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Trial registered on ANZCTR
Registration number
ACTRN12609000737235
Ethics application status
Approved
Date submitted
17/08/2009
Date registered
25/08/2009
Date last updated
25/08/2009
Type of registration
Prospectively registered
Titles & IDs
Public title
Effect of an in-hospital exercise group for respiratory patients and physiotherapy care.
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Scientific title
The effect of a twice weekly inpatient exercise group and standard physiotherapy care of respiratory patients on uptake of Pulmonary Rehabilitation, physical activity levels and Quality of Life
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Exacerbation of Chronic Obstructive Pulmonary Disease
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Condition category
Condition code
Respiratory
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0
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Chronic obstructive pulmonary disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Standard Physiotherapy care including mobilisation and airway clearance techniques and education as appropriate. Prescription based on individual needs.
Exercise Class including thoracic mobilisation exercises, Upper Limb strengthening exercises, education and cariovascular exercises. Prescription based on individual needs.
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Intervention code [1]
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Treatment: Other
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Intervention code [2]
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Lifestyle
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Intervention code [3]
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Rehabilitation
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Comparator / control treatment
Control treatment consists of Standard Physiotherapy care including mobilisation and airway clearance techniques and education as appropriate. Prescription based on individual needs.
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Control group
Active
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Outcomes
Primary outcome [1]
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Attendance at Pulmonary Rehabilitation
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Assessment method [1]
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Timepoint [1]
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12 weeks post discharge from acute hospital setting
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Secondary outcome [1]
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Health Related Quality of Life as measured on the Chronic Respiratory Disease Questionnaire
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Assessment method [1]
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Timepoint [1]
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12 weeks post discharge from acute hospital setting
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Secondary outcome [2]
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Physical Activity Levels as based on the Six Minute Walk Test
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Assessment method [2]
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Timepoint [2]
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12 weeks post discharge from acute hospital setting
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Eligibility
Key inclusion criteria
Admitted with an acute exacerbation of Chronic Obstructive Pulmonary Disease (COPD)
Be located on 44N / 44S
Be admitted under the respiratory
Be medically stable
Blood Pressure appropriate for mobilisation (ie > 100)
Heart Rate appropriate for mobilisation (ie <120)
Oxygen Saturation (SpO2) >or = 90% or within acceptable range documented by medical staff with or without oxygen
Oxygen < or = 4L O2 / min via Nasal Prongs (NP)
Deemed appropriate by the treating unit to attend the group
Be eligible to attend outpatient Pulmonary Rehabilitation classes following discharge
Be able to transfer with supervision or minimal assistance + / - gait aid
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Minimum age
40
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Do not meet the medically stable criteria as listed above
Have been admitted from a Nursing Home,
Do not have a basic understanding of both spoken and written English to be able to communicate effectively within the group session and understand the written information given (Respiratory Home Exercise Program Booklet).
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
The principal researcher will be responsible for identifying eligible participants based on hospital admission diagnosis, and other inclusion criteria as discussed previously. At this time, the principal researcher will be unaware to which group the participant will be allocated to.
After providing informed consent, the independent recruitor will collect initial data Unit Record (UR) number, age, sex, relevant past medical history, and admission diagnosis.
Consenting participants will be randomly allocated to the exercise or control group. Allocation will be determined using computer generated allocation sequence and recorded and concealed until the participant has been admitted to the trial.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
computer generated allocation sequence
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/09/2009
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
78
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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Southern Health, Monash Medical Centre
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Address [1]
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Clayton Road
Clayton
Vic 3168
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Alison Fisher
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Address
Monash Medical Centre
Clayton Road
Clayton
Vic 3168
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Southern Health Human Ethics Research
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Ethics committee address [1]
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Monash Medical Centre Clayton Road Clayton Vic 3168
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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21/07/2009
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Ethics approval number [1]
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09181B
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Summary
Brief summary
The project will investigate the effect of a twice weekly inpatient exercise group and standard physiotherapy care of respiratory patients on uptake of Pulmonary Rehabilitation, physical activity levels, and Quality of Life. Participants who are admitted with an acute exacerbation of Chronic Obstructive Pulmonary Disease and located on 44 South or 44North, deemed able to exercise by the treating medical unit and able to participate in the group by the treating physiotherapist will be randomised into either the control or exercise group. The Grade One Physiotherapist who is not attached to either the Respiratory or General Medical Units will collect participant characteristics (age, COPD severity, Lung Function Test if available and admission dates), and questionnaire data once recruited to the project. Participants will then be randomized into control group (where they will receive standard physiotherapy treatment) or exercise group (where they will attend the “Fit to Breathe Group” as well as receiving standard physiotherapy treatment). At discharge, discharge destination, questionnaire data (Chronic Respiratory Disease Questionnaire), physical activity levels (6MWT) and length of stay data will be collected. On discharge, all participants will receive Pulmonary Rehabilitation Referrals and the Respiratory Home Exercise Booklet and completed Home Exercise Program. All participants will return for follow up assessment 12 weeks following discharge. At this assessment, 6MWT and the Chronic Respiratory Questionnaire will be repeated. The Pulmonary Rehabilitation coordinators will also be contacted to determine attendance at Pulmonary Rehabilitation. All patient information will be kept in the locked filing cabinet in the physiotherapy department. All data will be collected by the Grade One physiotherapist and entered into a password-protected Microsoft excel table. Participant review dates will be recorded in the 2009 A4 diary which will also be kept in this filing cabinet. Differences in the proportion of participants who undertake outpatient Pulmonary Rehabilitation will be examined using chi squared test. Repeated measures analysis of variance will be used to examine differences in physical activity, 6-minute walk and quality of life data.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Alison Fisher
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Address
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Physiotherapy Department
Monash Medical Centre
Clayton Road
Clayton
Vic 3168
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Country
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Australia
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Phone
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+61 03 9594 6666
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Alison Fisher
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Address
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Physiotherapy Department
Monash Medical Centre
Clayton Road
Clayton
Vic 3168
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Country
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Australia
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Phone
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+61 03 9594 6666
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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