RecruitingNot ApplicableNCT06304207

Telehealth and Onsite Maintenance Exercise in Chronic Lung Disease

Comparison of Telehealth and Onsite Supervised Maintenance Exercise Program for Adults With Chronic Lung Disease: A Pilot Randomized Controlled Trial

Sponsor

MGH Institute of Health Professions

Enrollment

30 participants

Start Date

Sep 1, 2023

Study Type

INTERVENTIONAL

Conditions

COPD Interstitial Lung Disease Pulmonary Fibrosis Bronchiectasis Chronic Lung Disease COPD Exacerbation COPD Bronchitis Emphysema or COPD Chronic Asthma Chronic Asthmatic Bronchitis

Summary

The goal of this pilot clinical trial is to compare telehealth and onsite supervised maintenance exercise program for adults with Chronic Lung Disease. The specific aims of the study are: * To compare 8-week supervised maintenance program delivered onsite and via tele-rehab with no maintenance for patients with Chronic Lung Disease following discharge from traditional exercise or physical therapy or onsite outpatient rehabilitation programs on clinical outcomes (dyspnea, exercise capacity, physical function, physical activity, and quality of life) at 8 weeks and 4-months post-intervention. * To compare the differences in dyspnea, exercise capacity, physical function, physical activity, and quality of life between an 8-week maintenance program delivered onsite and via tele-rehab at 8-weeks and 4-months post-intervention in patients with Chronic Lung Disease following discharge from traditional onsite outpatient rehabilitation. Participants in both intervention groups (onsite and tele-rehab) will undergo a baseline onsite assessment followed by an 8-week supervised exercise intervention either onsite or in a telehealth setting. Control group will receive biweekly check in calls, but no active intervention.

Eligibility

Min Age: 40 Years

Plain Language Summary

Simplified for easier understanding

This study compares two ways to keep people with chronic lung disease (such as COPD, pulmonary fibrosis, or pulmonary hypertension) active and healthy after they complete a traditional in-person pulmonary rehabilitation program: one group continues exercises through telehealth (online sessions), and the other returns to an in-person facility. The goal is to find out which approach better helps people maintain their breathing fitness and quality of life long-term. **You may be eligible if...** - You are 40 years or older - You have a doctor-diagnosed chronic lung disease - You have recently completed a standard outpatient pulmonary rehabilitation or exercise program (within the past 2 months) - You can walk independently (with or without a mobility aid) - You completed a 6-minute walk test at discharge while maintaining oxygen levels of at least 85% - You can follow instructions in English and have internet access **You may NOT be eligible if...** - You have significant mobility limitations from stroke, Parkinson's disease, or relapsing multiple sclerosis - You have serious heart conditions that limit exercise - You are unable to complete the exercise program safely 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

COMBINATION_PRODUCTOnsite Maintenance Exercise Training

Participants will receive a 60-minute supervised weekly exercise intervention for 8-weeks.Each 60-minute session will be broken down into a brief 5-minute training on inspiratory muscle training using a Threshold Inspiratory Muscle Trainer (IMT), 5-minute education on self-management of airway clearance and importance of maintaining regular physical activity; a 5-minute warm-up, and 25 minutes of aerobic training. The training intensity will be derived from the distance covered on the six-minute walk test administered at baseline. Training will be performed at 60-85% of VO2 reserve and converted to walking distance and speed using American College of Sports Medicine walking equations for treadmill and overground walking activities or a corresponding rating of perceived exertion (RPE) of 13-16 for non-walking activities. This will be followed by 15-minutes of functional strength training focusing on the lower extremity muscles, and 5 minutes of cool down with stretching exercises.

COMBINATION_PRODUCTTelehealth Maintenance Exercise

Participants in the tele-rehab group will also receive the same intervention as outlined for the onsite group. The mode of aerobic exercise will vary based on availability of equipment in patient homes. The intervention will be delivered remotely via previously researched models using a tablet computer. I-pads will be provided to the participants on a need basis to take home for the duration of the study. Videoconferencing will be via Partners log in enabled Zoom videoconferencing software (San Jose, California, USA) that allows all participants to see and speak to each other. To ensure safety and understanding of equipment operation and the exercise program, the initial training session and establishment of the home exercise program will occur during the initial onsite visit in the clinic at MGH Institute of Health Professions.