A Randomised Clinical Trial of a Digital Self-management Package for People With Interstitial Lung Disease

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity of Sydney

About this trial

The goal of this clinical trial is to compare REBUILD-SM (a purpose-built smartphone app and self-management package) with standard care in people with interstitial lung disease (ILD). The main question it aims to answer is:

• Does REBUILD-SM improve health-related quality of life, symptoms, anxiety, self-efficacy and physical activity for people with ILD?

Participants in the intervention group will work through the self-management package with support from a healthcare professional via phone or Zoom. They will also enter deidentified health data into the RE-BUILD smartphone app to track their progress over time. Participants in the control group will use a reduced functionality version of the smartphone app only.

Researchers will compare both groups to see if there is any difference in health-related quality of life, symptoms, anxiety, self-efficacy and level of physical activity.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Diagnosis of fibrotic ILD

In possession of a smartphone/tablet and an email address

Able to understand written and spoken English

Adequate digital literacy to complete requirements of trial

Disqualifiers

Not in possession of a smartphone/tablet

Insufficient digital literacy to complete requirements of trial

Unable to communicate in written/spoken English

Not on stable ILD treatment for 30 days prior to enrolment

Trial design

Design model

Parallel

Treatments tested in this trial

  • Pulmonary Fibrosis self-management package and smartphone application

    Behavioral

    The pulmonary fibrosis package includes modules on understanding treatment options for pulmonary fibrosis, managing medication and side effects, understanding and accessing clinical trials, managing shortness of breath, managing fatigue and mood, managing co-existing conditions, the role and importance of pulmonary rehabilitation and regular physical activity, role of oxygen therapy, smoking cessation advice and support, accessing community support, and communicating with others when living with pulmonary fibrosis. The RE-BUILD app is used as a tool for data collection and to help participants self-monitor their disease over time. Participants enter their health data, including baseline conditions, medications and diagnosis, pulmonary function results and supplementary oxygen use. It also tracks air quality data close to the participant as well as physical activity level (step count). The app also has links to ILD-related educational resources.

Treatment groups

400 Participants
are divided into 2 treatment groups
Group A: REBUILD-SM GroupExperimental treatment 1 intervention
Group B: Standard Care GroupNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Change in King's Brief Interstitial Lung Disease (K-BILD) questionnaire score

Score range 0 - 100; higher score corresponding to better outcome.

Time frame
Baseline and 12 weeks post-randomisation

Secondary outcomes

1

Change in K-BILD score

As above

Time frame
26 and 52 weeks post-randomisation
2

Change in European Quality of Life 5-Dimensions 5-Level (EQ-5D-5L) questionnaire score

Score range 11111 - 55555; 0-100; higher score indicating worse outcome

Time frame
Baseline, 12, 26 and 52 weeks post-randomisation
3

Change in General Self-Efficacy Scale score

Score range 10 - 40; higher score indicating low level of perceived self-efficacy

Time frame
Baseline, 12, 26, and 52 weeks post-randomisation
4

Change in Dyspnoea-12 score

Score range 0-36; higher score corresponding to greater level of dyspnoea

Time frame
Baseline, 12, 26 and 52 weeks post-randomisation

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

University of Sydney

Lead sponsor

Monash University

Collaborator

Lung Foundation Australia

Collaborator

University of Tasmania

Collaborator