Increasing Adherence to Pulmonary Rehabilitation After COPD Related Hospitalizations
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- Mayo Clinic
- 入组人数
- 9
- 试验地点
- 2
- 主要终点
- Adherence to One Balance Practice Routine
研究概览
简要总结
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.
详细描述
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).
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 40 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- 未提供
排除标准
- 未提供
结局指标
主要结局
Adherence to One Balance Practice Routine
时间窗: Baseline to 3 months
Percentage of participants to adhere to one balance practice routine per day for 6 out of the 7 days for 12 weeks prescribed via the interactive home-based pulmonary rehabilitation program
Completion of the Daily Self-assessment
时间窗: Baseline to 3 months
Percentage of participants to complete the daily self-assessment for 6 out of the 7 days for 12 weeks via the interactive home-based pulmonary rehabilitation program
Adherence to Two Balance Practice Routine
时间窗: Baseline to 3 months
Percentage of participants to adhere to two balance practices routine per day for 6 out of the 7 days for 12 weeks prescribed via the interactive home-based pulmonary rehabilitation program
Adherence to Daily Flexible Practice Routine
时间窗: Baseline to 3 months
Percentage of participants to adhere to the daily flexible practice routine for 6 out of the 7 days for 12 weeks prescribed via the interactive home-based pulmonary rehabilitation program
次要结局
- Change in Chronic Respiratory Questionnaire (CRQ) Physical Symptoms Summary(Baseline, 3 months)
- Change in the Self-Management Ability Scale (SMAS) Total Score(Baseline, 3 months)
- Change in Patient Health Questionnaire (PHQ-2)(Baseline, 3 months)
- Change in Chronic Respiratory Questionnaire (CRQ) Emotional Symptoms Summary(Baseline, 3 months)
- Daily Physical Activity(3 months)
研究者
Roberto P. Benzo
Principal Investigator
Mayo Clinic