Factors Associated With Acceptance of Home-Based Pulmonary Telerehabilitation in COPD

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorADIR Association

About this trial

Pulmonary rehabilitation improves symptoms, exercise capacity, and quality of life in people with chronic obstructive pulmonary disease (COPD), but access and participation may be limited by travel, organizational, logistical, and personal barriers. Home-based pulmonary telerehabilitation may reduce some of these barriers, although not all eligible individuals accept this mode of care. Identifying the characteristics associated with acceptance or refusal of this model is therefore essential to better define the population most likely to benefit from this approach, tailor the program's delivery and content, and identify potential remaining barriers in order to improve access to care.

This retrospective study will use existing data from adults with COPD who were screened at ADIR Association between May 2024 and April 2025 for an 8-week home-based pulmonary telerehabilitation feasibility study. Of 50 potentially eligible individuals, 21 accepted participation and 29 declined. Demographic, clinical, functional, psychological, and geographic characteristics will be compared between individuals who accepted and those who declined participation. Documented reasons for refusal will be described, and factors associated with refusal will be explored using logistic regression.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Adults with COPD who were screened at ADIR Association between May 2024 and April 2025 for an 8-week home-based pulmonary telerehabilitation feasibility study. Please refer to ClinicalTrials.gov identifier NCT05314686.

Disqualifiers

Not applicable

Trial population

Adults with COPD who were screened at ADIR Association between May 2024 and April 2025 for an 8-week home-based pulmonary telerehabilitation feasibility study.

Trial design

Design model

Cohort

Time perspective

Retrospective

Treatments tested in this trial

  • No intervention

    Other intervention

    None for the present retrospective study.

Treatment groups

50 Participants
are divided into 2 treatment groups
Group A: Group 1: Accepted Home-Based Pulmonary Telerehabilitation1 intervention
Group B: Group 2: Declined Home-Based Pulmonary Telerehabilitation1 intervention

Trial outcomes

Primary outcomes

1

Participation Decision Regarding Home-Based Pulmonary Telerehabilitation

The participation decision recorded at screening will be classified as acceptance or refusal of the proposed 8-week home-based pulmonary telerehabilitation program. The number and percentage of participants in each category will be reported.

Time frame
At screening, before initiation of the proposed 8-week telerehabilitation program

Secondary outcomes

1

Documented Reasons for Refusal of Home-Based Pulmonary Telerehabilitation

Reasons for refusal documented in the screening file or medical record will be coded retrospectively into descriptive categories and reported as numbers and percentages among participants with an available reason. More than one category may be assigned to a participant.

Time frame
At screening, when the participation decision was documented
2

Distance From the Participant's Residence to the Pulmonary Rehabilitation Center

Distance from the residence recorded at screening to ADIR Association will be calculated using a standardized mapping procedure and expressed in kilometers. The derived value will be compared between participants who accepted and declined telerehabilitation.

Time frame
At the time of screening
3

Estimated Travel Time From the Participant Residence to the Pulmonary Rehabilitation Center

The estimated duration of the fastest car journey from the residence recorded at screening to ADIR Association will be calculated using a standardized mapping procedure and expressed in minutes. The derived value will be compared between participation-decision groups.

Time frame
At the time of screening
4

Age At Screening

Age in years at screening will be compared between participants who accepted and declined telerehabilitation.

Time frame
At the time of screening

Other outcomes

Sponsors and contacts

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ADIR Association

Lead sponsor

University of Rouen Normandie

Collaborator

Hopital La Musse

Collaborator

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