Interactive 3D Visualization Technique Used in Pulmonary Rehabilitation Programme in COPD

Chronic Obstructive Pulmonary Disease Clinical Trial

Official title:

Interactive 3D Visualization Technique Used in Pulmonary Rehabilitation Programme in Chronic Obstructive Pulmonary Disease (COPD)

Clinical Trial Details — Status: Active, not recruiting

Administrative data

• NCT number: NCT02802618
• Other study ID #: 2013/1276-31/3
• Status: Active, not recruiting
• Phase: N/A
• Start date: October 2013
• Est. completion date: March 2024

Study information

• Verified date: March 2024
• Source: Karolinska University Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

A new education material with 3D technique was developed, by integrating 3D technology in an existing evidence-based pulmonary educational program, to enable an increased personalized education within a group setting. The investigators believe that this educational model will lead to increased adherence to treatment, and suggested lifestyle changes, which in turn improves patients' HRQL The purpose of this study was therefore to develop a pulmonary educational program in interactive 3D visualization technology and to evaluate differences between education with 3D technique or conventional technique in patient with COPD. Furthermore the LCQ will be translated and culturally adapted into Swedish and tested for validity and reliability.

Description:

Chronic obstructive pulmonary disease (COPD) is one of the major health scourges. In 2002 COPD was the fifth leading cause of death and estimates show that COPD becomes in 2030 the third leading cause of death worldwide. The dominant cause of COPD is tobacco smoking. COPD now affects men and women almost equally. The most common symptoms of COPD are breathlessness, excessive sputum production, and a chronic cough which causes decrease in health related quality of life (HRQL). Dyspnea and movement limitations are also common symptoms in patients with COPD and this often leads to reduced levels of physical activity, physical capacity and HRQL. The Leicester Cough Questionnaire (LCQ) is a valid evaluation tool for HRQL in patients with chronic cough. Currently no specific cough questionnaire exists in Swedish. Pulmonary rehabilitation including education and exercise training improves health. The Physiotherapy department has conducted rehabilitation programs for patients with COPD since 1995. The COPD-program has several times been updated according to existing evidence. Education in anatomy, physiology, physical therapy and self-training is a big part of the physical therapist's workday. The education imparts complex knowledge. It is demanding to mediate this as education is expected to raise the patient's desire to understand, create opportunities to understand and leave a lasting impression. In effective learning repetition, own search for information, stimulation, emotional impact and experience are important factors. Information technology is developing rapidly and patient's use of this technology is increasing. It is therefore essential that education is adapted to new requirements. Interactive 3 dimensional (3D) visualization techniques can be used to represent the human body. Interactive 3D technique used in patient education has not yet been studied. A new education material with 3D technique was developed, by integrating 3D technology in an existing evidence-based pulmonary educational program, to enable an increased personalized education within a group setting. The investigators believe that this educational model will lead to increased adherence to treatment, and suggested lifestyle changes, which in turn improves patients' HRQL In the current study it will be investigated whether och not there are differences between pulmonary educational program in interactive 3D visualization technology and in conventional technique in patients with COPD. Furthermore the LCQ will be translated and culturally adapted into Swedish and tested for validity and reliability.

Recruitment information / eligibility

• Status: Active, not recruiting
• Enrollment: 40
• Est. completion date: March 2024
• Est. primary completion date: March 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Clinical diagnosis of chronic obstructive pulmonary disease (COPD)
• Stadium II-IV of COPD
• Must be able to comprehend the Swedish language

Exclusion Criteria:

• Not diagnosed with COPD
• Does not understand written and verbal Swedish

Related Conditions & MeSH terms

• Chronic Obstructive Pulmonary Disease
• Lung Diseases
• Lung Diseases, Obstructive
• Pulmonary Disease, Chronic Obstructive

Intervention

Other:
• Interactive 3D visualization technique
The pulmonary rehabilitation consists of exercise training during two times/week for 10 weeks and a theoretic part presented with 3D visualization technique.

Locations

Country	Name	City	State
Sweden	Department of physiotherapy, Karolinska University Hospital	Stockholm

Sponsors (5)

Lead Sponsor	Collaborator
Karolinska University Hospital	Flemingsberg Science, Landstingens Ömsesidiga Försäkringsbolag (Löf), The Mats Kleberg Foundation, The Swedish Heart and Lung Association

Country where clinical trial is conducted

Sweden, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Improved health related quality of life	COPD Assessment Test	Change from Baseline health related quality of life at 10 weeks
Secondary	Improved health related quality of life	S:t George´s Respiratory Questionnaire	Change from Baseline health related quality of life at 10 weeks
Secondary	Improved health related quality of life	Leicester Cough Questionnaire	Change from Baseline health related quality of life at 2 and 10 weeks
Secondary	Improved exercise self efficacy	SCI Exercise Self Efficacy Scale (SCI=Spinal Cord Injury)	Change from Baseline exercise self efficacy at 10 weeks
Secondary	Improved physical performance	JAMAR Hydraulic Hand Dynamometer	Change from Baseline physical performance at 10 weeks
Secondary	Improved physical performance	6 minute walk test	Change from Baseline physical performance at 10 weeks
Secondary	Attendance to rehabilitation programme	Attendance record	10 weeks
Secondary	Improved knowledge of content in rehabilitation programme	Questionaire	Change from Baseline knowledge of content in rehabilitation programme at 6 months
Secondary	Compliance to treatment	Single question about compliance to treatment	6 months
Secondary	Compliance to physical activity	Single question about compliance to physical activity	6 months
Secondary	Visits to hospital, primary care	Single question about number of visits to hospital and primary care	6 months
Secondary	Motivation with rehabilitation programme	Visual analog scale, focus group interview	6 months
Secondary	Stimulation with the of rehabilitation programme	Visual analog scale, focus group interview	6 months