Pulmonary Rehabilitation for Rural Patients With COPD

ConditionChronic Obstructive Pulmonary Disease (COPD

Trial statusRecruiting

Trial phaseNot applicable

Trial typeInterventional

Biological sexAll

Age40+

SponsorMayo Clinic

About this trial

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.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

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

Disqualifiers

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.

Trial design

Design model

Parallel

Treatments tested in this trial

Pulmonary rehabilitation program
Behavioral
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

Treatment groups

306 Participants

are divided into 2 treatment groups

Group A: Treatment GroupExperimental treatment 1 intervention

Group B: Waitlist ControlExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

Change Chronic Respiratory Questionnaire Physical and Emotional (CRQ-SAS) summary scores

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.

Time frame

Baseline, 3 months

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Mayo Clinic

Lead sponsor

National Institute of Nursing Research (NINR)

Collaborator

Source ClinicalTrials.gov

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