Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: Lung Transplant G0 (LTGO): Improving Self-Management of Exercise After Lung Transplantation
Brief Summary: Estimated costs, from thirty days prior to lung transplant up through six months post surgery, exceed 1 million dollars per patient and routine medical costs average approximately fifty thousand dollars per year thereafter. Prior to transplant, lung transplant recipients self restrict activity due to severe respiratory limitations, resulting in reduced muscle mass and qualitative changes in large skeletal muscles. After transplant, despite improved lung function, studies consistently report that lung recipients fail to reach predicted physical function and physical activity. Nearly seventy percent are at risk of developing hypertension within the first five years due to side effects of immunosuppression and an inactive lifestyle worsens this risk. Consequently, full benefits of transplant may not be achieved. Few studies have tested ways to engage lung recipients in self management of exercise and adopt an active lifestyle. Lung Transplant Go LTGO is a behavioral exercise intervention that provides individualized exercise training integrated with behavioral coaching delivered in the recipient's home. Exercise training will focus on assisting lung recipients to learn and practice exercises to reverse muscle conditioning. Behavioral coaching will assist them to develop the skills to self manage physical activity in daily life and maintain this as a sustained habit using strategies that include incremental goal setting, self-monitoring, feedback and problem solving.


Options:
A: Arm Label: LTGO-Home Based Exercise; Type: EXPERIMENTAL; Interventions: Behavioral: LTGO-Home Based Exercise | Arm Label: Enhanced Usual Care; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Enhanced Usual Care | Intervention Type: BEHAVIORAL; Name: LTGO-Home Based Exercise; Assigned to Arm(s): LTGO-Home Based Exercise | Intervention Type: BEHAVIORAL; Name: Enhanced Usual Care; Assigned to Arm(s): Enhanced Usual Care
B: Intervention Type: PROCEDURE; Name: Pulmonary rehabilitation programme; Assigned to Arm(s): N/A
C: Arm Label: 1; Type: EXPERIMENTAL; Interventions: Behavioral: Conventional or regular pulmonary rehabilitation program alone | Arm Label: 2; Type: EXPERIMENTAL; Interventions: Device: very low load IMT (sham IMT) alone | Arm Label: 3; Type: EXPERIMENTAL; Interventions: Device: Conventional or regular pulmonary rehabilitation program + targeted inspiratory resistive or threshold IMT | Arm Label: 4; Type: EXPERIMENTAL; Interventions: Device: Targeted inspiratory resistive or threshold IMT alone | Intervention Type: BEHAVIORAL; Name: Conventional or regular pulmonary rehabilitation program alone; Assigned to Arm(s): 1 | Intervention Type: DEVICE; Name: very low load IMT (sham IMT) alone; Assigned to Arm(s): 2 | Intervention Type: DEVICE; Name: Conventional or regular pulmonary rehabilitation program + targeted inspiratory resistive or threshold IMT; Assigned to Arm(s): 3 | Intervention Type: DEVICE; Name: Targeted inspiratory resistive or threshold IMT alone; Assigned to Arm(s): 4
D: Arm Label: Tele-coaching + Usual Care; Type: EXPERIMENTAL; Interventions: Behavioral: Tele-coaching + Usual Care | Arm Label: Usual Care; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: BEHAVIORAL; Name: Tele-coaching + Usual Care; Assigned to Arm(s): Tele-coaching + Usual Care

Answer: A