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NCT03480386

Home Pulmonary Rehabilitation for COPD

Completed NA Results posted Last updated 13 February 2024
What this trial tests

NA trial testing Home Based Pulmonary Rehabilitation in Chronic Obstructive Pulmonary Disease (COPD) in 375 participants. Completed in 16 February 2022.

Timeline
1 January 2019
Primary endpoint
16 February 2022
16 February 2022

Quick facts

Lead sponsorMayo Clinic
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposesupportive care
Enrollment375
Start date1 January 2019
Primary completion16 February 2022
Estimated completion16 February 2022
Sites3 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Mayo Clinic

Who can join

Adults 40 to 99, any sex, with Chronic Obstructive Pulmonary Disease (COPD) or Emphysema. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Change in Quality of Life Primary · Baseline, 3 months

The Chronic Respiratory Questionnaire (CRQ) is a validated tool, completed by participants at baseline and 3 months and measured health-related quality of life. This questionnaire measures both physical and emotional aspects of chronic respiratory disease. All scores have a range of 1 to 7, a higher number being better health-related quality of life. We reported the difference between baseline and 3 months on the CRQ emotional summary score (comprised of the mastery and emotional domains) and the physical summary score (comprised of dyspnea and fatigue domains). 0.5 points is the minimal clini

CRQ Physical
GroupValue95% CI
Pulmonary Rehabilitation Program Intervention0.370.24 – 0.51
Usual Care-0.17-0.29 – 0.05
CRQ Emotional
GroupValue95% CI
Pulmonary Rehabilitation Program Intervention0.430.29 – 0.57
Usual Care-0.08-0.2 – 0.05
Change in Self-management Abilities Secondary · Baseline, 3 months

Measured using the Self-Management Ability Scale-30 item questionnaire to assess ability and function. The SMAS consists of 30 items on four- and five-point Likert scales. Total score ranging from 0 to 100 with higher score indicating a higher function and ability, better outcome.

GroupValue95% CI
Pulmonary Rehabilitation Program Intervention3.842.44 – 5.24
Usual Care0.54-0.62 – 1.71
Change in Physical Activity Secondary · Baseline, 3 months

The change in average daily activity (measured in minutes) for the top 3 to 5 most active days during the measured period. Measured by the Actigraph GT3X .

Daily Light Physical Activity
GroupValue95% CI
Pulmonary Rehabilitation Program Intervention17.514.54 – 30.49
Usual Care0.6-13.22 – 14.42
Daily Moderate Physical Activity
GroupValue95% CI
Pulmonary Rehabilitation Program Intervention4.47-3.17 – 12.11
Usual Care-4.82-11.66 – 2.01
Change in Daily Step Counts Secondary · Baseline, 3 months

Measured by the Actigraph wGT3X-BT worn for 7 days continuously to measure daily step count.

GroupValue95% CI
Pulmonary Rehabilitation Program Intervention478.63108.02 – 849.25
Usual Care-146.53-458.5 – 165.44
Change in Depression Secondary · Baseline, 3 months

Measured by the Patient Health Questionnaire-9 item questionnaire screening for depression. Total score range from 0 to 27. A higher score indicates that depression may be present.

GroupValue95% CI
Pulmonary Rehabilitation Program Intervention-1.12-1.67 – -0.58
Usual Care0.08-0.46 – 0.62
Social Support Secondary · Baseline, 3 months

Measured by the Interpersonal Support Evaluation List (ISEL-12) a 12-item measure of perceptions of social support utilizing three different subscales designed to measure three dimensions of f perceived social support (appraisal support, beloning support, and tangible support). Each dimension is measured by 4 items on a 4-point scale ranging from "Definitely True" to "Definitely False". Total score range 0-36 with a higher score indicating greater social support.

GroupValue95% CI
Pulmonary Rehabilitation Program Intervention0.58-0.16 – 1.32
Usual Care-0.04-0.72 – 0.63
Meaning in Life Secondary · Baseline, 3 months

Meaning in Life Questionnaire- 10 item questionnaire measuring the purpose, meaning and presence in life. A higher score indicates a perception of higher meaning and purpose. Scores range from 10-70, a higher score indicates a high perceived meaning and purpose in the respondents life.

GroupValue95% CI
Pulmonary Rehabilitation Program Intervention0.07-0.68 – 0.82
Usual Care-0.33-1.13 – 0.48
Change in Sleep Quality Secondary · Baseline, 3 months

Measured using the Pittsburgh Sleep Quality Index to assess severity of sleep disturbances. 9 item questionnaire with total possible scores range from 0 to 21. A lower score suggests a better quality of sleep and a higher score indicates a worse outcome/more severe symptoms of disturbance.

GroupValue95% CI
Pulmonary Rehabilitation Program Intervention-0.72-1.09 – -0.34
Usual Care0.03-0.36 – 0.42
Change in Anxiety Secondary · Baseline, 3 months

Measured using the General Anxiety Disorder-2 item Questionnaire screening for anxiety. Score ranges from 0 to 6.,A higher score suggests that anxiety is present.

GroupValue95% CI
Pulmonary Rehabilitation Program Intervention-0.42-0.68 – -0.15
Usual Care-0.24-0.57 – 0.09
Healthcare Utilization Secondary · 3 months

Number of subjects to have an emergency room visits or hospitalization.

Any Emergency Room Visit
GroupValue95% CI
Pulmonary Rehabilitation Program Intervention13
Usual Care24
Any Hospitalization
GroupValue95% CI
Pulmonary Rehabilitation Program Intervention15
Usual Care15

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events were collected from baseline to end of study participation for a total of approximately 9 months on all participants.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Pulmonary Rehabilitation Program Intervention
Serious: 15/188 (8%)
Deaths: 0/188
Usual Care
Serious: 15/187 (8%)
Deaths: 5/187

Serious adverse events (12 terms)

ReactionSystemPulmonary Rehabilitation P…Usual Care
Hospitalization- COPD ExacerbationRespiratory, thoracic and mediastinal disorders
Hospitalization: Aortic StenosisCardiac disorders
Hospitalization: Opioid HyperalgesiaGeneral disorders
Hospitalization- left Carotid Artery StentVascular disorders
Hospitalization: Debridement of Metatarsal ulcerSurgical and medical procedures
Hospitalization: Endobronchial valve lung volume reduction sugeryRespiratory, thoracic and mediastinal disorders
Hospitalization: Obstruction IntestinalGastrointestinal disorders
Hospitalization: Prostate CancerReproductive system and breast disorders
Hospitalization: Neoplasm of RectumGastrointestinal disorders
Hospitalization: Malignant Neoplasm BrainNervous system disorders
Hospitalization: Acute DiarrheaGastrointestinal disorders
Hospitalization: Pacemaker Cardiac Status PostCardiac disorders

Most-reported serious reactions: Hospitalization- COPD Exacerbation, Hospitalization: Aortic Stenosis, Hospitalization: Opioid Hyperalgesia, Hospitalization- left Carotid Artery Stent, Hospitalization: Debridement of Metatarsal ulcer, Hospitalization: Endobronchial valve lung volume reduction sugery, Hospitalization: Obstruction Intestinal, Hospitalization: Prostate Cancer.

Data from ClinicalTrials.gov NCT03480386 adverse events section.

Sponsor's own description

Regular physical activity has been found to be important in maintaining health and well-being in people with COPD. The purpose of this study is to test new technology and health coaching aimed to help people with COPD become more physically active in their daily lives.

Publications & conference data

4 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Feasibility of a Health Coaching and Home-Based Rehabilitation Intervention With Remote Monitoring for COPD.
    Benzo RP, Ridgeway J, Hoult JP, Novotny P, et al · · 2021 · cited 43× · PMID 33906954 · DOI 10.4187/respcare.08580
  2. Promoting Chronic Obstructive Pulmonary Disease Wellness through Remote Monitoring and Health Coaching: A Clinical Trial.
    Benzo R, Hoult J, McEvoy C, Clark M, et al · · 2022 · cited 39× · PMID 35914215 · DOI 10.1513/annalsats.202203-214oc
  3. Understanding the Patient Experience of Home-Based Pulmonary Rehabilitation with Health Coaching for COPD: A Qualitative Interview Study.
    Midthun WR, Benzo MV, Ridgeway JL, Benzo RP. · · 2023 · cited 8× · PMID 37140957 · DOI 10.15326/jcopdf.2022.0384
  4. Wearable Sleep Measures May Improve Machine Learning Prediction of Home-Based Pulmonary Rehabilitation Engagement Among Patients With Chronic Obstructive Pulmonary Disease: A Proof-of-Concept Study.
    Zawada SJ, Faust L, Enayati M, Madigan NJ, et al · · 2026 · PMID 41953757 · DOI 10.1016/j.mcpdig.2026.100345

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