RecruitingNot ApplicableNCT05119556

Video Telehealth Pulmonary Rehabilitation to Reduce Hospital Readmission in Chronic Obstructive Pulmonary Disease

Video Telehealth Pulmonary Rehabilitation to Reduce Hospital Readmission in Chronic Obstructive Pulmonary Disease (Tele-COPD)


Sponsor

University of Alabama at Birmingham

Enrollment

768 participants

Start Date

Jun 28, 2022

Study Type

INTERVENTIONAL

Conditions

Summary

The purpose of this study is to compare the efficacy and safety of a real time video telehealth pulmonary rehabilitation intervention with standard of care in patients hospitalized for an exacerbation of chronic obstructive pulmonary disease (COPD) to determine the impact on hospital readmissions and respiratory morbidity, and to investigate the cost-effectiveness of the intervention.


Eligibility

Min Age: 40 Years

Plain Language Summary

Simplified for easier understanding

This trial is testing whether a video-based telehealth pulmonary rehabilitation program — delivered remotely after a hospital stay — can reduce re-hospitalizations in people with chronic obstructive pulmonary disease (COPD). Pulmonary rehabilitation (exercise, education, and breathing training) is highly effective, but most people never complete it after a hospital discharge. This study brings it directly to patients via video calls. **You may be eligible if...** - You are 40 or older with a diagnosed COPD - You were hospitalized for a COPD flare-up (acute exacerbation) - You are willing to follow the telehealth program and attend follow-up visits **You may NOT be eligible if...** - You have severe heart failure (NYHA class IV) or very poor heart function - You have other lung diseases like asthma, pulmonary fibrosis, bronchiectasis, or lung cancer that could confuse the COPD diagnosis - You have active cancer being treated with chemotherapy or radiation - You have had a heart attack in the past month or have unstable heart rhythm - You require more than 5 liters of supplemental oxygen - You have uncontrolled HIV/AIDS Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BEHAVIORALVideo Telehealth Pulmonary Rehabilitation

Participant will be asked to exercise 3 times a week at their home for 60 minutes each session, via live two-way videoconferencing using a data-enabled smart phone or similar device. A total of 36 sessions will be administered over 13 weeks post-discharge. Sessions will be administered by exercise physiologists located at the University of Alabama at Birmingham. Each session will be scheduled with up to three other participants at a time to mimic group sessions as delivered at center-based pulmonary rehabilitation programs. Exercise sessions will include aerobics, strength or resistance training, breathing exercises, and education sessions. The exercise plans will be tailored according to the participants' baseline exercise tolerance as determined by an initial six minute walk test and their answers to the questionnaires at the baseline visit.


Locations(15)

University of Alabama at Birmingham

Birmingham, Alabama, United States

Northwestern Memorial Hospital

Chicago, Illinois, United States

University of Iowa

Iowa City, Iowa, United States

Johns Hopkins University

Baltimore, Maryland, United States

University of Maryland

College Park, Maryland, United States

Boston VA Hospital

Boston, Massachusetts, United States

HealthPartners Institute

Bloomington, Minnesota, United States

Minnesota VA HealthCare System

Minneapolis, Minnesota, United States

Northern Westchester Hospital/Northwell Health

Chappaqua, New York, United States

Wake Forest University

Winston-Salem, North Carolina, United States

Cincinnati VA Hospital

Cincinnati, Ohio, United States

Cleveland Clinic

Cleveland, Ohio, United States

Temple University Hospital

Philadelphia, Pennsylvania, United States

University of Pittsburgh

Pittsburgh, Pennsylvania, United States

Baylor College of Medicine

Houston, Texas, United States

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NCT05119556


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