Home-based Pulmonary Rehabilitation and Health Coaching in Patients With Fibrotic Interstitial Lung Disease
Home-based Pulmonary Rehabilitation and Health Coaching in Patients With Fibrotic Interstitial Lung Disease: A Prospective Pragmatic Randomized Waitlist-Controlled Trial
Mayo Clinic
460 participants
Mar 3, 2025
INTERVENTIONAL
Conditions
Summary
The purpose of this clinical trial is to determine the impact of a home-based pulmonary rehabilitation program with health coaching on patient-reported respiratory-related quality of life and physical activity, as compared to usual care in patients with fibrotic interstitial lung disease.
Eligibility
Inclusion Criteria4
- F-ILD diagnosis, any disease subtype, active or prior medical treatment
- >10% fibrosis on CT imaging
- mMRC dyspnea score >1
- All racial or ethnic categories, including non-English speakers (professional translators will be engaged to support screening, enrollment, and study participation)
Exclusion Criteria5
- Inability to walk (orthopedic/neurologic/cardiac limitation causing immobility)
- Cognitive impairment or inability to understand and follow instructions
- Traditional center-based PR completed within 3 months of initial study recruitment
- Transition to hospice or end-of-life care at the time of screening
- Acute exacerbation at the time of screening
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Interventions
Participants are expected to engage in the home-based PR routine five to six days a week for the entire 12-week study period. The PR routine begins with slow upper body and timed breathing exercises, followed by two slow balance walks for 6 minutes each. The total exercise time is 24 minutes a day followed by a 4-minute mindful breathing meditation/cool down. Exercises may be modified or repeated according to baseline activity level and as conditioning improves.
Locations(4)
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NCT06751069