Sit-to-Stand Tests for Lung Disease
(STS24 Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial aims to determine if sit-to-stand (STS) tests can be effectively conducted at home for individuals with chronic lung issues like asthma or COPD (chronic obstructive pulmonary disease). It will compare performing these tests at a healthcare center, at home with remote supervision, and independently, to identify the most effective method. Eligible participants include those diagnosed with a chronic lung condition, capable of completing at least five sit-to-stand repetitions in a minute without using their arms, and possessing the necessary technology for video calls. As an unphased trial, this study provides a unique opportunity to contribute to research that could enhance home-based care for chronic lung conditions.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.
What prior data suggests that the sit-to-stand tests are safe for patients with chronic respiratory disease?
Research shows that sit-to-stand (STS) tests are safe for people with lung diseases. In one study, participants experienced no serious problems or injuries during the one-minute STS test, indicating no major issues occurred. The test was easy to manage, with no difficulties in movement or coordination.
The STS test often assesses exercise capacity, especially in individuals with lung conditions like chronic obstructive pulmonary disease (COPD). It has been tried and tested in similar groups. While the test can increase heart rate and cause shortness of breath, these effects are normal and not harmful.
Overall, the STS test is considered safe and effective for evaluating physical performance in people with lung disease.12345Why are researchers excited about this trial?
Researchers are excited about the Sit-to-Stand (STS) tests for lung disease because they offer a flexible and accessible way to monitor lung function without the need for traditional clinic visits. Unlike standard methods, which often require patients to travel for in-person testing, the STS tests can be self-administered at home or remotely supervised through video calls, providing convenience and potentially increasing patient adherence. Additionally, the ability to conduct these tests independently at home allows for more frequent monitoring, which could lead to better management of lung disease symptoms over time.
What evidence suggests that this trial's sit-to-stand tests could be effective for lung disease?
Research has shown that sit-to-stand (STS) tests effectively measure exercise ability in people with chronic lung diseases. For those with COPD, about 23–33% experience reduced ability to perform daily activities, which STS tests can help assess. Studies have found that the 1-minute STS test closely matches a person's exercise capacity, providing a reliable view of their endurance. In this trial, participants will be assigned to different conditions: some will perform the STS tests independently at home, others with remote supervision, and some at a healthcare center under direct supervision. These tests aim to make exercise assessments more accessible outside traditional clinical settings for those with lung conditions.678910
Who Is on the Research Team?
Dina Brooks, PhD
Principal Investigator
West Park Healthcare Centre
Are You a Good Fit for This Trial?
This trial is for individuals with chronic respiratory disease (CRD) who are interested in participating in a study to evaluate the effectiveness of sit-to-stand (STS) tests when done at home, either supervised remotely or self-administered.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Orientation
Participants attend an initial orientation meeting over videoconference to review the study process and data collection, including instruction on completing the STS tests at home.
Testing
Participants complete the 30-second and 1-minute STS tests across three conditions (centre-based, remote, self-administered) with random order over a 7-day period.
Follow-up
Participants complete a questionnaire regarding the feasibility and acceptability of different testing conditions.
What Are the Treatments Tested in This Trial?
Interventions
- Sit-to-Stand Test (STS)
Trial Overview
The study is testing how well STS tests work when done outside of a medical center. Participants will perform two types of STS tests: one lasting 30 seconds and another lasting one minute, under three conditions: at a center, supervised remotely, or on their own.
How Is the Trial Designed?
3
Treatment groups
Experimental Treatment
Active Control
The self-administered sit-to-stand (STS) tests will be conducted independently by the patient in their home setting. No supervision will be provided by study staff during the testing sessions. At the onset of the study, participants will receive a handout to explain the materials they need to prepare for the session. Detailed instructions for completing the STS tests independently will be provided to the participant (Appendix B). Guidance will also be provided during the orientation meeting. The instructions and guide to self-administer the test will be piloted at the start of the study, and the content may be refined to meet the needs of patients.
The sit-to-stand (STS) tests will be conducted in the patient's home and will be remotely monitored by a research staff member situated at the healthcare centre (via videoconference). The research team member will send a meeting invite to the participant who will independently join the videoconference from their home. At the onset of the study, participants will receive a handout to explain the materials they need to prepare for the session. Guidance will also be provided during the orientation meeting. Based on chair availability in participant's home, deviations will be noted by study staff. The testing procedure and instructions will be the same as the centre-based testing described.
Participants will be asked travel to West Park Healthcare Centre to complete the sit-to-stand (STS) tests under the supervision of a trained research team member. Participants will be guided through the standardized protocol for the STS tests.
Find a Clinic Near You
Who Is Running the Clinical Trial?
West Park Healthcare Centre
Lead Sponsor
Citations
Home-based or remote exercise testing in chronic ...
Main outcome – home and remote use: Exercise tests that have been used at home in people with chronic lung disease were the 6MWT (two studies), five times STS ( ...
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The aims of this study are to evaluate the efficacy of home-based PR on functional capacity and health-related quality of life in people with ILD.
Remote assessment of exercise capacity in adults with ...
In this single centre cohort study MIST supervised remotely via video-conferencing was safe, reliable and acceptable to people with chronic respiratory disease.
Sit-to-Stand Tests for Lung Disease (STS24 Trial)
Trial Overview The study is testing how well STS tests work when done outside of a medical center. Participants will perform two types of STS tests: one lasting ...
The utility and safety of one-minute sit-to-stand test in ...
No serious adverse events or motor impairments occurred with the 1STST. The minimum SpO2 during the tests was significantly lower with the 6MWT (92.6 ± 3.1 vs.
The minimal important difference of one-minute-sit-to-stand ...
The 1-min-STS test has been validated for assessing exercise capacity in COPD, ILD, and other lung disorders. [21] Importantly, the 1-min-STS ...
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valdhealth.com
valdhealth.com/news/the-sit-to-stand-test-a-key-assessment-tool-in-modern-rehabilitation-and-fitnessThe Sit-to-Stand Test: A key assessment tool in modern ...
The STS test is a critical metric for assessing functional strength and mobility, particularly in sedentary patients.
Cut-off values of one-minute sit-to-stand test for ...
The 1STST resulted in higher heart rate, systolic blood pressure, and dyspnea compared to the 6MWT, and showed a significant moderate ...
Impact of Chair Seat Height on the 1-Minute Sit to Stand ...
The 1-minute sit to stand (1-min STS) test is a standardized test which is used to examine exercise capacity in patients with chronic obstructive pulmonary ...
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