Actively Recruiting
The Development of an Integrated Physical Activity and Mental Health Intervention for Veterans With COPD, Emotion Distress, and Low Physical Activity
Led by VA Office of Research and Development · Updated on 2025-06-24
40
Participants Needed
1
Research Sites
260 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Chronic Obstructive Pulmonary Disease (COPD) is prevalent and debilitating chronic disease in Veterans. COPD is highly co-morbid with depression and anxiety conferring greater morbidity and mortality risk. Physical activity is a modifiable behavior that can improve COPD outcomes. However, to date, interventions targeting physical activity have not addressed the high comorbidity between COPD and depression and/or anxiety symptoms ("emotional distress") despite emotional distress predicting poorer response to physical activity interventions. This CDA-2 proposal will develop and test the acceptability and feasibility of an integrative physical activity and mental health intervention for Veterans with COPD, emotional distress, and low physical activity. The intervention will be delivered via VA Video Connect enabling access to care among Veterans with substantial barriers to hospital-based outpatient care.
CONDITIONS
Official Title
The Development of an Integrated Physical Activity and Mental Health Intervention for Veterans With COPD, Emotion Distress, and Low Physical Activity
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Any gender, 40 years of age or older
- Clinical diagnosis of COPD confirmed by emphysema on CT scan with one additional clinical evidence or three clinical evidences if no CT scan
- Ability to communicate and participate in in-person study appointment at the VA
- English speaking and competent to provide informed consent
- Clinically significant depression and/or anxiety defined as PHQ-8 > 10 and/or Beck Anxiety Inventory > 13
- Access to wireless internet and Bluetooth capability
- Fitbit device step counts with > 90% accuracy compared to manual counts
- Agreeable to audio recording of study sessions
- Willing to wear ActiGraphy and Fitbit devices and download the Fitbit app
- Email user for VA Video Connect visit links
- Owns or willing to use a study-issued smartphone or iPad compatible with the Fitbit app and Bluetooth
- Medical clearance from healthcare provider to participate in physical activity program
You will not qualify if you...
- COPD exacerbation within the previous 1 month
- Inability to walk
- Regular use of rollator, walker, or wheelchair for walking
- Unable to complete questionnaires
- Unable to collect at least 4 valid days of 7-day baseline step count data
- Positive Mini-Cog screening indicating possible cognitive impairment or dementia, or major neurocognitive disorder diagnosis, or refusal to complete the assessment
- Currently enrolled in another interventional study targeting exercise, physical activity, or mental health
- Average baseline step count of 10,000 steps per week or more
- Suicide risk flagged in medical chart
- Oxygen saturation less than 85% after 6-Minute Walk Test
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Trial Site Locations
Total: 1 location
1
VA Boston Healthcare System Jamaica Plain Campus, Jamaica Plain, MA
Boston, Massachusetts, United States, 02130-4817
Actively Recruiting
Research Team
P
Patricia Bamonti, PhD
CONTACT
J
Jennifer A Moye, PhD
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
TREATMENT
Number of Arms
1
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