This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. The subproject and investigator (PI) may have received primary funding from another NIH source, and thus could be represented in other CRISP entries. The institution listed is for the Center, which is not necessarily the institution for the investigator. The overall goal of this proposal is to compare the impact of an Internet-based dyspnea (shortness of breath) self-management program (eDSMP) with a face-to-face program (DSMP) that has been shown to be effective. The eDSMP includes a baseline interview to assess symptoms, exercise history, and prescribe a home based exercise plan; online dyspnea education via text chats; and use of a pager device for reporting symptoms and exercise and providing feedback. Subjects with COPD (N=112; divided equally between two sites) will be randomly assigned to the eDSMP or the DSMP. Outcomes will be measured at baseline, 3, and 6 months. The primary outcome is dyspnea with activities of daily living. Secondary outcomes include exercise behavior, exercise performance, pulmonary exacerbations, perception of support, self-efficacy for exercise and managing dyspnea, and health resource utilization. Program usage, satisfaction and burden will be measured.
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