Video Telehealth Pulmonary Rehabilitation to Reduce Hospital Readmission in Chronic Obstructive Pulmonary Disease (TeleCOPD)
We will compare video telehealth pulmonary rehabilitation (PR) to usual care to see how effective it is in reducing hospital readmissions and improving quality of life following hospitalization for a chronic obstructive pulmonary disease (COPD) flare up. We will also test whether video telehealth PR results in cost-savings for the health system.
Increasing Adherence to Pulmonary Rehabilitation after COPD-related Hospitalizations
Despite the proven benefits of pulmonary rehabilitation (PR), the proportion of people with COPD who receive it 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. For Phase III of this study, participants were randomized to one of two arms: home-based pulmonary rehab or Choice. Patients randomized to Choice choose between center-based rehabilitation or telehealth rehabilitation. We are evaluating the effect of home-based rehabilitation on quality of life, physical activity (steps) and health care use. For those in the telehealth arm, a health coach reviews the data and provides weekly coaching to facilitate behavioral change and self-efficacy.
NIMBLE
This Phase III noninferiority research study will test whether a study drug works at least as well as the medication people with eosinophilic asthma have been using to treat their asthma (mepolizumab or benralizumab). The study drug works the same way as three already approved asthma medications: mepolizumab, reslizumab, and benralizumab. These medications are taken every 4 to 8 weeks; the study drug will be given twice a year.
Screening for High-Frequency Malignant Disease (SHIELD)
Finding more ways to screen for lung cancer could prevent unnecessary procedures when lung nodules are found. We will test a blood sample to see if we can detect cancer cells for people who are scheduled for a low-dose lung cancer screening computed tomography (CT) scan.
Watch the Spot
Monitoring lung spots with repeated computed tomography (CT) scans can help doctors find lung cancer early, when it’s most treatable. However, it can also increase the risks, costs and inconvenience of unnecessary tests. This study will help clinicians understand how often to repeat CT scans to determine if a spot is cancerous. It will also look at how often patients prefer to have CT scans and how they would like to be informed of the results.
Key publications
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