The Effect of a Technology-Mediated Integrated Walking and Tai Chi Intervention on Physical Function in Veterans With COPD and Chronic Musculoskeletal Pain

Korábbi kezelés

• COPD exacerbation in the previous 1 month
• Participation in a regular exercise (i.e., MOVE! or Gerofit) or Tai Chi program in the previous 3 months
• Concurrent participation in another interventional research study
• Active medical intervention that would cause a meaningful increase in pain such as surgery, chemotherapy, or radiation therapy
  • Different criteria are used if baseline study visit is a virtual one.

Más betegség

• Clinical signs of unstable cardiovascular disease (active coronary artery disease, congestive heart failure, uncontrolled atrial fibrillation, or uncontrolled hypertension)

Laborértékek

• Inability to collect at least 7 of 10 days of baseline step counts

Egyéb

• Oxygen saturation < 85% recorded on baseline 4-meter walk*
• High fall risk (unable to perform 5 chair stand tests)
• Inability to ambulate
• Inability to complete questionnaires
• Active substance abuse
• Receipt of hospice or end-of-life palliative care

• Male and female participants, aged 40 and older
• Clinical diagnosis of COPD defined as history of cigarette consumption of > 10 pack-years, and either a ratio of forced expiratory volume in one second (FEV1) to forced vital capacity (FVC) < 0.70 or chest computerized tomography (CT) evidence of emphysema*
• Numeric Rating Scale pain score > 3 for > 3 months
• Self-reported ability to walk a minimum of one block, bend at the hip, and transfer weight from one leg to another
• Ability to complete 800 feet walk with Fitbit Inspire-2 recording > 90% accuracy to detect steps compared to manual counts*
• Have access to a computer or smartphone with Internet connection or willing to come to study site to use study computers
• Have access to videoconferencing audio and video capabilities
• Competent to provide informed consent and willingness to make return study visits
  • Different criteria are used if baseline study visit is a virtual one.