Tele-Pulmonary Rehabilitation for COPD in Peripheral Areas

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This prospective randomized trial compares group-based tele-pulmonary rehabilitation to usual care (referral to standard PR) for COPD patients living in peripheral areas. Participants are followed for 12 months with periodic assessments of PR initiation, adherence, safety, symptoms, exacerbations, lung function, functional tests, and health-related quality of life. Outcomes include COPD symptom burden, quality of life, anxiety/depression, knowledge about COPD, and patient satisfaction. The study uses baseline demographic and clinical data, monthly to semi-annual follow-ups, and patient-reported outcomes to gauge feasibility, effectiveness, and acceptability of tele-rehabilitation. Eligibility focuses on adults with COPD eligible for PR under Israeli health basket criteria and residing in peripheral regions.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Male and females Patients with COPD based on accepted criteria who are eligible for reimbursement of pulmonary rehabilitation (PR) according to the Israeli "health basket" criteria including one of the following:

  * FEV1 below 50%
  * Severe exacerbation (hospitalization) in the previous year
  * Two moderate exacerbations in the previous year
* Willingness to initiate a PR or TPR programs.
* Living in geographic peripheral area.
* Ability to perform the TPR program or traditional PR activities as assessed by a member of the study team prior to enrollment.
* Agree to participate, with signed informed consent.
* Age \> 18.

Exclusion Criteria:

* Uncontrolled comorbidity (e.g uncontrolled congestive heart failure).
* Inability to operate the mobile application.
* Without a mobile device or computer.
* An exacerbation in the 2-months prior to randomization.
* Completed PR program in the last 12 months.
* Pregnancy.
* Patients with cognitive impairment.

Where it's running

• Tel Aviv Sourasky Medical Center
  Tel Aviv, Israel Recruiting

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.