Rehabilitation for Patients With COPD

Inclusion Criteria: * Age: Are greater than or equal to 40 years * Diagnosis: COPD Gold Stage Class B-D (symptomatic disease), COPD/Asthma overlap with symptoms * Language: English * Care Center: ZSFG, Community Health Center clinics, Federally Qualified Health Centers * Availability: Able to participate in a 10-week, weekly course at the weekly scheduled time (can defer x 1) Exclusion Criteria: * Planning to move out of the area within the next year * Eligible for and desire to go to full intensity pulmonary rehabilitation. Participant has Medicare Part A and B OR have San Francisco Health Plan. For those that met these criteria, we will assist with referral to program * Resides in any kind of long-term care facilities that is NOT Laguna Honda or the Mental Health Rehabilitation Facility * Has a diagnosis of interstitial lung disease, pulmonary fibrosis, or cystic fibrosis * Active, chronic lung infection, such as tuberculosis * A history of a pulmonary embolism in the year (12 months) prior to recruitment * History of a myocardial infarction in the year (12 months) prior to recruitment * In the 12 weeks prior to recruitment, has had history of unstable heart disease (including valve disease), heart failure, or uncontrolled irregular heart beat Potential participants who have had the following will be re-assess for eligibility 6 weeks after the initial assessment: * A pulmonary exacerbation or worsening of COPD/Asthma symptoms in the past 6 weeks * History of an upper r…