Conclusion
COPD
COPD
TelePR is safe and effective to implement among people with advanced stage COPD and comorbidities from underserved Hispanic and Black communities. Although facilitating access to PR allowed us to control for common socioeconomic factors that typically prevent populations experiencing health/health care disparities from accessing PR, beliefs about the utility and safety of exercise therapy, and the burden of competing comorbidities are barriers to adoption. Messaging to clinicians and communities about the benefits of PR and messaging to payors about potential cost-savings of subsidizing PR and PR maintenance is necessary for improved adoption and for dissemination.