Chronic Obstructive Pulmonary Disease (COPD
Conditions
Brief summary
The purpose of this study is to test the uptake, effectiveness, and patient-caregiver-provider experience of a crucial treatment not provided in rural areas: pulmonary rehabilitation.
Interventions
BEHAVIORALPulmonary rehabilitation program
Participants are expected to engage in the home-based pulmonary rehabilitation routine at least 24 minutes a day, five to six days a week for the entire 12-week study period. The pulmonary rehabilitation routine begins with slow upper body and timed breathing exercises, followed by two slow balance walks for 6 minutes each. The total exercise time again is 24 minutes, followed by a 4-minute mindful breathing meditation/cool down
Sponsors
Mayo Clinic
National Institute of Nursing Research (NINR)
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
This study design is control/Wait.
Eligibility
Sex/Gender
ALL
Age
40 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* 40 years of age or older * Physician-diagnosed COPD * Living in a rural area defined by Rural-Urban Commuting Area Codes 4-10 * mMRC score\>=1 * English Speaking
Exclusion criteria
* Inability to walk (orthopedic/neurologic/cardiac limitation causing immobility) * Cognitive impairment or inability to understand and follow instructions. * Patients with no COPD symptom burden, no breathlessness (mMRC score 0), as based on our previous studies they usually perceive no benefit from PR and do not have compliance with PR. * Traditional center-based PR was completed within 3 months of initial study recruitment. * Transition to hospice or end-of-life care at the time of screening. * Acute exacerbation at the time of screening.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change Chronic Respiratory Questionnaire Physical and Emotional (CRQ-SAS) summary scores | Baseline, 3 months | The Chronic Respiratory Disease Questionnaire is a 20 item questionnaire assessing the quality of life for patients with chronic obstructive pulmonary disease (COPD). The CRQ covers four domains: dyspnea, fatigue, emotional function, and mastery. Questions are scored on a 7-point Likert scale, with 1 representing 'All of the time' and 7 representing 'None of the time'. Higher scores indicate better outcomes. |
Countries
United States
Contacts
CONTACTJohanna Hoult, M.A.
PRINCIPAL_INVESTIGATORRoberto Benzo, M.D.
Mayo Clinic
PRINCIPAL_INVESTIGATORTeng Moua, M.D.
Mayo Clinic
Outcome results
None listed