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A randomised 2x2 trial of community versus hospital rehabilitation, followed by telephone or conventional follow up; impact on quality of life, exercise capacity and use of health care resources
Source of recordUK Trials
ISRCTNISRCTN86821773
Date ISRCTN assigned25/04/2003
Local reference number(s)HTA 01/15/10
Public titleA randomised 2x2 trial of community versus hospital rehabilitation, followed by telephone or conventional follow up; impact on quality of life, exercise capacity and use of health care resources
Scientific title
AcronymN/A
Disease/condition/study domainSymptoms and general pathology: Other symptoms and general pathology
Study hypothesisPulmonary rehabilitation is a program of supervised exercises and education to improve the function and quality of life of patients with chronic obstructive pulmonary disease (chronic lung disease, predominantly caused by smoking). To date, this treatment has usually been carried out in hospital, where research has already shown it to be effective. Programs typically last for 6 weeks, but improvements persist much longer. For maximum benefit patients must be assisted to change their lifestyles. It is possible that the importance attached to being treated in hospital is more likely to convince patients to change their lifestyles. Alternatively, those treated in a community setting may identify the treatment more with day to day life and hence be more likely to make ongoing changes. This study randomises patients to receive their rehabilitation program in either hospital or community setting to see if one is superior to the other. This will be evaluated over 18 months to see how the effect persists, with measures of purely physical function (exercise), quality of life and use of healthcare status being evaluated. In addition, half of the patients will receive telephone support to see if this can cost effectively enhance the persistence of treatment effect.
Design/methodologyRandomised 2x2 trial
Research ethics reviewNot provided at time of registration
Countries of trialUnited Kingdom
Participants - inclusion criteriaNot provided at time of registration
Participants - exclusion criteriaNot provided at time of registration
Patient information material
Anticipated start date01/11/2002
Anticipated end date31/07/2007
Status of trialCompleted
Target number of participantsNot provided at time of registration
InterventionsPlease note that, as of 24 January 2008, the start and end date of this trial were updated from 1 July 2002 and 30 June 2006 to 1 November 2002 and 31 July 2007, respectively.

Interventions:
Community versus hospital rehabilitation
Primary outcome measure(s)Not provided at time of registration
Secondary outcome measure(s)Not provided at time of registration
Sources of fundingNIHR Health Technology Assessment Programme - HTA (UK)
Sponsor nameDepartment of Health (UK)
Sponsor detailsQuarry House
Quarry Hill
Leeds
United Kingdom
LS2 7UE
Sponsor emailSheila.Greener@doh.gsi.gov.uk
Sponsor websitehttp://www.dh.gov.uk/en/index.htm
Contact nameDr Roderick Allan Lawson
Contact detailsDept of Respiratory Medicine
Royal Hallamshire Hospital
Glossop Road
Sheffield
United Kingdom
S10 2JF
Contact telephone+44 0 114 271 2958
Contact fax+44 0 114 271 1836
Contact emailrod.lawson@sth.nhs.uk
More informationFor more up-to-date information please go to the ISRCTN link below.
Link to record in ISRCTN RegisterISRCTN86821773
Date last extracted from ISRCTN register17/04/2008
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