The Development of an Integrated Physical Activity and Mental Health Intervention for Veterans With COPD, Emotion Distress, and Low Physical Activity

This study is developing and testing a combined physical activity and mental health program for veterans who have chronic obstructive pulmonary disease (COPD — a lung condition causing breathing difficulties) and are also experiencing depression or anxiety. The program uses wearable activity trackers and telehealth to help veterans exercise more and feel better mentally. **You may be eligible if...** - You are a veteran, any gender, aged 40 or older - You have a clinical diagnosis of COPD - You have significant depression or anxiety (confirmed by screening questionnaires) - You are able to communicate and attend in-person visits at the VA - You speak English - You have internet access and Bluetooth capability - You have medical clearance to participate in a physical activity program - You are currently inactive (low daily step count) **You may NOT be eligible if...** - You had a COPD flare-up in the past month - You cannot walk without a major mobility device (walker, rollator, wheelchair) - You have significant cognitive impairment or dementia - You are already enrolled in another exercise or mental health study - You had a recent major health event (heart attack, stroke, hip fracture, etc.) in the past 6 months - You have a suicide flag in your chart - Your oxygen levels drop severely during walking tests Talk to your doctor to see if this trial is right for you.