COPD-SEAT (Sitting and ExacerbAtions Trial)
Research type
Research Study
Full title
The feasibility of a home-based sedentary behaviour intervention for hospitalised chronic obstructive pulmonary disease (COPD) patients following an acute exacerbation: Sitting and ExacerbAtions Trial (COPD-SEAT)
IRAS ID
181453
Contact name
Sally Singh
Contact email
Sponsor organisation
University Hospitals of Leicester NHS Trust
Duration of Study in the UK
0 years, 6 months, 16 days
Research summary
Lay Summary
Chronic Obstructive Pulmonary Disease (COPD) is estimated to be the third leading cause of death worldwide. Patients often suffer with severe breathlessness which contributes to activity avoidance, making them more sedentary (sitting for long periods). For patients suffering an exacerbation (worsening of symptoms) resulting in a hospital admission there is a greater risk of worsening health as well as being readmitted following discharge.Pulmonary rehabilitation is recommended by recent National Institute for Clinical Excellence guidelines for patients immediately following an exacerbation and should be offered within 4 weeks of hospital discharge. However, upon pulmonary rehabilitation referral (during admission), patients stay at home until they start the program. Given that symptoms often persist after discharge, patients may not feel ready enough to start the program, particularly exercise, when the time comes. Therefore, there is a need to develop a program which can be provided within the 4 week period prior to pulmonary rehabilitation.
We believe that targeting reductions in prolonged periods of sitting and breaking up these periods with gentle movement may be a suitable approach. We have developed educational and behavioural feedback packages in collaboration with experts in pulmonary rehabilitation and patients to be implemented within existing care pathways.
This proposal is to offer a home-based behaviour change program using an educational booklet with tips to reduce prolonged sitting and a wearable device which provides feedback via a smartphone to patients in real time about their sitting, standing and walking behaviours. The device also provides a gentle vibration (level of vibration decided by patients) on the lower back to inform the patient that they have been sitting for too long (time decided by patients). Normal care will not be disrupted including referral and attendance to pulmonary rehabilitation. We are interested to assess the feasibility of incorporating a new program into an existing care package.
REC name
East Midlands - Leicester Central Research Ethics Committee
REC reference
15/EM/0433
Date of REC Opinion
27 Oct 2015
REC opinion
Further Information Favourable Opinion