Increasing Adherence to Pulmonary Rehabilitation After COPD Related Hospitalizations
| Status: | Recruiting |
|---|---|
| Healthy: | No |
| Age Range: | 40 - Any |
| Updated: | 3/8/2019 |
| Start Date: | January 20, 2018 |
| End Date: | November 1, 2023 |
| Contact: | Johanna Hoult, MA |
| Email: | hoult.johanna@mayo.edu |
| Phone: | 5072931989 |
This study will look at the effectiveness of a home-based Pulmonary Rehabilitation Program in
patients who have recently been hospitalized for a COPD related cause.
patients who have recently been hospitalized for a COPD related cause.
Despite proven benefits, the proportion of people with COPD who receive Pulmonary
Rehabilitation (PR) is very small. The current model of a center-based PR program fails to
address the needs of many patients with COPD. The most common patient barrier to attendance
is travel to center-based programs, particularly for frail patients with more severe COPD who
need transportation assistance. Home-based, unsupervised PR has been proposed as an
alternative model to hospital-based programs and has been found to be safe and effective. In
particular PR post-hospitalization has been reported as the most effective intervention to
prevent a hospital readmission; however, the reality is that many times this is not a
feasible intervention as only 4% of eligible individuals are able to adhere to PR after a
hospital admission (for multiple reasons).While COPD is responsible for nearly 700,000
hospitalizations annually, many of these hospitalizations, which account for a large
proportion of the annual direct medical costs of COPD, are potentially preventable
readmissions.
In this study we plan to add Health Coaching to PR to promote a behavior change to decrease
COPD re-hospitalizations and sustainably improve QOL. We propose a simple system of Remote PR
that may fill the practice gap.
Rehabilitation (PR) is very small. The current model of a center-based PR program fails to
address the needs of many patients with COPD. The most common patient barrier to attendance
is travel to center-based programs, particularly for frail patients with more severe COPD who
need transportation assistance. Home-based, unsupervised PR has been proposed as an
alternative model to hospital-based programs and has been found to be safe and effective. In
particular PR post-hospitalization has been reported as the most effective intervention to
prevent a hospital readmission; however, the reality is that many times this is not a
feasible intervention as only 4% of eligible individuals are able to adhere to PR after a
hospital admission (for multiple reasons).While COPD is responsible for nearly 700,000
hospitalizations annually, many of these hospitalizations, which account for a large
proportion of the annual direct medical costs of COPD, are potentially preventable
readmissions.
In this study we plan to add Health Coaching to PR to promote a behavior change to decrease
COPD re-hospitalizations and sustainably improve QOL. We propose a simple system of Remote PR
that may fill the practice gap.
Inclusion Criteria
- COPD related hospitalization and eligible for PR
- Exclusion Criteria
- Inability to walk (orthopedic-neurologic problems or confined to bed)
We found this trial at
1
site
200 First Street SW
Rochester, Minnesota 55905
Rochester, Minnesota 55905
507-284-2511
Phone: 507-293-1989
Mayo Clinic Rochester Mayo Clinic is a nonprofit worldwide leader in medical care, research and...
Click here to add this to my saved trials
