Increasing Adherence to Pulmonary Rehabilitation After COPD Related Hospitalizations (Study 2)

  • STATUS
    Recruiting
  • days left to enroll
    43
  • participants needed
    150
  • sponsor
    Mayo Clinic
Updated on 10 July 2022

Summary

This study is being done to test the comparative effectiveness of participating in a Pulmonary Rehabilitation Program at home using new technology and health coaching following dismissal from the hospital compared to the referral to a center based pulmonary rehabilitation that may include the choice of center based or telehealth.

Description

Despite proven benefits, the proportion of people with COPD who receive Pulmonary Rehabilitation (PR) is very small. The current model of a center-based PR program fails to address the needs of many patients with COPD. After the COVID epidemic, telehealth is an option for individuals referred to patients referred to center based rehabilitation.

The direct referral to home-based, unsupervised PR has been proposed as an alternative model to hospital-based programs and has been found to be safe and effective. The refined home-based PR program from the pilot portion of the study supported by a separate grant mechanism (R61HL142933/NCT03865329) will be tested in this second part randomized control study.

Subjects with a COPD-related hospitalization (exacerbation or pneumonia) will be randomized after hospital discharge to either home-based PR or Choice (referral to conventional center-based PR or telehealth-based PR).

Details
Condition COPD Exacerbation
Treatment Intervention- Home-based Pulmonary Rehabilitation
Clinical Study IdentifierNCT04521608
SponsorMayo Clinic
Last Modified on10 July 2022

Eligibility

Yes No Not Sure

Inclusion Criteria

COPD related hospitalization and eligible for PR
Age 40+
Confidence (score > 5 in a self-efficacy question (1-10 scale): how confident you feel to use this system on a daily basis)

Exclusion Criteria

Inability to walk (orthopedic-neurologic problems or confined to bed)
Clear my responses

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Additional screening procedures may be conducted by the study team before you can be confirmed eligible to participate.

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If you are confirmed eligible after full screening, you will be required to understand and sign the informed consent if you decide to enroll in the study. Once enrolled you may be asked to make scheduled visits over a period of time.

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Complete your scheduled study participation activities and then you are done. You may receive summary of study results if provided by the sponsor.

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