Chronic Obstructive Pulmonary Disease Clinical Trial
Official title:
Benefits and Costs of Home-based Pulmonary Rehabilitation in Chronic Obstructive Pulmonary Disease
Pulmonary rehabilitation is an effective treatment for people with chronic obstructive
pulmonary disease (COPD) which improves symptoms, reduces hospitalisation and lowers
healthcare costs. However less than 1% of Australians with COPD receive pulmonary
rehabilitation each year, due to poor access to programs and high levels of disability. This
randomised controlled trial will examine the benefits and costs of a novel, entirely
home-based pulmonary rehabilitation program for COPD. We hypothesise that home-based
pulmonary rehabilitation can deliver equivalent clinical outcomes at lower cost than the
centre-based program.
We will randomly allocate 144 people with COPD to undertake either standard pulmonary
rehabilitation in a hospital setting, or a low-cost home-based program. Those who undertake
pulmonary rehabilitation in the hospital setting will attend the hospital twice each week for
eight weeks for supervised exercise training and education. People in the home pulmonary
rehabilitation group will receive one home visit and weekly telephone calls for eight weeks,
for supervision and mentoring of exercise and provision of education. We will compare the
number of people who complete the program in each setting. We will also test whether the
groups have similar results for the standard pulmonary rehabilitation outcomes of
breathlessness, quality of life and exercise capacity, at the end of the program and 12
months later. We will compare health care costs and personal costs between groups after 12
months.
If home-based pulmonary rehabilitation can improve uptake of this important treatment,
deliver good clinical outcomes and reduce costs this will have significant and long-lasting
benefits for patients, the community and the health system
n/a
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