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CTRI Number  CTRI/2025/10/095904 [Registered on: 10/10/2025] Trial Registered Prospectively
Last Modified On: 09/10/2025
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   How Physiotherapy Helps Heart and Lung Health in India 
Scientific Title of Study   Knowledge, Attitudes, and Practices related to cardiopulmonary physiotherapy among Indian healthcare providers. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Prof Dr Nidhi Singh 
Designation  Professor 
Affiliation  Galgotias University, School of Allied and Health Sciences,Department of Physiotherapy 
Address  DCR-302, D Block, Plot No.2, Sector 17-A Yamuna Expressway, Greater Noida, Gautam Buddh Nagar, Uttar Pradesh, India Opposite Buddh International Circuit.

Gautam Buddha Nagar
UTTAR PRADESH
203201
India 
Phone  7042627025  
Fax    
Email  singh.nidhi@galgotiasuniversity.edu.in  
 
Details of Contact Person
Scientific Query  
Name  Prof Dr Nidhi Singh 
Designation  Professor 
Affiliation  Galgotias University, School of Allied and Health Sciences,Department of Physiotherapy 
Address  DCR-302, D Block, Plot No.2, Sector 17-A Yamuna Expressway, Greater Noida, Gautam Buddh Nagar, Uttar Pradesh, India Opposite Buddh International Circuit.

Gautam Buddha Nagar
UTTAR PRADESH
203201
India 
Phone  7042627025  
Fax    
Email  singh.nidhi@galgotiasuniversity.edu.in  
 
Details of Contact Person
Public Query  
Name  Ritu Singh 
Designation  Ph.D Scholar (Physiotherapy) 
Affiliation  Galgotias University, School of Allied and Health Sciences,Department of Physiotherapy 
Address  DCR-302, D Block, Plot No.2, Sector 17-A Yamuna Expressway, Greater Noida, Gautam Buddh Nagar, Uttar Pradesh, India

Gautam Buddha Nagar
UTTAR PRADESH
203201
India 
Phone  9580748819  
Fax    
Email  irctcritusingh2014@gmail.com  
 
Source of Monetary or Material Support  
NIL 
Research and Development Cell, Galgotias University, Greater Noida, Uttar pradesh 203201 
 
Primary Sponsor  
Name  Galgotias University 
Address  Room No 113, C Block, Galgotias University,Plot No. 2, Sector 17-A, Yamuna Expressway, Greater Noida, Gautam Buddh Nagar, Pin - 203201. Uttar Pradesh, India 
Type of Sponsor  Research institution 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Ritu Singh  Galgotias University  Room No 526, B Block, Department of Physiotherapy, School of Allied Health Sciences, Galgotias University Plot no 2, Sector 17A, Opposite Buddha International Circuit, Greater Noida
Gautam Buddha Nagar
UTTAR PRADESH 		 9580748819

irctcritusingh2014@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
School Ethics Committee, Galgotias University  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Healthcare Practitioners  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  22.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1. Participants must have professional experience as Physiotherapists, ICU Nurses, Cardiologists, or Pulmonologists.

2. Participants should have prior experience in inpatient, outpatient, and home-based cardiac rehabilitation (CR) programs. 
 
ExclusionCriteria 
Details  1. Participants who are not of Indian nationality will be excluded from the study. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
The primary outcome of this study is to determine the overall levels of knowledge, attitudes, and practices (KAP) regarding cardiopulmonary physiotherapy (CPP) among Indian healthcare providers, including physiotherapists, physicians, nurses, and respiratory therapists. The study will establish baseline KAP scores and compare them across different professional groups to identify inter-professional differences.  
• Knowledge Score (0–15)
• Attitude Score (10–50)
• Practice Score (0–40)
• Barrier Index (0–8)
 
 
Secondary Outcome  
Outcome  TimePoints 
To compare knowledge, attitude, and practice (KAP) scores across different professional groups (physiotherapists, physicians, nurses, and respiratory therapists) in order to identify inter-professional variations.

To validate the reliability and cultural appropriateness of a bilingual (Hindi and English) KAP questionnaire specific to cardiopulmonary physiotherapy in the Indian context.

To identify the most frequently reported institutional, professional, and systemic barriers hindering effective implementation of CPP.

To examine associations between provider characteristics (profession, years of experience, training, institutional protocols) and adherence to CPP-related practices using multivariate analysis. 		 The proposed study will be completed over a period of 12 months. During the first two months, an extensive literature review will be carried out, and the research protocol will be finalized. In months two to three, ethical approval and necessary permissions will be obtained. The development of the bilingual (Hindi and English) questionnaire will take place in months three to four, followed by pilot testing and validation during months four to six.

Participant recruitment and data collection will be conducted between months six to eight. Data entry and cleaning will be completed in months eight to nine, after which statistical analysis, including descriptive, comparative, and regression analysis, will be carried out in months nine to ten. The interpretation of results and preparation of the draft report will take place in months ten to eleven. Finally, the last month (eleven to twelve) will be dedicated to final drafting, supervisor review, and submission of the study. 
 
Target Sample Size   Total Sample Size="384"
Sample Size from India="384" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/12/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

Cardiopulmonary physiotherapy (CPP) is an evidence-based intervention aimed at optimizing cardiovascular and respiratory function, reducing postoperative pulmonary complications (PPCs), and improving recovery outcomes. Despite its proven benefits, CPP remains underutilized in India due to limited awareness, lack of standardized protocols, inadequate resources, and weak interdisciplinary collaboration. Current Indian studies are largely physiotherapist-focused, single-centered, and lack validated KAP (Knowledge, Attitudes, and Practices) tools specific to CPP, limiting their generalizability and impact.

This study seeks to assess KAP related to CPP among Indian healthcare providers (physiotherapists, physicians, nurses, and respiratory therapists), compare inter-professional differences, and validate a bilingual (Hindi/English) KAP questionnaire. It also aims to identify institutional, professional, and systemic barriers to CPP implementation and analyze associations between provider characteristics and adherence to evidence-based practices.

By addressing existing research gaps, the study will provide valuable insights for improving training, policy integration, and interdisciplinary collaboration, ultimately promoting wider and more consistent adoption of CPP in Indian healthcare settings.

 
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