Idiopathic Pulmonary Fibrosis
Conditions
Keywords
Idiopathic pulmonary fibrosis, Dyspnea, Functional capacity, Quality of life
Brief summary
Idiopathic pulmonary fibrosis (IPF) is a devastating disease marked by progressive lung scarring leading to multiple life-altering sequelae. The over-arching goals of the principal investigator's research program are to more fully characterize these sequelae and to examine interventions that might improve them. The hypotheses of this particular study are that pulmonary rehabilitation (PR) is one such intervention, and that PR will improve the sequelae of dyspnea and impairments in functional capacity, cognition, mood and anxiety, fatigue, and quality of life (QOL) in patients with IPF.
Detailed description
Subjects will come to our center to be enrolled. Baseline data collection (performance of a six-minute walk test and completion of questionnaires) and randomization to one of two groups--either Rehab or Wait--will take place at the same enrollment visit if time permits. Subjects in either group will complete pulmonary rehabilitation, just at slightly different times, depending on which group they are randomized to. Pulmonary rehabilitation is a program run by respiratory and/or physical therapists and other health professionals that involves exercise, education, and support with the goals to improve functional capacity, symptom management, and well-being. It will last 6-8 weeks, during which time, subjects will complete 18 approximately hour-long sessions. Pulmonary rehabilitation may be completed at any local center that makes travel convenient. Data collection visits will take place at National Jewish Health at baseline, eight weeks (without intervening pulmonary rehabilitation in the Wait group), after completion of pulmonary rehabilitation (time varies, depending on the randomization group), and finally six months after completion of the pulmonary rehabilitation program.
Interventions
At the assigned time, subjects will complete a six-week, outpatient pulmonary rehabilitation program at any local center that has such a program.
Sponsors
Study design
Eligibility
Inclusion criteria
* Age \> 40 years * IPF * Able to walk unassisted for balance * Able to speak and understand English well enough to complete complex tasks with directions given in English
Exclusion criteria
* Pulmonary fibrosis not due to IPF * Coexisting comorbid conditions that would make exercise contraindicated
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Six-minute walk distance | Eight weeks | Distance walked during a standard six-minute walk test. |
Secondary
| Measure | Time frame |
|---|---|
| dyspnea, fatigue, anxiety, depression, quality of life | Eight weeks |
| Six minute walk distance | Six months after completion of pulmonary rehabilitation |
Countries
United States