Targeted Telerehabilitation Following Curative Intent Therapy of Lung Cancer

Summary

Lung cancer is the second-most commonly diagnosed cancer among U.S. Veterans. Substantial advances have been made in early detection through screening and treatment. The longevity of Veterans following lung cancer diagnosis and treatment has increased. Following treatment however, many Veterans experience increased symptom burden, particularly in shortness of breath, fatigue, and fear/anxiety about lung cancer, and impairments in physical and psychosocial functioning. Rehabilitation services are needed to address these survivorship challenges. This study will evaluate multi-targeted telerehabilitation with Veterans following lung cancer treatment, with goals to reduce symptom burden, improve physical and psychosocial function, and enhance health-related quality of life. This research will also develop the career of a physician researcher to acquire expertise in rehabilitation for many Veteran survivors of lung and other cancers.

Eligibility

Inclusion Criteria:

* Adult Veterans with a history of stage I-III A/B lung cancer, and
* Completed curative intent therapy (i.e., lung cancer resection surgery, definitive radiation, or concurrent chemoradiation) within 1-6 months

Exclusion Criteria:

* Adult Veterans with any comorbid conditions that preclude participation in exercise and telerehabilitation:
* Orthopedic conditions (e.g., bilateral below-knee amputation), or
* Severe cardiopulmonary disease (e.g., unstable arrhythmias including ventricular tachycardia, heart failure with systolic ejection fraction \< 25%, chronic hypoxemia needing \> 5 L/min oxygen supplementation at rest), or
* Inability to follow directions or provide informed consent (e.g., moderate to severe dementia), or
* Enrolled in hospice, or
* With an estimated life expectancy of \< 6 months

Conditions3

Locations1 site

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