COPD Exacerbation Clinical Trial
Official title:
Increasing Adherence to Pulmonary Rehabilitation After COPD Related Hospitalizations
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.
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).
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