Actively Recruiting

Phase Not Applicable
Age: 40Years - 90Years
All Genders
NCT05572632

Rehabilitation in Safety-net Environments (RISE) to Improve Outcomes in Vulnerable Patients With COPD

Led by University of California, San Francisco · Updated on 2025-12-01

387

Participants Needed

3

Research Sites

231 weeks

Total Duration

On this page

Sponsors

U

University of California, San Francisco

Lead Sponsor

N

National Heart, Lung, and Blood Institute (NHLBI)

Collaborating Sponsor

AI-Summary

What this Trial Is About

Chronic obstructive pulmonary disease (COPD), one of the leading causes of death in the US, disproportionately affects low socioeconomic communities. While few interventions effectively modify the course of COPD and improve outcomes, pulmonary rehabilitation is the one notable exception. However, implementation of this resource-intensive program in real-life settings, and in particular, for underserved communities, has proven to be challenging. Safety-net centers that serve primarily under-insured populations lack financial resources to provide pulmonary rehabilitation. The 10-week COPD Wellness and Plus+ Program directly addresses this gap, and yet, programs like these do not automatically lead to improved outcomes, which leads to the implementation of a Health Advocates program to address participant's social needs and barriers to healthcare.

CONDITIONS

Official Title

Rehabilitation in Safety-net Environments (RISE) to Improve Outcomes in Vulnerable Patients With COPD

Who Can Participate

Age: 40Years - 90Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Signed and dated informed consent form
  • Willingness to participate in the COPD Wellness program
  • Age between 40 and 90 years
  • English or Spanish speaking
  • Physician-diagnosed COPD
  • Spirometry-confirmed FEV1/FVC ratio �3C= 0.7 and FEV1% predicted �3C 80% based on GLI-O prediction
  • COPD Assessment Test score �3E= 10 or history of exacerbations needing hospitalization or steroid therapy
  • Currently prescribed COPD medication(s)
  • Ability to exercise with lower extremities
  • No COPD exacerbations for at least 6 weeks
  • Currently receiving care within San Francisco Health Network (SFHN)
Not Eligible

You will not qualify if you...

  • Pregnancy
  • Dementia, cognitive impairment, or psychiatric illness impairing participation
  • Unstable cardiovascular disease including recent (less than 6 months) heart attack or pulmonary embolism, uncontrolled arrhythmia, poorly controlled heart failure
  • Severe co-morbidities contraindicating exercise
  • Transmittable pulmonary infections such as tuberculosis or COVID-19
  • Participation in pulmonary rehabilitation within past 12 months
  • COPD exacerbation in past 6 weeks
  • Activity restrictions limiting moderate physical activity
  • Other diagnosis or condition with prognosis of death within one year

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

1
2
3
+1

Trial Site Locations

Total: 3 locations

1

Zuckerberg San Francisco General (ZSFG) Hospital

San Francisco, California, United States, 94110

Actively Recruiting

2

Maxine Hall Health Center (MHHC)

San Francisco, California, United States, 94115

Actively Recruiting

3

Southeast Health Center (SEHC)

San Francisco, California, United States, 94124

Actively Recruiting

Loading map...

Research Team

N

Neeta Thakur, MD, MPH

CONTACT

V

Valeria M Rojas, BS

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

HEALTH_SERVICES_RESEARCH

Number of Arms

3

Not the Right Trial for You?

Explore thousands of other clinical trials that might be a better match.
Sign up to get personalized trial recommendations delivered to your inbox.

Already have an account? Log in here

Rehabilitation in Safety-net Environments (RISE) to Improve Outcomes in Vulnerable Patients With COPD | DecenTrialz