Skip to main content
OpenTrials
Recruiting

NCT Number: NCT06235502

Long-term Home-based Exercise for Patients With COPD: the COPDtoParis Project

This randomised controlled trial (RCT) aims to investigate the effect of long-term, interactive home-based cycle-exercise on patients with Chronic Obstructive Pulmonary Disease (COPD) after a COPD exacerbation requiring hospitalisation. The investigators aim to investigate if patients can maintain or improve the effects of pulmonary rehabilitation in terms of walking distance, intensity of COPD symptoms, health related quality of life and Quality Adjusted Life-Years.

Participants will cycle on a pedal-exerciser in the comfort of staying in the participants' own home, whilst getting visual feedback from the 4Mvideo app. The 4Mvideo technology is a Danish designed software system, where users can cycle forward a recording of a cyclist by treading on a pedal-exerciser, thereby getting some of the experience of a real-life cycling trip at home.

The investigators will compare the clinical outcomes and daily activity levels with that of a control group consisting of COPD patients.

Recruiting

Interested in participating?

Request Info

Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

About this study

Patients with chronic obstructive pulmonary disease (COPD) have a higher risk of experiencing disability, and even though participating in pulmonary rehabilitation (PR) are efficient for regaining strength, function and relieving symptoms, effects prove difficult to maintain. Furthermore, physical attendance to outpatient PR is challenging for COPD patients, many of whom are bound to their home, due to said disability and symptoms. Even in patients who follow through with the PR programme, adherence to exercise after is a major challenge.

The investigators hypothesise that an intervention group of COPD-patients, who will receive home-based cycle exercise will maintain or even improve effects on physical fitness from PR, in terms of walking distance, daily activity levels (DAL), exercise tolerance, disease prevention and health related quality of life (HRQoL).

Furthermore, the investigators hypothesise that the participants express improved motivation in terms of adhering to exercise, when participating in home-based, interactive group cycle exercise.

It is expected to measure changes in DAL, lung function, levels of dyspnoea, exercise tolerance, walking distance, mobility, COPD symptoms, activity of daily living (ADL) related performance and HRQoL of the participants, along with assessing disease prevention. Data is compared intrapersonal and in-between groups to identify differences in outcomes at an individual level, and between intervention- and control group. Furthermore, the investigators expect to uncover identifiable in-depth insights into the values and beliefs towards exercising amongst participants.

40 participants are recruited amongst COPD patients that live in Aalborg Municipality and are admitted at Aalborg University Hospital, hospitalised due to acute exacerbation of COPD. After being discharged participants are referred to rehabilitation, for most in their own home. After rehabilitation participants are randomized into either intervention group who will exercise on exercise bikes connected with tablets in their own home. The control group will receive usual care, which consists of offers of exercising in their own home according to a programme or participating in exercise at a facility center.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Adults at age > 18 years old
  • Hospital admission with COPD exacerbation with pre-existing COPD diagnosis
  • Citizens of Aalborg Municipality
  • Able to provide informed consent
  • Accepting of referral to rehabilitation

Exclusion criteria

  • Terminal illness
  • Unstable heart disease, i.e., ischemic heart disease, cardiac rhythm disorders
  • Other conditions preventing participating in cycle exercise, e.g., amputation, regimens or earlier or upcoming surgeries preventing seated position, blindness
  • Inability to understand basic Danish oral and written information or giving informed consent.

Treatment and study plan

Home-based cycle-exercise for COPD patients

Other

Patients will cycle in their own home using a pedal exerciser connected to the 4M-video app

Standard of care

Other

Exercise at Fitness Center, home based exercise according to a programme

Primary outcomes

  1. Five-repetition sit-to-stand test

    Time frame: Baseline measurement at initation of intervention

    The five-repetition sit-to-stand test is a test of lower limb function that measures the fastest time taken to stand five times from a chair with arms folded

  2. Five-repetition sit-to-stand test

    Time frame: Changes from baseline lower limb function at follow-up are assessed at 6 weeks

    The five-repetition sit-to-stand test is a test of lower limb function that measures the fastest time taken to stand five times from a chair with arms folded

  3. Five-repetition sit-to-stand test

    Time frame: Changes from baseline lower limb function at follow-up are assessed at 6 months

    The five-repetition sit-to-stand test is a test of lower limb function that measures the fastest time taken to stand five times from a chair with arms folded

  4. Five-repetition sit-to-stand test

    Time frame: Changes from baseline lower limb function at follow-up are assessed at 12 months

    The five-repetition sit-to-stand test is a test of lower limb function that measures the fastest time taken to stand five times from a chair with arms folded

Secondary outcomes

  1. Daily Activity Levels

    Time frame: Baseline measurement at initation of intervention

    Triaxial leg-mounted sensor that assesses time spent standing, walking, running, supine, cycling and sleeping/sedentary continuously throughout the day during post-hospitalisation rehabilitation for 6 weeks.

  2. Daily Activity Levels

    Time frame: Changes from baseline activity during rehabilitation at follow-up are assessed 12 months

    Triaxial leg-mounted sensor that assesses time spent standing, walking, running, supine, cycling and sleeping/sedentary continuously throughout the day during post-hospitalisation rehabilitation for 6 weeks

  3. Lung function Test (FEV1)

    Time frame: Baseline measurement at initation of intervention

    Forced expiratory volume in the first second in a spirometry

  4. Lung function Test (FEV1)

    Time frame: Changes from baseline lung function at follow-up are assessed at 6 weeks

    Forced expiratory volume in the first second in a spirometry

  5. Lung function Test (FEV1)

    Time frame: Changes from baseline lung function at follow-up are assessed at 6 months

    Forced expiratory volume in the first second in a spirometry

  6. Lung function Test (FEV1)

    Time frame: Changes from baseline lung function at follow-up are assessed at 12 months

    Forced expiratory volume in the first second in a spirometry

  7. Level of Dyspnea with the Modified Medical Research Council Dyspnoea Scale (mMRC)

    Time frame: Baseline measurement at initation of intervention

    A scale from 0-4 is used to assess the degree of functional disability due to dyspnoea. Higher score indicate higher degree of dyspnea

  8. Level of Dyspnea with the Modified Medical Research Council Dyspnoea Scale (mMRC)

    Time frame: Changes from baseline and at follow-up are assessed at 6 weeks

    A scale from 0-4 is used to assess the degree of functional disability due to dyspnoea. Higher score indicate higher degree of dyspnea

  9. Level of Dyspnea with the Modified Medical Research Council Dyspnoea Scale (mMRC)

    Time frame: Changes from baseline and at follow-up are assessed at 6 months

    A scale from 0-4 is used to assess the degree of functional disability due to dyspnoea. Higher score indicate higher degree of dyspnea

  10. Level of Dyspnea with the Modified Medical Research Council Dyspnoea Scale (mMRC)

    Time frame: Changes from baseline and at follow-up are assessed at 12 months

    A scale from 0-4 is used to assess the degree of functional disability due to dyspnoea. Higher score indicate higher degree of dyspnea

  11. Health Related Quality of Life with St. George's Respiratory Questionnaire (SGRQ)

    Time frame: Baseline measurement at initation of intervention

    The 2 part, 50 item questionnaire with scores from 0-100 is used to assess health impairment related to symptoms, activity, impacts, and total in patients with asthma and Chronic Obstructive Pulmonary Disease. Higher scores indicate better health related quality of life.

  12. Health Related Quality of Life with St. George's Respiratory Questionnaire (SGRQ)

    Time frame: Changes from baseline health related quality of life at follow-up are assessed at 6 weeks

    The 2 part, 50 item questionnaire with scores from 0-100 is used to assess health impairment related to symptoms, activity, impacts, and total in patients with asthma and Chronic Obstructive Pulmonary Disease. Higher scores indicate better health related quality of life.

  13. Health Related Quality of Life with St. George's Respiratory Questionnaire (SGRQ)

    Time frame: Changes from baseline health related quality of life at follow-up are assessed at 6 months

    The 2 part, 50 item questionnaire with scores from 0-100 is used to assess health impairment related to symptoms, activity, impacts, and total in patients with asthma and Chronic Obstructive Pulmonary Disease. Higher scores indicate better health related quality of life.

  14. Health Related Quality of Life with St. George's Respiratory Questionnaire (SGRQ)

    Time frame: Changes from baseline health related quality of life at follow-up are assessed at 12 months

    The 2 part, 50 item questionnaire with scores from 0-100 is used to assess health impairment related to symptoms, activity, impacts, and total in patients with asthma and Chronic Obstructive Pulmonary Disease. Higher scores indicate better health related quality of life.

  15. Life-Space Assessment (LSA)

    Time frame: Baseline measurement at initation of intervention

    Measure of performance on a range of tasks, ie. balance (score range = 0-16) and gait (score range = 0-12). Balance and gait scores are summed to produce a total score (range = 0-28) with higher scores indicate a higher degree of mobility.

  16. Life-Space Assessment (LSA)

    Time frame: Changes from baseline mobility at follow-up are assessed at 6 weeks

    Measure of performance on a range of tasks, ie. balance (score range = 0-16) and gait (score range = 0-12). Balance and gait scores are summed to produce a total score (range = 0-28) with higher scores indicate a higher degree of mobility.

  17. Life-Space Assessment (LSA)

    Time frame: Changes from baseline mobility at follow-up are assessed at 6 months

    Measure of performance on a range of tasks, ie. balance (score range = 0-16) and gait (score range = 0-12). Balance and gait scores are summed to produce a total score (range = 0-28) with higher scores indicate a higher degree of mobility.

  18. Life-Space Assessment (LSA)

    Time frame: Changes from baseline mobility at follow-up are assessed at 12 months

    Measure of performance on a range of tasks, ie. balance (score range = 0-16) and gait (score range = 0-12). Balance and gait scores are summed to produce a total score (range = 0-28) with higher scores indicate a higher degree of mobility.

  19. COPD Assessment Test (CAT)

    Time frame: Baseline measurement at initation of intervention

    Measurement of the impact of COPD on a person's life, and how this changes over time. Scale ranging from 5-30 where a higher score indicates a higher impact of COPD.

  20. COPD Assessment Test (CAT)

    Time frame: Changes from baseline COPD impact at follow-up are assessed at 6 weeks

    Measurement of the impact of COPD on a person's life, and how this changes over time. Scale ranging from 5-30 where a higher score indicates a higher impact of COPD.

  21. COPD Assessment Test (CAT)

    Time frame: Changes from baseline COPD impact at follow-up are assessed at 6 months

    Measurement of the impact of COPD on a person's life, and how this changes over time. Scale ranging from 5-30 where a higher score indicates a higher impact of COPD.

  22. COPD Assessment Test (CAT)

    Time frame: Changes from baseline COPD impact at follow-up are assessed at 12 months

    Measurement of the impact of COPD on a person's life, and how this changes over time. Scale ranging from 5-30 where a higher score indicates a higher impact of COPD.

  23. Tilburg Frailty Indicator (TFI)

    Time frame: Baseline measurement at initation of intervention

    Assessing multidimensional frailty among community-dwelling older people. Scale ranges from 0-15, with a score ranging from 0 to 8 for physical frailty, 0 to 4 for psychological frailty and 0 to 4 for social frailty. Higher scores refer to greater frailty, as older persons with a total TFI score ≥5 are considered to be frail.

  24. Tilburg Frailty Indicator (TFI)

    Time frame: Changes from baseline frailty at follow-up are assessed at 6 weeks

    Assessing multidimensional frailty among community-dwelling older people. Scale ranges from 0-15, with a score ranging from 0 to 8 for physical frailty, 0 to 4 for psychological frailty and 0 to 4 for social frailty. Higher scores refer to greater frailty, as older persons with a total TFI score ≥5 are considered to be frail.

  25. Tilburg Frailty Indicator (TFI)

    Time frame: Changes from baseline frailty at follow-up are assessed at 6 months

    Assessing multidimensional frailty among community-dwelling older people. Scale ranges from 0-15, with a score ranging from 0 to 8 for physical frailty, 0 to 4 for psychological frailty and 0 to 4 for social frailty. Higher scores refer to greater frailty, as older persons with a total TFI score ≥5 are considered to be frail.

  26. Tilburg Frailty Indicator (TFI)

    Time frame: Changes from baseline frailty at follow-up are assessed at 12 months

    Assessing multidimensional frailty among community-dwelling older people. Scale ranges from 0-15, with a score ranging from 0 to 8 for physical frailty, 0 to 4 for psychological frailty and 0 to 4 for social frailty. Higher scores refer to greater frailty, as older persons with a total TFI score ≥5 are considered to be frail.

  27. Clinical Frailty Scale (CFS)

    Time frame: Baseline measurement at initation of intervention

    Assessment of the overall level of fitness or frailty of an older adult. Scale ranges from 1-9 where a higher score indicates a higher degree of frailty.

  28. Clinical Frailty Scale (CFS)

    Time frame: Changes from baseline frailty at follow-up are assessed at 6 weeks

    Assessment of the overall level of fitness or frailty of an older adult. Scale ranges from 1-9 where a higher score indicates a higher degree of frailty.

  29. Clinical Frailty Scale (CFS)

    Time frame: Changes from baseline frailty at follow-up are assessed at 6 months

    Assessment of the overall level of fitness or frailty of an older adult. Scale ranges from 1-9 where a higher score indicates a higher degree of frailty.

  30. Clinical Frailty Scale (CFS)

    Time frame: Changes from baseline frailty at follow-up are assessed at 12 months

    Assessment of the overall level of fitness or frailty of an older adult. Scale ranges from 1-9 where a higher score indicates a higher degree of frailty.

  31. Canadian Occupational Performance Measure (COPM)

    Time frame: Baseline measurement at initation of intervention

    Qualitative outcome measure to assess a patients self-perception of performance in everyday living

  32. Canadian Occupational Performance Measure (COPM)

    Time frame: Changes from baseline performance at follow-up are assessed at 6 weeks

    Qualitative outcome measure to assess a patients self-perception of performance in everyday living

  33. Canadian Occupational Performance Measure (COPM)

    Time frame: Changes from baseline performance at follow-up are assessed at 6 months

    Qualitative outcome measure to assess a patients self-perception of performance in everyday living

  34. Canadian Occupational Performance Measure (COPM)

    Time frame: Changes from baseline performance at follow-up are assessed at 12 months

    Qualitative outcome measure to assess a patients self-perception of performance in everyday living

  35. Six Minutes Walk Test (6MWT)

    Time frame: Baseline measurement at initation of intervention

    A sub-maximal exercise test used to assess aerobic capacity and endurance. The distance covered over a time of 6 minutes is used as the outcome by which to compare changes in performance capacity.

  36. Six Minutes Walk Test (6MWT)

    Time frame: Changes from baseline mobility at follow-up are assessed at 6 weeks

    a sub-maximal exercise test used to assess aerobic capacity and endurance. The distance covered over a time of 6 minutes is used as the outcome by which to compare changes in performance capacity.

  37. Six Minutes Walk Test (6MWT)

    Time frame: Changes from baseline mobility at follow-up are assessed at 6 months

    a sub-maximal exercise test used to assess aerobic capacity and endurance. The distance covered over a time of 6 minutes is used as the outcome by which to compare changes in performance capacity.

  38. Six Minutes Walk Test (6MWT)

    Time frame: Changes from baseline and at follow-up are assessed at 12 months

    a sub-maximal exercise test used to assess aerobic capacity and endurance. The distance covered over a time of 6 minutes is used as the outcome by which to compare changes in performance capacity.

  39. Short Physical Performance Battery (SPPB)

    Time frame: Baseline measurement at initation of intervention

    Measurement of balance, lower extremity strength, and functional capacity in older adults (>65 years of age). The test includes three different domains (walking, sit-to-stand and balance) to assess functional mobility.

  40. Short Physical Performance Battery (SPPB)

    Time frame: Changes from baseline mobility at follow-ups are assessed at 6 weeks

    Measurement of balance, lower extremity strength, and functional capacity in older adults (>65 years of age). The test includes three different domains (walking, sit-to-stand and balance) to assess functional mobility.

  41. Short Physical Performance Battery (SPPB)

    Time frame: Changes from baseline mobility at follow-up are assessed at 6 months

    Measurement of balance, lower extremity strength, and functional capacity in older adults (>65 years of age). The test includes three different domains (walking, sit-to-stand and balance) to assess functional mobility.

  42. Short Physical Performance Battery (SPPB)

    Time frame: Changes from baseline mobility at follow-up are assessed at 12 months

    Measurement of balance, lower extremity strength, and functional capacity in older adults (>65 years of age). The test includes three different domains (walking, sit-to-stand and balance) to assess functional mobility.

  43. Readmissions

    Time frame: Readmissions are assessed at 12 months

    From the electronic patient journal, data on number of participants who are readmitted, and number of individual readmissions, are collected

  44. Survival rates

    Time frame: Mortality is assessed at 12 months

    From the electronic patient journal, potential deaths amongst participants are collected

  45. EuroQol 5-Dimensions 5-Level (EQ-5D-5L)

    Time frame: Baseline measurement at initation of intervention

    The EQ-5D-5L test assesses health across five dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension has five levels ranging from "no problems" to "extreme problems." Patients select the level that best describes their health, resulting in a 5-digit number representing their health state. The EQ VAS is a separate measure where patients rate their overall health on a scale from "the best health you can imagine" to "the worst health you can imagine."

  46. EuroQol 5-Dimensions 5-Level (EQ-5D-5L)

    Time frame: Changes from baseline mobility at follow-ups are assessed at 6 weeks

    The EQ-5D-5L test assesses health across five dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension has five levels ranging from "no problems" to "extreme problems." Patients select the level that best describes their health, resulting in a 5-digit number representing their health state. The EQ VAS is a separate measure where patients rate their overall health on a scale from "the best health you can imagine" to "the worst health you can imagine."

  47. EuroQol 5-Dimensions 5-Level (EQ-5D-5L)

    Time frame: Changes from baseline mobility at follow-ups are assessed at 6 months

    The EQ-5D-5L test assesses health across five dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension has five levels ranging from "no problems" to "extreme problems." Patients select the level that best describes their health, resulting in a 5-digit number representing their health state. The EQ VAS is a separate measure where patients rate their overall health on a scale from "the best health you can imagine" to "the worst health you can imagine."

  48. EuroQol 5-Dimensions 5-Level (EQ-5D-5L)

    Time frame: Changes from baseline mobility at follow-up are assessed at 12 months

    The EQ-5D-5L test assesses health across five dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension has five levels ranging from "no problems" to "extreme problems." Patients select the level that best describes their health, resulting in a 5-digit number representing their health state. The EQ VAS is a separate measure where patients rate their overall health on a scale from "the best health you can imagine" to "the worst health you can imagine."

  49. 30 Seconds Sit To Stand Test

    Time frame: Baseline measurement at initation of intervention

    Assessment of mobility and functional capacity, particularly in older adults or individuals with mobility impairments that measures lower body strength and endurance. The patient is asked to sit in a chair with their arms crossed over their chest and then stand up and sit down as many times as possible within 30 seconds. The total number of complete stands is recorded as the score.

  50. 30 Seconds Sit To Stand Test

    Time frame: Changes from baseline mobility at follow-ups are assessed at 6 weeks

    Assessment of mobility and functional capacity, particularly in older adults or individuals with mobility impairments that measures lower body strength and endurance. The patient is asked to sit in a chair with their arms crossed over their chest and then stand up and sit down as many times as possible within 30 seconds. The total number of complete stands is recorded as the score.

  51. 30 Seconds Sit To Stand Test

    Time frame: Changes from baseline mobility at follow-ups are assessed at 6 months

    Assessment of mobility and functional capacity, particularly in older adults or individuals with mobility impairments that measures lower body strength and endurance. The patient is asked to sit in a chair with their arms crossed over their chest and then stand up and sit down as many times as possible within 30 seconds. The total number of complete stands is recorded as the score.

  52. 30 Seconds Sit To Stand Test

    Time frame: Changes from baseline mobility at follow-ups are assessed at 12 months

    Assessment of mobility and functional capacity, particularly in older adults or individuals with mobility impairments that measures lower body strength and endurance. The patient is asked to sit in a chair with their arms crossed over their chest and then stand up and sit down as many times as possible within 30 seconds. The total number of complete stands is recorded as the score.

Study contacts

Contact information is provided by the study sponsor or research team.

Anna L Stoustrup, MSc

CONTACT

[email protected]

+45 52505879

Ulla M Weinreich, PhD

CONTACT

[email protected]

+45 30687526

Sponsors and collaborators

Lead sponsor

Aalborg University Hospital

Other

Collaborators

  • 4Mvideo
  • Karen Elise Jensen Foundation
  • SENS Innovation Aps
  • Simon Fougners Hartmann Family Foundation

Registry information

Official study title

A Cluster Randomised Controlled Trial on the Effects of Long-term Home-based Exercise for Patients With Chronic Obstructive Pulmonary Disease With Recent Exacerbation: the COPDtoParis Project

Acronym: COPDtoParis

Important dates

Study start
2023
Primary completion
2025
Study completion
2025
First posted
Feb 1, 2024
Registry last updated
Dec 4, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.