Innovative Pulmonary Rehabilitation Telehealth Program for Improving COPD Patient Outcomes

Study Overview
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Brief Summary
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Researchers want to learn more about telehealth pulmonary rehabilitation programs that help people with Chronic obstructive pulmonary disease (COPD) improve physical activity and quality of life.

Official Title
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Innovative Pulmonary Rehabilitation Telehealth Program for Improving COPD Patient Outcomes

Conditions
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COPD

Intervention / Treatment
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* Behavioral: Telehealth Program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Hospital discharge diagnosis of COPD Spirometry-confirmed evidence of COPD Global Initiative for Chronic Obstructive Lung Disease (GOLD) stages I to IV Access to internet connection and knowledge on use of web-based programs Exclusion Criteria: Persons with additional significant comorbidities including cancer, cardiac disease and physical impairments Non-English speaking persons The inability to provide an informed consent

Ages Eligible for Study
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Minimum Age: 45 Years
Maximum Age: 75 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: COPD Telehealth Program<br>Participants will take part in a structured telehealth program for 12 weeks. Web-based educational tools will be made available to participants. Study participants will meet with a registered respiratory therapist two times per week. | Behavioral: Telehealth Program<br>* Telehealth program delivered remotely to study participants. Program developed by Cambium Technologies.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Measure of physical activity | Changes will be measured using the Yale Physical Activity Survey (YPAS). The tool is composed of two sections - (a) amount of physical activity/exercise performed during a typical week in the past month and (b) activities performed in the past month. The final index score is the sum of five individual indices (vigorous, leisurely walking, moving, standing and sitting). Scores on the scale range from 0 to 137. The higher the score the more active a person. | Change from Baseline to Week 12 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Quality of Life | The COPD Assessment Test (CAT) will be used to measure the health status of the subjects. The test has eight questions. Each question has a range from 0-5. The total score for the test ranges from 0 to 40. The higher the score the more severe a person's COPD. | Change from Baseline to Week 12 | 
| Adherence to physical activity requirements | Patients receive an individualized exercise plan (minutes and days per week). Adherence to physical activity is assessed by the proportion of weeks subjects achieve their planned physical activity time. | Week 12 |