An Intervention to improve physical activity in COPD
Research type
Research Study
Full title
A feasibility study assessing the inclusion of Physical Activity Promotion to standard care pulmonary rehabilitation and cognitive behavioural therapy in patients with COPD who are anxious or depressed.
IRAS ID
248697
Contact name
Karen Heslop-Marshell
Contact email
Sponsor organisation
The Newcastle upon Tyne NHS foundation trust R&D
Duration of Study in the UK
1 years, 0 months, 0 days
Research summary
In patients with Chronic Obstructive Pulmonary Disease (COPD) daily physical activity is reduced compared to healthy age-matched individuals. Reduced levels of physical activity in patients with COPD are associated with increased risk for exacerbations, hospital admissions and mortality.
Pulmonary rehabilitation (PR) constitutes standard care for patients with COPD as it improves exercise capacity, quality of life and reduces the risk for exacerbations and hospitalisation. Participation in PR, however, does not necessarily translate into improved daily physical activity levels. It is currently unknown whether addition of physical activity promotion strategies to standard PR programs induces an improvement in daily physical activity along with exercise capacity and quality of life compared to pulmonary rehabilitation alone.
Physical activity (PA) is a complex health behaviour that is modified by behavioural change interventions. PA promotion programs through the use of wearable monitors (i.e. pedometers, accelerometers) with goal setting and feedback, have shown to increase daily physical activity, but not exercise capacity or quality of life in COPD patients. Therefore, combination of both PR and PA promotion strategies is necessary to translate PR-induced improvements in functional capacity into improved daily physical activity levels.
We propose to perform a feasibility study assessing patient adherence to PA promotion incorporated into a standard PR program. To enhance adherence to the PA promotion strategy, Cognitive Behavioural Modification Strategies (CBM) will be provided to patients undertaking PR. CBM strategies facilitate the goals of PR as they address several behavioural barriers including anxiety, depression and physical inactivity, and constitutes an important component in the management of COPD to improve engagement with PR and promote a physically active lifestyle.
We will divide patients into two programs: one including PR, PA promotion and CBM and the other comprising standard PR and CBM provision. We will compare patients’ adherence (16 sessions of PR) to both programs.REC name
Yorkshire & The Humber - Sheffield Research Ethics Committee
REC reference
18/YH/0376
Date of REC Opinion
26 Sep 2018
REC opinion
Favourable Opinion