About this trial
The investigators' goal for this project is to evaluate the feasibility, acceptability, and actual usage of a program of care for patients with COPD recently discharged after an acute exacerbation. The program of care includes virtual pulmonary rehabilitation, integrated care, and remote clinical monitoring.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Referred to either Virtual Pulmonary Rehabilitation or Remote Clinical Monitoring at Toronto Grace Health Centre after discharge from UHN hospital with an AECOPD as defined by the clinical team
Disqualifiers
Pulmonary condition other than COPD as the main respiratory disease such as bronchiectasis or asthma
Projected life expectancy ≤ 2 months , as determined by the clinical team
Significant cognitive impairment and absence/inability of a family caregiver to consent and to follow study processes
Trial design
Single group
Treatments tested in this trial
Hyfe Smartwatch
DevicePassive recording of audio with detection of explosive sounds. When explosive sounds are detected, a 0.5-1 seconds audio clip is recorded, and run through an algorithm to determine whether or not it is a cough.
FitBit Versa 2
DeviceCommercial watch with the capability to monitor vital signs including oxygen saturation, respiratory rate and heart rate. Patients will be able to view their data in the FitBit app.
Home Spirometer
DevicePatients will be able to perform spirometry testing at home. They will be able to view their data, and it will be uploaded to a dashboard for clinicians.
Audio recording
BehavioralPatients will be asked to record several sentences which will be analyzed to detect speech patterns that may indicate changes in respiratory conditions.
Treatment groups
Trial outcomes
Primary outcomes
Feasibility of the program and research study
Feasibility of the study and the program of care as determined by study participation and completion. The primary endpoints will be enrollments per month (at least 3 per study site) and data and follow up completeness (at least 75%).
Acceptability by patients and clinicians
Acceptability of the program as determined by patient questionnaire as well as patient and health care provider interview
Actual usage over 90 days
Actual usage of all program components determined objectively through logs
Secondary outcomes
Readmissions within 30 days
Readmissions to hospital within 30 days of discharge compared to control groups in past studies
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
University Health Network, Toronto
Lead sponsor
The Salvation Army Toronto Grace Health Centre
Collaborator
University of Toronto
Collaborator