COPD Clinical Trial
Official title:
Physical Activity Following Pulmonary Rehabilitation in Patients With Chronic Obstructive Pulmonary Disease (COPD)
The aim of this feasibility study is to identify the acceptability of an intervention designed to promote physical activity following pulmonary rehabilitation for individuals with Chronic Obstructive Pulmonary Disease (COPD). Participants in the intervention group will be provided with pedometers and step diaries and added to a WhatsApp group with other graduates of pulmonary rehabilitation for 52 weeks.
Evidence suggests that physical activity is not maintained following pulmonary rehabilitation
for individuals with COPD. Peer social support, feedback about physical progression and
recognition of opportunities to stay active following pulmonary rehabilitation have been
identified as facilitators to physical activity following pulmonary rehabilitation. The
proposed feasibility study has incorporated these factors into the intervention.
This is a mixed-methods study including a feasibility cluster randomised controlled trial and
a qualitative process evaluation. Clusters will be pulmonary rehabilitation programmes across
Lincolnshire Community Health Services, NHS Trust (n=8), randomly allocated to the
Intervention or Control. Patients in the Intervention group will receive a multi component
intervention following pulmonary rehabilitation (pedometer, step diary and WhatsApp) and
patients in the Control group will receive standard care following pulmonary rehabilitation.
The primary objective is to identify and report the acceptability of the intervention for
patients. The secondary objectives are to: 1) gather information on recruitment and consent
rates of patients who are eligible and willing to participate, and to monitor retention of
participants throughout the study; 2) understand the patients' and health care professionals'
experience and views of the intervention and research procedures; 3) identify and report
intervention fidelity throughout the study; 4) provide an estimate of likely changes in the
proposed primary outcome for the full randomised controlled trial (average daily step count
at 52 weeks following pulmonary rehabilitation) and other secondary health outcomes; 5)
obtain the necessary statistical parameters to inform sample size calculations in a future
definitive cluster randomised controlled trial. The results from the feasibility study will
inform the design of a definitive trial, including whether the specific intervention has the
potential to promote physical activity.
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