Increasing Adherence to Pulmonary Rehabilitation After COPD Related Hospitalizations

Clinical Trial ID: NCT03865329

Description

This study will look at the effectiveness of a home-based Pulmonary Rehabilitation Program in 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 particular PR post-hospitalization has been reported as the most effective intervention to prevent a hospital readmission; however, the reality is that many times this is not a feasible intervention as only 4% of eligible individuals are able to adhere to PR after a hospital admission (for multiple reasons).While COPD is responsible for nearly 700,000 hospitalizations annually, many of these hospitalizations, which account for a large proportion of the annual direct medical costs of COPD, are potentially preventable readmissions. In this study we plan to add Health Coaching to PR to promote a behavior change to decrease COPD re-hospitalizations and sustainably improve QOL. We propose a simple system of Remote PR that may fill the practice gap.


Criteria

Inclusion Criteria - COPD related hospitalization and eligible for PR - Exclusion Criteria - Inability to walk (orthopedic-neurologic problems or confined to bed)

  • Start Date

    2018-01-20

  • Last Updated

    2019-03-05

  • Sponsor

    National Heart, Lung, and Blood Institute (NHLBI)

  • Condition Name

    COPD Exacerbation

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