Pulmonary Rehabilitation for Rural Patients With COPD

The purpose of this study is to test the uptake, effectiveness, and patient-caregiver-provider experience of a crucial treatment not provided in rural areas: pulmonary rehabilitation.

Recruiting

Interested in participating?

Request Info

Key information

Conditions

Chronic Obstructive Pulmonary Disease (COPD Chronic Disease Disease Attributes Lung Diseases Lung Diseases, Obstructive Pathologic Processes Pathological Conditions, Signs and Symptoms Pulmonary Disease, Chronic Obstructive Respiratory Tract Diseases

Age range

40 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Mayo Clinic in Arizona, Scottsdale, Arizona, United States

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

40 years of age or older
Physician-diagnosed COPD
Living in a rural area defined by Rural-Urban Commuting Area Codes 4-10
mMRC score>=1
English Speaking

Exclusion criteria

Inability to walk (orthopedic/neurologic/cardiac limitation causing immobility)
Cognitive impairment or inability to understand and follow instructions.
Patients with no COPD symptom burden, no breathlessness (mMRC score 0), as based on our previous studies they usually perceive no benefit from PR and do not have compliance with PR.
Traditional center-based PR was completed within 3 months of initial study recruitment.
Transition to hospice or end-of-life care at the time of screening.
Acute exacerbation at the time of screening.

Treatment and study plan

Pulmonary Rehabilitation Program

Behavioral

Participants are expected to engage in the home-based pulmonary rehabilitation routine at least 24 minutes a day, five to six days a week for the entire 12-week study period.

The pulmonary rehabilitation routine begins with slow upper body and timed breathing exercises, followed by two slow balance walks for 6 minutes each. The total exercise time again is 24 minutes, followed by a 4-minute mindful breathing meditation/cool down

Primary outcomes

Change Chronic Respiratory Questionnaire Physical and Emotional (CRQ-SAS) summary scores

Time frame: Baseline, 3 months

The Chronic Respiratory Disease Questionnaire is a 20 item questionnaire assessing the quality of life for patients with chronic obstructive pulmonary disease (COPD).

The CRQ covers four domains: dyspnea, fatigue, emotional function, and mastery. Questions are scored on a 7-point Likert scale, with 1 representing 'All of the time' and 7 representing 'None of the time'. Higher scores indicate better outcomes.

Study contacts

Contact information is provided by the study sponsor or research team.

Johanna Hoult, M.A.

CONTACT

[email protected]

507-293-1989

Sponsors and collaborators

Lead sponsor

Mayo Clinic

Other

Collaborators

National Institute of Nursing Research (NINR)

Registry information

Official study title

Decreasing Disparity in Lung Disease: Pulmonary Rehabilitation for Rural Patients With COPD

Important dates

Study start: 2025
Primary completion: 2029
Study completion: 2029
First posted: Feb 26, 2025
Registry last updated: May 7, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.

Active, Not Recruiting