, Video-based pulmonary rehabilitation, Booklet-based pulmonary rehabilitation
Keywords
COPD, Pulmonary Rehabilitation, Telerehabilitation, Video-based telerehabilitation, Youtube, LINE, Booklet-based telerehabilitation, Cardiopulmonary exercise test, Interval strengthening exercises, Cellphone
Medical subject headings
Pulmonary Disease, Chronic Obstructive, Patient Compliance

What participants receive

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

  • EducationOther

    COPD patients conduct pulmonary rehabilitation for 6 weeks by read an education booklet with words and pictures which is made by the physiotherapist.

  • Video-based pulmonary rehabilitationOther

    COPD patients conduct pulmonary rehabilitation for 6 weeks by watching Youtube videos which were made by the physiotherapist.The patients are monitored by the physiotherapist by weekly phone call and asked to record RPE scores at the RPE form.

  • Booklet-based pulmonary rehabilitationOther

    COPD patients conduct pulmonary rehabilitation for 6 weeks by read an education booklet with words and pictures which is made by the physiotherapist.The patients are monitored by the physiotherapist by weekly phone call and asked to record RPE scores at the RPE form.

Study groups in NCT04870632
Study groupRoleWhat they receive
Control groupSham comparatorPatients in control group received the education booklet with words and pictures.
Receives: Other: Education
Video groupExperimentalPatients in intervention group watched YOUTUBE videos to rehab and recorded the intensity after the exercise by RPE scores. During the intervention, a physical therapist would have weekly telephone calls or LINE calls for 6 times to monitor and modify the intensity of exercise.
Receives: Other: Video-based pulmonary rehabilitation
Booklet groupExperimentalPatients in intervention group read education booklet with words and pictures to rehab and recorded the intensity after the exercise by RPE scores. During the intervention, a physical therapist would have weekly telephone calls or LINE calls for 6 times to monitor and modify the intensity of exercise.
Receives: Other: Booklet-based pulmonary rehabilitation

What is being measured

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

  1. Time point difference of AT from 1st week to 6th week

    Use cardiopulmonary exercise test (CPET) to get the change of time point difference of AT from 1st week(intervention starts) to 6th week(intervention ends)

    Measured: From 1st week to 6th week

  2. Time point difference of AT from 1st week to 12th week

    Use cardiopulmonary exercise test (CPET) to get the change of time point difference of AT from 1st week(intervention starts) to 12th week(follow up ends)

    Measured: From 1st week to 12th week

  3. Time point difference of AT from 6th week to 12th week

    Use cardiopulmonary exercise test (CPET) to get the change of time point of AT from 6th week(intervention ends) to 12th week(follow up ends)

    Measured: From 6th week to 12th week

  4. Change of maximal exercise work from 1st week to 6th week

    Use cardiopulmonary exercise test (CPET) to get the change of values of the pateint's total work (watt) from 1st week(intervention starts) to 6th week(intervention ends)

    Measured: From 1st week to 6th week

  5. Change of maximal exercise work from 1st week to 12th week

    Use cardiopulmonary exercise test (CPET) to get the change of values of the pateint's total work (watt) from 1st week(intervention starts) to to 12th week(follow up ends)

    Measured: From 1st week to 12th week

  6. Change of maximal exercise work from 6th week to 12th week

    Use cardiopulmonary exercise test (CPET) to get the change of values of the pateint's total work (watt) from 6th week(intervention ends) to 12th week(follow up ends)

    Measured: From 6th week to 12th week

  7. Change of VO2max from 1st week to 6th week

    Use cardiopulmonary exercise test (CPET) to get the change of values of VO2max (mL/min/kg) from 1st week(intervention starts) to 6th week(intervention ends)

    Measured: From 1st week to 6th week

  8. Change of VO2max from 1st week to 12th week

    Use cardiopulmonary exercise test (CPET) to get the change of values of VO2max (mL/min/kg) from 1st week(intervention starts) to 12th week(follow up ends)

    Measured: From 1st week to 12th week

  9. Change of VO2max from 6th week to 12th week

    Use cardiopulmonary exercise test (CPET) to get the change of values of VO2max (mL/min/kg) from 6th week(intervention ends) to 12th week(follow up ends)

    Measured: From 6th week to 12th week

  10. Change of VE/VCO2 from 1st week to 6th week

    Use cardiopulmonary exercise test (CPET) to get the change of values of VE/VCO2 from 1st week(intervention starts) to 6th week(intervention ends)

    Measured: From 1st week to 6th week

  11. Change of VE/VCO2 from 1st week to 12th week

    Use cardiopulmonary exercise test (CPET) to get the change of values of VE/VCO2 from 1st week(intervention starts) to 12th week(follow up ends)

    Measured: From 1st week to 12th week

  12. Change of VE/VCO2 from 6th week to 12th week

    Use cardiopulmonary exercise test (CPET) to get the change of values of VE/VCO2 from 6th week(intervention ends) to 12th week(follow up ends)

    Measured: From 6th week to 12th week

  13. Change of muscle strength from 1st week to 6th week

    Use dynamometer to measure the changes of muscle strength(kg) from 1st week(intervention starts) to 6th week(intervention ends), including bilateral handgrip, elbow flexors (biceps) and knee extensors (quadriceps) for 3 times separately.The patient need to increase the strength to the highest level in 6 seconds and rest for 30 seconds.The highest value will be divided by the patient's body weight (kg/kg)

    Measured: From 1st week to 6th week

  14. Change of muscle strength from 1st week to 12th week

    Use dynamometer to measure the changes of muscle strength(kg) from 1st week(intervention starts) to 12th week(follow up ends), including bilateral handgrip, elbow flexors (biceps) and knee extensors (quadriceps) for 3 times separately.The patient need to increase the strength to the highest level in 6 seconds and rest for 30 seconds.The highest value will be divided by the patient's body weight (kg/kg)

    Measured: From 1st week to 12th week

  15. Change of muscle strength from 6th week to 12th week

    Use dynamometer to measure the changes of muscle strength(kg) from 6th week(intervention ends) to 12th week(follow up ends), including bilateral handgrip, elbow flexors (biceps) and knee extensors (quadriceps) for 3 times separately.The patient need to increase the strength to the highest level in 6 seconds and rest for 30 seconds.The highest value will be divided by the patient's body weight (kg/kg)

    Measured: From 6th week to 12th week

  16. Change of 6-minute walk test from 1st week to 6th week

    Measure the change of 6-minute walk test from 1st(intervention starts) week to 6th week(intervention ends).The patient walks in his/her own pace, as far as he/she can in 6 minutes at the 20-meter long straight path and the we will record the distance in meter.Stop when time's up or patient develops clinical symptoms.

    Measured: From 1st week to 6th week

  17. Change of 6-minute walk test from 1st week to 12th week

    Measure the change of 6-minute walk test from 1st(intervention starts) week to 12th week(follow up ends).The patient walks in his/her own pace, as far as he/she can in 6 minutes at the 20-meter long straight path and the we will record the distance in meter.Stop when time's up or patient develops clinical symptoms.

    Measured: From 1st week to 12th week

  18. Change of 6-minute walk test from 6th week to 12th week

    Measure the change of 6-minute walk test from 6th(intervention ends) week to 12th week(follow up ends).The patient walks in his/her own pace, as far as he/she can in 6 minutes at the 20-meter long straight path and the we will record the distance in meter.Stop when time's up or patient develops clinical symptoms.

    Measured: From 6th week to 12th week

  19. Attendance rate in video group or booklet group

    If the patient completes 70% or more of the intervention program by being analyzed from the record of RPE form, he/she will be recognize as being completed the intervention.Finally, we will count the number of the patients who completed the intervention to be divided by the number of totally patients in video/booklet group at 6th week.

    Measured: From 1st week to 6th week

Secondary outcomes (6)
  1. FEV1

    Use spirometry to measure the values of FEV1 (%) for 3 times.The highest result will be recored.

    Measured: Baseline, 6 weeks later, and 12 weeks later

  2. FEV1/FVC

    Use spirometry to measure the values of FEV1/FVC for 3 times.The highest result will be recored.

    Measured: Baseline, 6 weeks later, and 12 weeks later

  3. Modified Medical Research Council (mMRC)

    Level of Modified Medical Research Council (mMRC)

    Measured: Baseline, 6 weeks later, and 12 weeks later

  4. COPD Assessment Test (CAT)

    Total score of COPD Assessment Test (CAT)

    Measured: Baseline, 6 weeks later, and 12 weeks later

  5. EuroQol-5 Dimensions-5 Levels (EQ-5D-5L)

    Score of EuroQol-5 Dimensions-5 Levels (EQ-5D-5L)

    Measured: Baseline, 6 weeks later, and 12 weeks later

  6. Clinical COPD Questionnaires (CCQ)

    Score of Clinical COPD Questionnaires (CCQ)

    Measured: Baseline, 6 weeks later, and 12 weeks later

Timeline

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

  1. First posted3 May 2021
  2. Study start2 Mar 2020
  3. Primary completion31 May 2021
  4. Study completion10 Jul 2021

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
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
40 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04870632
Sponsor's protocol ID
B-BR-108-038-2
Status last verified
Jul 2024
First submitted
14 Apr 2021
Last updated
22 Jul 2024
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Education, Video-based pulmonary rehabilitation and Booklet-based pulmonary rehabilitation in people with COPD and Pulmonary Rehabilitation, run by National Cheng-Kung University Hospital at 1 site in Taiwan.

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 5 inclusion and 6 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 22 Jul 2024. 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 Taiwan. 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. Some participants in this study may receive a placebo. 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?

Time point difference of AT from 1st week to 6th week (time frame: From 1st week to 6th week). The study lists 19 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 22 Jul 2024; AzTrials last refreshed its copy on 26 Oct 2026.

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