Plain English Summary
Background and study aims
It is important for everyone to try to limit prolonged periods of sedentary behaviour (i.e. sitting and lying down) in daily life. Following an exacerbation (severe worsening of symptoms) of chronic obstructive pulmonary disease (COPD), sitting time can often increase which may not help individuals to maintain or improve their physical capabilities and quality of life. As a result, patients feel less able to attend pulmonary rehabilitation, a program of exercise, education and support to help people manage their COPD symptoms and function as normally as possible. It is therefore important to find effective ways for some people to sit less and move more after being discharged from hospital. We aim to look at whether it is feasible to deliver an intervention (i.e. program) developed to reduce sedentary behaviour at home for COPD patients admitted to hospital.
Who can take part?
Adults aged 40-85 with a clinical diagnosis of COPD who have been admitted to Glenfield Hospital, Leicester, UK for an acute exacerbation.
What does the study involve?
Patients are randomly allocated to one of three groups. Those in group 1 are placed in the usual care group. Those in group 2 are placed in the education group. Those in group 3 are placed in the feedback group. The education group receive information in the hospital about ways to reduce their sitting at home following discharge. The feedback group receive the same information as the education group plus feedback on their sitting behaviour from a wearable device via a mobile application. The usual care group receive standard care. Patients return to the hospital for a follow-up appointment after 4 weeks. We also collect data on their physical function, symptoms and body composition (that is percentage of fat, muscle etc.) . We will use information from this study help plan a larger study.
What are the possible benefits and risks from participating?
Patients may benefit from improved physical health in terms of reduced sedentary behaviour, increased activity and possibly improved physical functioning and well-being. No risks are foreseen but patients who reduce their sitting and increase their activity may experience associated breathlessness and other symptoms.
Where is the study run from?
Glenfield Hospital, University Hospitals of Leicester NHS Trust (UK)
When is the study starting and how long is it expected to run for?
January to June 2016
Who is funding the study?
Loughborough University (UK)
Who is the main contact?
Mark Orme
Trial website
Additional identifiers
EudraCT number
ClinicalTrials.gov number
Protocol/serial number
N/A
Study information
Scientific title
Feasibility of a home-based self-monitoring sedentary behaviour intervention for chronic obstructive pulmonary disease patients hospitalised following an acute exacerbation
Acronym
COPD-SEAT (Sitting and ExacerbAtions Trial)
Study hypothesis
This is a feasibility trial of a home-based self-monitoring sedentary behaviour intervention for chronic obstructive pulmonary disease patients. The aim is to use the information from this study to inform a larger randomised controlled trial.
Ethics approval
East Midlands - Leicester Central Research Ethics Committee, 27/10/2015, ref:15/EM/0433
Study design
Feasibility small-scale randomised controlled trial, single-centre
Primary study design
Interventional
Secondary study design
Randomised controlled trial
Trial setting
Hospitals
Trial type
Quality of life
Patient information sheet
Not available in web format, please use the contact details to request a patient information sheet
Condition
Chronic obstructive pulmonary disease (COPD)
Intervention
Patients will be randomised (1:1:1) to one of three groups:
1. Usual Care (control): will not receive information or advice about sedentary behaviour. They will receive the educational material at the end of the follow-up appointment
2. Education: will receive written and verbal information about the importance of reducing their sedentary behaviour as well as top tips to achieve this
3. Feedback: will receive wearable self-monitoring technology which provides real-time feedback on their behaviour and prompts them to break up their sitting time
Added on 31/05/2016:
The intervention period will be 14 days following hospital discharge.
Previous
The intervention period will be 28 days following hospital discharge.
Intervention type
Behavioural
Phase
Drug names
Primary outcome measure
Assessing the feasibility of the processes, tools and management fundamental to the success of a future definitive intervention. Measurements include:
1. The number of eligible patients
2. Response rate of eligible patients
3. The number of eligible patients who refuse the intervention
4. Willingness of patients to be randomised
5. The practicality of delivering the intervention in the proposed setting
6. Follow-up rates, completion of measures, compliance with technology, level of missing data
7. The time needed to collect and analyse the data
8. The occurrence of adverse events related to the intervention
Added on 31/05/2016:
All outcomes are assessed at a follow-up appointment 2 weeks after commencement of the intervention.
Previous
Patient outcomes are assessed at a follow-up appointment 4 weeks after commencement of the intervention.
Secondary outcome measures
1. Sedentary behaviour as determined by inclinometry
2. Physical activity as determined by accelerometry
3. Physical function measured using the Short Physical Performance Battery, grip strength and 20m gait analysis using foot-worn inertial sensors
4. Breathlessness measured by the modified Medical Research Council dyspnea scale
5. Health status measured by the COPD Assessment Test and EuroQol (EQ-5D-5L)
6. Fatigue measured by the Functional Assessment of Chronic Illness Therapy (FACIT-F)
7. Anxiety and depression measured by the Hospital Anxiety and Depression Scale
8. Fear of falling measured by the Falls Efficacy Scale-International
Added 31/05/2016:
9. Body composition determined by body mass index index and waist circumference
Previous:
9. Body composition determined by body mass index index, waist circumference and body fat percentage
Added on 31/05/2016:
All outcomes are assessed at a follow-up appointment 2 weeks after commencement of the intervention.
Previous
All outcomes are assessed at a follow-up appointment 4 weeks after commencement of the intervention.
Overall trial start date
04/01/2016
Overall trial end date
31/12/2016
Reason abandoned (if study stopped)
Eligibility
Participant inclusion criteria
1. Aged between 40 and 85 years
2. Have a confirmed diagnosis of COPD
3. Have experienced fewer than 4 exacerbations requiring hospital admission in the last 12 months
4. Have a confirmed acute exacerbation as the reason for hospitalisation
5. Are willing and able to comply with the trial protocol
6. Are physically able to participate in light intensity physical activity (i.e. walking with an aid)
7. Are able to provide informed consent (read and understand English)
Participant type
Patient
Age group
Adult
Gender
Both
Target number of participants
Added 31/05/2016: as many as possible as this is a feasibility study. Previous: 45 to 60 (15 to 20 in each arm)
Participant exclusion criteria
1. If the Respiratory Discharge Service (REDS) nurses or clinicians deem them unsuitable for the project for any reason (e.g. terminally ill)
2. Patients with an injury or additional health condition that precludes their ability to take part in light intensity physical activity
3. Patients with an overlying medical disorder that interferes with provision of consent, completion of measurements, intervention, interview, or follow-up
Recruitment start date
04/01/2016
Recruitment end date
29/07/2016
Locations
Countries of recruitment
United Kingdom
Trial participating centre
Glenfield Hospital
Groby Rd
Leicester
LE3 9QP
United Kingdom
Trial participating centre
Loughborough University
Epinal Way
Loughborough
LE11 3TU
United Kingdom
Sponsor information
Organisation
University Hospitals of Leicester NHS Trust (UK)
Sponsor details
Level 3
Balmoral Building
Leicester Royal Infirmary
Infirmary Square
Leicester
LE1 5WW
United Kingdom
+44 (0)116 258 8351
RDAdmin@uhl-tr.nhs.uk
Sponsor type
Hospital/treatment centre
Website
Funders
Funder type
University/education
Funder name
Loughborough University
Alternative name(s)
Funding Body Type
private sector organisation
Funding Body Subtype
academic
Location
United Kingdom
Results and Publications
Publication and dissemination plan
Results of the study will be published in scientific journals and also disseminated in the form of academic abstracts, posters and oral presentations. Publications dates are projected to occur late 2016.
Intention to publish date
01/11/2016
Participant level data
Available on request
Basic results (scientific)
Publication list
2016 protocol in: https://www.ncbi.nlm.nih.gov/pubmed/27697880
2018 results in: https://www.ncbi.nlm.nih.gov/pubmed/29643055