Telemedical Training for Chronically Ill COPD Patients: a Cross Sectoral Study

Summary

Problem:

Training is an important part of the treatment and rehabilitation of patients with chronic obstructive pulmonary disease (COPD) because training can increase the patient's muscle mass, lead to higher physical performance, reduce difficulties in breathing and hereby increase the patients' capacity to make use of the medical treatment.

Rehabilitation is provided by hospitals training centres/outpatient clinics. However, the transport is too tiring for the patients, which is why they decline taking part in it. This can mean a worsening of their condition and an increase in readmissions.

Solution:

* To develop a better treatment for patients with severe COPD: Telemedical training of patients with COPD in teams.
* To develop a cross-sectoral practice for the telemedical training patients will use, thus decreasing the readmissions of OUH's patients with severe COPD
* To optimize the patient's journey in and across sector borders by using Lean methods.

Perspective:

The study is expected to contribute to improving treatment of severely ill patients with COPD cross-sectorally. The results are expected to contribute to reducing readmissions and raising the level of evidence in telemedical research on training patients with severe COPD. The study's findings may be of use in relation to other patient groups who have difficulties coming to training.

Background:

This research project has its starting point in a pilot project. Its goal was to determine whether severely ill COPD patients could train at home and earlier than normal. Evaluation showed patients found it reassuring to train with the help of the COPD briefcase. They found it increased their physical and mental well-being.

Method:

To gain knowledge of the effect of telemedical training. The patient's strength, daily activity level and quality of life will be measured by conducting a randomized controlled trial including 125 patients - 62 in the intervention group and 62 in the control group.

Qualitative research methods will be used to explore the user perspective concerning patients, family and health professionals. The method is critical psychological practice research.

A Lean method consultant from University Hospital Odense (OUH) will be involved in developing the best clinical pathway for the patients and the professionals.

Conditions

• Pulmonary Disease, Chronic Obstructive

Interventions

OTHER

Telemedical training

Intervention will involve resistance training and anaerobic training

Sponsors & Collaborators

• TREFOR

  collaborator UNKNOWN

• CoLab Denmark

  collaborator UNKNOWN

• Region of Southern Denmark

  collaborator OTHER

• University of Southern Denmark

  collaborator OTHER

• Danish Lung Association

  collaborator OTHER

• Odense University Hospital

  lead OTHER

Principal Investigators

• Kristian Kidholm, Ass professor · University Hospital Odense

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2016-08-31

Primary Completion

2016-08-31

Completion

2016-08-31