Skip to main content
Patient-Centered Outcomes Research Institute
Patient-Centered Outcomes Research Institute
  • Blog
  • Newsroom
  • Find It Fast
  • Help Center
  • Subscribe
  • Careers
  • Contact Us

PCORI

Patient-Centered Outcomes Research Institute

Search form

  • About Us
    Close mega-menu

    About Us

    • Our Programs
    • Governance
    • Financials and Reports
    • Procurement Opportunities
    • Our Staff
    • Our Vision & Mission
    • Contact Us

    Fact Sheets: Learn More About PCORI

    Download fact sheets about out work, the research we fund, and our programs and initiatives.

    Find It Fast

    Browse through an alphabetical list of frequently accessed and searched terms for information and resources.

    Subscribe to PCORI Email Alerts

    Sign up for weekly emails to stay current on the latest results of our funded projects, and more.

  • Research & Results
    Close mega-menu

    Research & Results

    • Explore Our Portfolio
    • Research Fundamentals
    • Research Results Highlights
    • Putting Evidence to Work
    • Peer Review
    • Evidence Synthesis
    • About Our Research

    Evidence Updates from PCORI-Funded Studies

    These updates capture highlights of findings from systematic reviews and our funded research studies.

    Journal Articles About Our Funded Research

    Browse through a collection of journal publications that provides insights into PCORI-funded work.

    Explore Our Portfolio of Funded Projects

    Find out about projects based on the health conditions they focus on, the state they are in, and if they have results.

  • Topics
    Close mega-menu

    Topics

    • Addressing Disparities
    • Arthritis
    • Asthma
    • Cancer
    • Cardiovascular Disease
    • Children's Health
    • Community Health Workers
    • COVID-19
    • Dementia and Cognitive Impairment
    • Diabetes
    • Kidney Disease
    • Medicaid
    • Men's Health
    • Mental and Behavioral Health
    • Minority Mental Health
    • Multiple Chronic Conditions
    • Multiple Sclerosis
    • Obesity
    • Older Adults' Health
    • Pain Care and Opioids
    • Rare Diseases
    • Rural Health
    • Shared Decision Making
    • Telehealth
    • Transitional Care
    • Veterans Health
    • Women's Health

    Featured Topic: Women's Health

    Learn more about the projects we support on conditions that specifically or more often affect women.

  • Engagement
    Close mega-menu

    Engagement

    • The Value of Engagement
    • Engagement in Health Research Literature Explorer
    • Influencing the Culture of Research
    • Engagement Awards
    • Engagement Resources
    • Engage with Us

    Engagement Tools and Resources for Research

    This searchable peer-to-peer repository includes resources that can inform future work in patient-centered outcomes research.

    Explore Engagement in Health Literature

    This tool enables searching for published articles about engagement in health research.

    Research Fundamentals: A New On-Demand Training

    It enables those new to health research or patient-centered research to learn more about the research process.

  • Funding Opportunities
    Close mega-menu

    Funding Opportunities

    • What & Who We Fund
    • What You Need to Know to Apply
    • Applicant Training
    • Merit Review
    • Awardee Resources
    • Help Center

    PCORI Funding Opportunities

    View and learn about the newly opened funding announcements and the upcoming PFAs in 2021.

    Tips for Submitting a Responsive LOI

    Find out what PCORI looks for in a letter of intent (LOI) along with other helpful tips.

    PCORI Awardee Resources

    These resources can help awardees in complying with the terms and conditions of their contract.

  • Meetings & Events
    Close mega-menu

    Meetings & Events

    • Upcoming
    • Past Events

    PCORI 2021 and Beyond

    During this webinar, PCORI leaders shared ways to get involved in PCOR, improvements to our funding opportunities, and more.

    Confronting COVID-19: A Webinar Series

    Learn more about the series and access recordings and summary reports of all six sessions.

    2020 PCORI Annual Meeting

    Watch recordings of all sessions, and view titles and descriptions of the posters presented at the virtual meeting.

You are here

  • Research & Results
  • Explore Our Portfolio
  • Comparing Telehealth to Outpatient Re...

Comparing Telehealth to Outpatient Rehabilitation for Hispanic and African-American Patients with Chronic Obstructive Pulmonary Disease (COPD)

Sign Up for Updates to This Study  

Project Summary  

This research project is in progress. PCORI will post the research findings on this page within 90 days after the results are final.

What is the research about?

Chronic Obstructive Pulmonary Disease, or COPD, is a health problem that makes it hard to breathe. COPD is the most common reason for hospital stays among older adults in the United States and is a leading cause of death. There is no cure for COPD. But a therapy called pulmonary rehabilitation can help patients avoid going back to the hospital. This therapy uses exercise and education to help patients breathe and function better.

Hispanic and African-American patients are much less likely to get COPD therapy than white patients. Not all health clinics offer COPD therapy. If patients live far away or don’t have a reliable way to get to a health clinic that offers COPD therapy, they may have a hard time getting this therapy.

One way to address these challenges is through telehealth. Telehealth uses computers or tablets to deliver health care over long distances. With telehealth, patients don’t need to travel to get care. By using telehealth for COPD therapy, patients can exercise at home while a therapist gives tips and feedback. The patient can also see the therapist and ask questions in real time.  

In this study, the research team wants to know if telehealth therapy can help Hispanic and African-American patients with COPD improve their health and avoid going back to the hospital compared with getting therapy at a clinic.

Who can this research help?

Findings from this study may help pulmonary rehabilitation clinic directors decide whether to offer telehealth therapy for patients with COPD.

What is the research team doing?

The research team is enrolling 88 Hispanic and 50 African-American patients with COPD recently discharged from hospitals in and around New York City in this study. The team is assigning patients by chance to receive a referral to either telehealth or to outpatient therapy. Both therapy programs include exercise and education twice a week for eight weeks. Patients in the telehealth group exercise on a stationary bike at home or at a community center near their home. The bikes have a computer that lets a therapist lead each exercise session remotely. Patients in the outpatient group get the same program at an outpatient clinic. Patients complete a survey and the research team is reviewing patients’ medical records at the start and end of the program.

The research team is looking to see how often patients in each group go back to the hospital for COPD. The team also wants to know how many patients follow through with their COPD therapy referral. Finally, the team is comparing how well patients in each group can walk and their quality of life at the end of the therapy programs. 

A patient partner is monitoring the study and gives regular feedback. An advisory board of patients, clinicians, policy makers, and health system administrators is also giving feedback on the study.

Research methods at a glance

Design Elements Description
Design Randomized controlled trial
Population Hispanic and African-American adults ages 18 and older with a diagnosis of COPD recently discharged from the hospital
Interventions/
Comparators
  • Telehealth pulmonary rehabilitation led by a respiratory therapist
  • Standard pulmonary rehabilitation at an outpatient clinic (usual care)
Outcomes

Primary: rehospitalization

Secondary: functional capacity (6-minute walk test and 2-minute step test), COPD self-efficacy, depression, fatigue, anxiety, companionship, informational support, instrumental support, social isolation, satisfaction with telehealth program, participation in exercise, participation in pulmonary rehabilitation program

Timeframe 6-month follow-up for primary outcome

Related Articles

JMIR Formative Research

A Telehealth-Delivered Pulmonary Rehabilitation Intervention in Underserved Hispanic and African American Patients With Chronic Obstructive Pulmonary Disease: A Community-Based Participatory Research Approach

Project Details

Principal Investigator
Negin Hajizadeh, MD, MPH
Project Status
In PCORI Peer-Review Process
Project Title
A Comprehensive Disease Management Program to Improve Quality of Life in Disparity Hispanic and African American Patients Admitted with Exacerbation of Chronic Pulmonary Diseases
Board Approval Date
July 2016
Project End Date
November 2020
Organization
Feinstein Institute for Medical Research
Year Awarded
2016
State
New York
Project Type
Research Project
Health Conditions  
Respiratory Diseases
Chronic Obstructive Pulmonary Disease
Intervention Strategies
Behavioral Interventions
Other Clinical Interventions
Care Coordination
Telemedicine
Other Health Services Interventions
Training and Education Interventions
Populations
Low Income
Racial/Ethnic Minorities
Funding Announcement
Addressing Disparities
Project Budget
$2,091,653
Study Registration Information
HSRP20164004
NCT03007485

Partners

Patient/Caregiver Partners

  • Jose Leon
  • Mercedes Leon

Other Stakeholder Partners

  • Clara Londono, Urban Health Plan
Page Last Updated: 
July 24, 2020

Research & Results

  • Explore Our Portfolio
  • Research Fundamentals
  • Research Results Highlights
  • Putting Evidence to Work
  • Peer Review
  • Evidence Synthesis
  • About Our Research

About Us

  • Our Programs
  • Governance
  • Financials and Reports
  • Procurement Opportunities
  • Our Staff
  • Our Vision & Mission
  • Contact Us

Research & Results

  • Explore Our Portfolio
  • Research Fundamentals
  • Research Results Highlights
  • Putting Evidence to Work
  • Peer Review
  • Evidence Synthesis
  • About Our Research

Engagement

  • The Value of Engagement
  • Engagement in Health Research Literature Explorer
  • Influencing the Culture of Research
  • Engagement Awards
  • Engagement Resources
  • Engage with Us

Funding Opportunities

  • What & Who We Fund
  • What You Need to Know to Apply
  • Applicant Training
  • Merit Review
  • Awardee Resources
  • Help Center

Meetings & Events

March 8
Engagement Awards 2021 Special Cycle -- Applicant Office Hours (One)
March 15
Priorities on the Health Horizon: Informing PCORI's Strategic Plan (Webinar)
March 15
PCORI Workshop on Methodologic Challenges in Intellectual and Developmental Disabilities Research

PCORI

Footer contact address

Patient-Centered Outcomes
Research Institute

1828 L Street, NW, Suite 900
Washington, DC 20036
Phone: (202) 827-7700 | Fax: (202) 355-9558
[email protected]

Subscribe to Newsletter

Twitter Facebook LinkedIn Vimeo

© 2011-2021 Patient-Centered Outcomes Research Institute. All Rights Reserved.

Privacy Policy | Terms of Use | Trademark Usage Guidelines | Credits | Help Center