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

Mayo Clinic

Status: Completed

Conditions: COPD Exacerbation

Treatments: Behavioral: Intervention- Home-based Pulmonary Rehabilitation

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT03865329

18-002453 (Pilot Study/R61)

R61HL142933 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

This pilot study will look at investigating barriers, facilitators, adherence and effectiveness of an interactive home-based pulmonary rehabilitation program and health coaching for patients who have recently been hospitalized for a COPD related cause.

Full 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. The most common patient barrier to attendance is travel to center-based programs, particularly for frail patients with more severe COPD who need transportation assistance. Home-based, unsupervised PR has been proposed as an alternative model to hospital-based programs and has been found to be safe and effective.

In this pilot study researchers will investigate barriers, facilitators and adherence to a home-based pulmonary rehabilitation program after hospitalization. The results of this pilot study will inform the second part of this study as a randomized control study under a different grant (Study 2/R33). Both quantitative and qualitative methods will be used for the evaluation.

10 patients will be enrolled in this pilot study and allocated to a home-based PR in order to polish the intervention before the randomized portion of the study. This pilot is supported by a grant mechanism (R61) explicitly oriented to adjust the intervention and identify barriers for the next randomized portion of this study (Study 2) supported by a separate grant mechanism (R33).

Enrollment: 9 patients

Sex: All

Ages: 40+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

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)

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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9 participants in 1 patient group

Intervention- Home Pulmonary Rehabilitation

Experimental group

Description:

Participants will be offered a Home-based pulmonary rehabilitation program with health coaching.

Treatment:

Behavioral: Intervention- Home-based Pulmonary Rehabilitation