COPD Access to Pulmonary Rehabilitation Intervention

Korábbi kezelés

• COPD exacerbation in the previous 1 month
• Participation in a pulmonary rehabilitation program at time of screening or within the previous 3 months

Laborértékek

• Inability to collect at least 7 of 10 days of baseline step counts
• Average baseline step counts of greater than or equal to 10,000 steps per week
  • For those who wish to participate virtually.
  • If participant has an in-person visit, oxygen will be assessed during the 6MWT to determine if subject's oxygen is stable during activity. If a participant has an in-person visit and oxygen is documented during the 6MWT and stays above 85%, he/she will be eligible to participate.
  • If a participant uses an assistive walking device but we have previously shown that the Fitbit pedometer is accurate in him/her (before the study was transitioned to virtual) he/she will be allowed to participate in the study. If a participant has an in-person visit and Fitbit accuracy is documented during use of the assistive device he/she will be eligible to participate.

Egyéb

• Prescribed supplemental oxygen for activity+
• Inability to ambulate with or without assistance
• Use of assistive device for walking such as cane or walker*
• Inability to complete questionnaires
• Participation in another exercise-related research study at time of screening
• Plans to participate in an exercise-related research study in the next 3 months

• Male and female subjects, greater than or equal to 40 years of age
• Clinical diagnosis of COPD defined as: 1 of the following as testing-based evidence of COPD (any documented FEV1/FVC < 0.70, chest CT evidence of emphysema) AND at least 2 of the following as clinical evidence of COPD (≥ 10 pack-year cigarette smoking history, taking an antimuscarinic inhaler such as ipratropium or tiotropium, diagnosis of COPD written in a provider's note or on problem list)
• Have declined participation in a conventional pulmonary rehabilitation program
• Medical clearance from healthcare provider to participate in an exercise program
• Have Internet connection and Bluetooth capability, and access to video platform Cisco Webex#
• Answer yes to "Does your shortness of breath interfere with your functioning?"
• Answer no to "Are you interested in joining PR now? If they answer yes, they will be ineligible and the PI will place a consult to PR for further evaluation
• Competent to provide informed consent
• Willingness to make return visits and be available by telephone for duration of study