Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: (Re)Vitalizing Pulmonary Rehabilitation
Brief Summary: 3R aims to increase the access of patients with chronic respiratory diseases (CRD) to pulmonary rehabilitation (PR) in Portugal. The main goals of 3R are: i) design and implement an innovative community-based PR programme; ii) assess the cost-benefit of the community-based PR programme; iii) disseminate and perform knowledge transfer about PR across the country.

PR is an evidence-based intervention for the management of CRD and offering PR has been defined as a priority by national/international organizations. However, in Portugal PR is practically inexistent (\<1% of "candidate" patients have access). Currently, PR programmes are hospital-based and directed to patients with advanced disease. One of the recommendations to enhance the implementation of PR is the development on novel models of programme delivery. It is hypothesised that community-based programs, direct to patients at all grades of the disease, and involving all stakeholders (health professionals, patients, society, policy makers) may turn PR more accessible.

The plan is to implement community-based PR programs in 4 primary care centres of 2 ACES of the centre region of Portugal and assess the impact of such intervention in several domains using surrogate and patient-/family-centered outcomes. A cost-benefit analysis will be performed on acute exacerbations and healthcare utilization. Dissemination will include one conference, activities with the community, courses and an online PR toolkit. Four schools of 2 polytechnics, 2 city councils, the Health Regional Administration-Centre (ARS-Centro) and all respiratory professional and civic national associations are partners.


Options:
A: Arm Label: Pedometer-based activity promotion; Type: EXPERIMENTAL; Interventions: Behavioral: Pedometer-based activity promotion, Other: Pulmonary rehabilitation (Standard care) | Arm Label: Short patient education and exercise; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Short patient education and exercise, Other: Pulmonary rehabilitation (Standard care) | Intervention Type: BEHAVIORAL; Name: Pedometer-based activity promotion; Assigned to Arm(s): Pedometer-based activity promotion | Intervention Type: BEHAVIORAL; Name: Short patient education and exercise; Assigned to Arm(s): Short patient education and exercise | Intervention Type: OTHER; Name: Pulmonary rehabilitation (Standard care); Assigned to Arm(s): Pedometer-based activity promotion, Short patient education and exercise
B: Arm Label: Pulmonary Rehabilitation Group; Type: EXPERIMENTAL; Interventions: Other: Pulmonary Rehabilitation | Arm Label: Standard Care Group; Type: ACTIVE_COMPARATOR; Interventions: Other: Daily medication | Intervention Type: OTHER; Name: Pulmonary Rehabilitation; Assigned to Arm(s): Pulmonary Rehabilitation Group | Intervention Type: OTHER; Name: Daily medication; Assigned to Arm(s): Standard Care Group
C: Arm Label: Urban training Intervention; Type: EXPERIMENTAL; Interventions: Behavioral: Urban training | Arm Label: Usual care; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: BEHAVIORAL; Name: Urban training; Assigned to Arm(s): Urban training Intervention
D: Arm Label: Home-based pulmonary rehabilitation; Type: EXPERIMENTAL; Interventions: Behavioral: Home-based pulmonary rehabilitation | Arm Label: Hospital-based pulmonary rehabilitation; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Hospital-based pulmonary rehabilitation | Intervention Type: BEHAVIORAL; Name: Home-based pulmonary rehabilitation; Assigned to Arm(s): Home-based pulmonary rehabilitation | Intervention Type: BEHAVIORAL; Name: Hospital-based pulmonary rehabilitation; Assigned to Arm(s): Hospital-based pulmonary rehabilitation

Answer: B