Community lung exercise and support program for adults with COPD
Tests a community lung exercise program, with or without help navigating social needs.
Plain-language title generated from the registry record
Registry title: Rehabilitation in Safety-net Environments (RISE) to Improve Outcomes in Vulnerable Patients With COPD
Key facts
- Where
- San Francisco, United StatesSee the 3 sites
Could this be for you?
Answer for yourself. This is not a decision: only the study team can say whether you can take part.
- Are you between 40 and 90 years old?
Source: NCT05572632, who can take part
Where in United States
- Maxine Hall Health Center (MHHC)San Francisco, United StatesTaking people
- Southeast Health Center (SEHC)San Francisco, United StatesTaking people
- Zuckerberg San Francisco General (ZSFG) HospitalSan Francisco, United StatesTaking people
Questions to ask the study team
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Trial details
- Who runs it
- University of California, San Francisco
- Trial code
- NCT05572632
- Record updated
- 27 October 2026
- Original description
Chronic obstructive pulmonary disease (COPD), one of the leading causes of death in the US, disproportionately affects low socioeconomic communities. While few interventions effectively modify the course of COPD and improve outcomes, pulmonary rehabilitation is the one notable exception. However, implementation of this resource-intensive program in real-life settings, and in particular, for underserved communities, has proven to be challenging. Safety-net centers that serve primarily under-insured populations lack financial resources to provide pulmonary rehabilitation.Read full original descriptionShow less
Community-based Pulmonary Rehabilitation (COPD Wellness) and Social Navigation (Health Advocates) to Improve Outcomes in Vulnerable Patients With COPD
Chronic obstructive pulmonary disease (COPD), one of the leading causes of death in the US, disproportionately affects low socioeconomic communities. While few interventions effectively modify the course of COPD and improve outcomes, pulmonary rehabilitation is the one notable exception. However, implementation of this resource-intensive program in real-life settings, and in particular, for underserved communities, has proven to be challenging. Safety-net centers that serve primarily under-insured populations lack financial resources to provide pulmonary rehabilitation.
The 10-week COPD Wellness and Plus+ Program directly addresses this gap, and yet, programs like these do not automatically lead to improved outcomes, which leads to the implementation of a Health Advocates program to address participant's social needs and barriers to healthcare.
Inclusion: Provision of signed and dated informed consent form; Willingness to participate in the COPD Wellness program; 40 to 90 years old; English or Spanish speaking; Physician-diagnosed COPD; Spirometry-confirmed FEV1/FVC ratio <= 0.7 and FEV1% predicted <80% based on GLI-O prediction equation; COPD Assessment Test ≥ 10 or history of 1+ exacerbation requiring hospitalization or 2+ outpatient exacerbations requiring steroid therapy; Currently prescribed COPD medication(s); Ability to exercise with lower extremities; No COPD exacerbations for ≥ 6 weeks; Currently receiving care within SFHN; Note: Forced expiratory volume in the first second (FEV1); Forced vital capacity (FVC).
Exclusion: Dementia, cognitive impairment, or symptomatic psychiatric illness that would impair them from participating; Unstable cardiovascular disease (includes recent [<6 months] myocardial infarction or pulmonary embolism, uncontrolled arrhythmia, poorly controlled heart failure); Transmittable pulmonary infection (tuberculosis, COVID19); Other diagnosis or condition that carry a prognosis of death within the next year; Pregnancy; Other severe co-morbidity which means exercise is contraindicated (screened by Registered Nurse in consultation with Pulmonologist); Participated in pulmonary rehabilitation in the past 12-months; COPD exacerbation in the past 6 weeks; Activities restrictions that limit one's ability to engage in moderate physical activity.