Ignite Creation Date:
2024-10-26 @ 3:42 PM
Last Modification Date:
2024-10-26 @ 3:42 PM
Study NCT ID:
NCT06629675
Status:
NOT_YET_RECRUITING
Last Update Posted:
None
First Post:
2024-09-26
Brief Title:
Make Every Step Count Personalised Music Feedback to Walking for People Living with COPD
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Personalised Music Feedback to Optimise Adherence to the Walking Exercise Prescription During Pulmonary Rehabilitation for Individuals Living with Chronic Obstructive Pulmonary Disease
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-10
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
MuSiC
Brief Summary:
Pulmonary Rehabilitation PR is an evidence-based intervention to effectively manage the physiological and psychological effects of Chronic Obstructive Pulmonary Disease COPD The aims of PR are to improve symptoms of COPD increase exercise capacity increase independency improve overall behaviour related to health like exercising more and enhance quality of life The cornerstone of PR programmes is aerobic exercise prescription Typically walking exercise is used and the prescription is individualised for each patient based on their maximal walking exercise capacity However adherence to walking exercise is challenging for service users particularly when unsupervised at home The use of music during exercise shows promise as a tool to decrease the perception of fatigue and increase motivation but the integration of music via smartphone applications to support walking exercise adherence during PR has not been explored This project aims to assess if a new mobile application BeatClearWalker BCW intervention is practical acceptable and effectively used by people living with COPD The app is designed to help people living with COPD attending PR adhere to their prescribed walking pace during exercise The BCW app provides real-time personalised music feedback through music degradation to optimise the dose of walking exercise
Detailed Description:
Previous research has shown that adherence to the prescribed walking exercise intensity is challenging for individuals with COPD and that methods to provide further support are needed Using activity monitors and trackers to give feedback can increase the walking exercise participation of people living with COPD However it has been reported that more than half of steps taken during exercise were below the prescribed pace It is possible to individually prescribe exercise intensity by deriving cadence steps taken per minute from the ISWT and ESWT using activity monitor Furthermore activity monitors have been used to measure level of adherence to the intensity of the prescribed walking exercise prescriptions in the context of PR and chronic respiratory diseases
Listening to music in daily life can decrease stress and improve the psychological well-being Implementing music to enhance exercise performance has been utilised with different populations Auditory feedback in the form of listening to music is one example where exercising to music can be utilised as distraction from fatigue perception or used as a motivational tool to exercise in a healthy population Previous studies have investigated the effect of listening to music while exercising at different intensities and music tempos on fatigue perception and have shown a positive effect in decreasing the perception of fatigue In addition the effect of choosing the preferred versus non-preferred music genre on repeated sprints showed significant improvement in motivation to exercise and lower perceived exertion rates in the preferred music genre group Similarly in COPD listening to music as distractive auditory stimuli while exercising decreases breathlessness and fatigue symptoms resulting in increased aerobic capacity and HRQOL In another study individuals with COPD who listened to music while performing high-intensity exercise showed a reduction in dyspnoea which was associated with higher tolerance of high-intensity exercise as measured by endurance time The findings of a previous study showed that participants who listened to music can perform significantly more exercise compared to participants who listened to grey noise or silence Paced walking to music with COPD participants showed significant improvement in dyspnoea exercise tolerance HRQoL and fatigue In the context of unsupervised walking exercise among individuals living with COPD paced walking to interval beeps sound as such in metronomes to maintain the walking exercise intensity had been investigated previously In a prospective observational clinical trial the effect of home-based PR on exercise capacity and HRQoL using paced walking to metronome was investigated The results showed improvements in maximal exercise capacity six minute walk test 6MWT and HRQoL SGRQ However the constant rhythm such as in metronome style feedback may not be interesting overtime which can make walking exercises less engaging and lead to reduced motivation for long-term adherence
Combining the effect of paced walking when listening to metronome style feedback and preferred music to support walking exercise might offer a more enjoyable way to coach people living with COPD to walk for exercise at their prescribed intensity This principle has been investigated in adult without reported diseases population using a mobile application app the BeatClearWalker BCW as shown in the link httpsyoutubeMLy4GA8_eUcsioQL3mklA2bRKbnQl The BCW is a fitness smartphone application that monitors walking cadence and helps individuals to walk at their individually-prescribed cadence and maintain that cadence The app is designed to work on smartphones run by Android software only Despite a considerable number of fitness applications that monitor walking distance this is the first application designed to support walking and provide real-time feedback about cadence through music sound quality The application allows service users to listen to any music while walking and apply dynamic live audio feedback to help individuals to walk at and maintain the pre-set individualised target walking cadence which can be entered on the application The real-time hands-free audio feedback is noticeable and designed to disrupt the quality of the played music The feedback comes in two forms 1 clear music similar when listening to any typical music played in streaming music player or 2 degradation of music audio quality The music will play without effect if the individuals walk at or above their targeted cadence Once the walking cadence drops below the targeted the quality of the music will be degraded and will return to normal once the individual reaches the targeted cadence again
Listening to music in daily life can decrease stress and improve the psychological well-being Implementing music to enhance exercise performance has been utilised with different populations Auditory feedback in the form of listening to music is one example where exercising to music can be utilised as distraction from fatigue perception or used as a motivational tool to exercise in a healthy population Previous studies have investigated the effect of listening to music while exercising at different intensities and music tempos on fatigue perception and have shown a positive effect in decreasing the perception of fatigue In addition the effect of choosing the preferred versus non-preferred music genre on repeated sprints showed significant improvement in motivation to exercise and lower perceived exertion rates in the preferred music genre group Similarly in COPD listening to music as distractive auditory stimuli while exercising decreases breathlessness and fatigue symptoms resulting in increased aerobic capacity and HRQOL In another study individuals with COPD who listened to music while performing high-intensity exercise showed a reduction in dyspnoea which was associated with higher tolerance of high-intensity exercise as measured by endurance time The findings of a previous study showed that participants who listened to music can perform significantly more exercise compared to participants who listened to grey noise or silence Paced walking to music with COPD participants showed significant improvement in dyspnoea exercise tolerance HRQoL and fatigue In the context of unsupervised walking exercise among individuals living with COPD paced walking to interval beeps sound as such in metronomes to maintain the walking exercise intensity had been investigated previously In a prospective observational clinical trial the effect of home-based PR on exercise capacity and HRQoL using paced walking to metronome was investigated The results showed improvements in maximal exercise capacity six minute walk test 6MWT and HRQoL SGRQ However the constant rhythm such as in metronome style feedback may not be interesting overtime which can make walking exercises less engaging and lead to reduced motivation for long-term adherence
Combining the effect of paced walking when listening to metronome style feedback and preferred music to support walking exercise might offer a more enjoyable way to coach people living with COPD to walk for exercise at their prescribed intensity This principle has been investigated in adult without reported diseases population using a mobile application app the BeatClearWalker BCW as shown in the link httpsyoutubeMLy4GA8_eUcsioQL3mklA2bRKbnQl The BCW is a fitness smartphone application that monitors walking cadence and helps individuals to walk at their individually-prescribed cadence and maintain that cadence The app is designed to work on smartphones run by Android software only Despite a considerable number of fitness applications that monitor walking distance this is the first application designed to support walking and provide real-time feedback about cadence through music sound quality The application allows service users to listen to any music while walking and apply dynamic live audio feedback to help individuals to walk at and maintain the pre-set individualised target walking cadence which can be entered on the application The real-time hands-free audio feedback is noticeable and designed to disrupt the quality of the played music The feedback comes in two forms 1 clear music similar when listening to any typical music played in streaming music player or 2 degradation of music audio quality The music will play without effect if the individuals walk at or above their targeted cadence Once the walking cadence drops below the targeted the quality of the music will be degraded and will return to normal once the individual reaches the targeted cadence again
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None