Home-based Pulmonary Rehabilitation and Health Coaching in Patients With Fibrotic Interstitial Lung Disease: A Prospective Pragmatic Randomized Waitlist-Controlled Trial
Mayo Clinic
Summary
The purpose of this clinical trial is to determine the impact of a home-based pulmonary rehabilitation program with health coaching on patient-reported respiratory-related quality of life and physical activity, as compared to usual care in patients with fibrotic interstitial lung disease.
Description
The fibrotic interstitial lung diseases (f-ILD) are a group of progressive and debilitating lung diseases sharing characteristics of lung scarring on imaging and restricted breathing on pulmonary function testing (PFT). Symptoms include shortness of breath, cough, and fatigue, eventually leading to deconditioning and poor quality of life. While medical therapies are available for slowing or stopping the loss of lung function, only pulmonary rehabilitation (PR) has shown a positive impact on patient-reported shortness of breath and physical activity. Unfortunately, PR may not be widely availabl…
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
IInclusion Criteria: * F-ILD diagnosis, any disease subtype, active or prior medical treatment * \>10% fibrosis on CT imaging * mMRC dyspnea score \>1 * All racial or ethnic categories, including non-English speakers (professional translators will be engaged to support screening, enrollment, and study participation) Exclusion Criteria: * Inability to walk (orthopedic/neurologic/cardiac limitation causing immobility) * Cognitive impairment or inability to understand and follow instructions * Traditional center-based PR completed within 3 months of initial study recruitment * Transition to ho…
Interventions
- BehavioralHome-based Pulmonary Rehab
Participants are expected to engage in the home-based PR routine five to six days a week for the entire 12-week study period. The PR routine begins with slow upper body and timed breathing exercises, followed by two slow balance walks for 6 minutes each. The total exercise time is 24 minutes a day followed by a 4-minute mindful breathing meditation/cool down. Exercises may be modified or repeated according to baseline activity level and as conditioning improves.
Locations (4)
- Mayo Clinic in ArizonaScottsdale, Arizona
- Mayo Clinic in FloridaJacksonville, Florida
- University of MinnesotaMinneapolis, Minnesota
- Mayo Clinic in RochesterRochester, Minnesota