Relative Effect of Home-based Telerehabilitation Compared to Center-based Pulmonary Rehabilitation for Patients With Chronic Obstructive Pulmonary Disease: A Multicenter Randomized Controlled Non-inferiority Study

Status: Recruiting
Location: See all (4) locations...
Intervention Type: Other
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Background and study aims: Chronic obstructive pulmonary disease is a leading cause of mortality worldwide. Pulmonary rehabilitation is recommended for patients to improve dyspnea, exercise capacity, and quality of life. Paradoxically, as few as 5 to 10% of eligible patients undergo pulmonary rehabilitation due to barriers such as transportation difficulties and limited availability of pulmonary rehabilitation centers. Home-based pulmonary rehabilitation using advanced telehealth technologies (telerehabilitation) may offer a solution to improve access. This study aims to compare the relative effectiveness of a home-based telerehabilitation program with center-based program. The primary objective is to assess changes in exercise endurance capacity, measured by endurance time, before and after participation of the rehabilitation program. Who can participate? Adults between 45 and 80 years old who are referred for pulmonary rehabilitation and have a confirmed diagnosis of chronic obstrucitve pulmonary disease (GOLD stage II to IV) at any of the participating centers are eligible to participate, whether or not they use oxygen during exercise. Participants must live at home with another adult who is present during exercise sessions. They must not have experienced any exacerbation in the month prior to study inclusion, nor have participated in a pulmonary rehabilitation program within the past year. Participants must not have any scheduled surgery within the next four months, including surgery for lung cancer resection. They must not have active cancer, and must not present any contraindication to exercise or any condition that would limit their ability to use the telerehabilitation system. Eligible participants must be beneficiaries of a social security system and must have read and understood the information letter and signed the informed consent form. What does the study involve? This is a multi-center, randomized controlled trial with two groups: Center-based rehabilitation group: Participants will attend 24 sessions over eight weeks (three sessions per week) at the center. The program includes an initial session of therapeutic education and exercise training, followed by 24 rehabilitation sessions, and a final assessment with educational reinforcement. Home-based rehabilitation group: Participants will have 24 sessions at home over the same period (eight weeks). The program includes an initial in-center assessment session, followed by 24 rehabilitation sessions and a final in-center session for assessment. They will be provided with equipment such as a cycle ergometer, pulse oximeter, physical activity tracker, and a tablet application (TELEREHAPP) to guide and monitor their home-based exercises. Regular phone contact with healthcare professionals will be maintained for support. All participants will undergo assessments before and after the program, including a constant work rate endurance test on a cycle ergometer to measure exercise endurance capacity. What are the possible benefits and risks of participating? Participants may experience improved physical fitness, which could lead to better dyspnea management and better quality of life. Risks may include muscle soreness, fatigue, or injury related to exercise, independently of group allocation. All exercise sessions will be supervised or monitored to minimize these risks. Participants will receive instructions on how to perform exercises safely and will be encouraged to report any adverse effects promptly.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 45
Maximum Age: 80
Healthy Volunteers: f
View:

• Age between 45 and 80 years

• Confirmed diagnosis of chronic obstructive pulmonary disease, GOLD stage II to IV

• Stable condition (no exacerbation in the last month prior to participation)

• Referred to a pulmonary rehabilitation program

• With or without oxygen during exercise

• No pulmonary rehabilitation program in the last 12 months prior to participation

• Living at home with another adult present during exercise sessions

• Affiliated with a health insurance system

• Able to read and understand the information letter and sign the consent form

Locations
Other Locations
France
Groupe Hospitalier du Havre
NOT_YET_RECRUITING
Montivilliers
Centre Hospitalier des Pays de Morlaix
NOT_YET_RECRUITING
Morlaix
Association ADIR
RECRUITING
Rouen
Hôpital La Musse
NOT_YET_RECRUITING
Saint-sébastien-de-morsent
Contact Information
Primary
Tristan Bonnevie, PhD
t.bonnevie@adir-hautenormandie.com
0235592970
Time Frame
Start Date: 2025-08-14
Estimated Completion Date: 2030-12
Participants
Target number of participants: 90
Treatments
Experimental: Home-based pulmonary rehabilitation
24 home-based pulmonary rehabilitation sessions
Active_comparator: Center-based pulmonary rehabilitation
24 center-based pulmonary rehabilitation sessions
Sponsors
Collaborators: Groupe Havrais d'Aide aux Handicapés Respiratoires, Hopital La Musse, European Union, Groupe Hospitalier du Havre, Région Normandie, Union des Kinésithérapeutes et des Rééducateurs, Centre Hospitalier des Pays de Morlaix, Département de la Seine Maritime
Leads: ADIR Association

This content was sourced from clinicaltrials.gov