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

Mayo Clinic

Status: Completed

Conditions: COPD Exacerbation

Treatments: Behavioral: Intervention- Home-based Pulmonary Rehabilitation

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT04521608

18-002453

R61HL142933 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

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.

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. 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 home-based PR.

Enrollment: 296 patients

Sex: All

Ages: 40+ years old

Volunteers: No Healthy Volunteers

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: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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296 participants in 2 patient groups

Intervention- Home Pulmonary Rehabilitation

Experimental group

Description:

Participants enrolled in the intervention arm will be offered a Home-based pulmonary rehabilitation program with health coaching.

Treatment:

Behavioral: Intervention- Home-based Pulmonary Rehabilitation

Control- Choice

No Intervention group

Description:

This arm was the choice of Pulmonary Rehabilitation at a facility or Home-based pulmonary rehabilitation program with health coaching.