Home-Based Pulmonary Rehab for Patients With Pulmonary Fibrosis

Inclusion Criteria: * confirmed diagnosis of IPF based on the criteria of the American Thoracic Society/European Respiratory Society 2011 guidelines; * ≥ 40 years-of-age; * ambulatory without the use of an assistive device; * stable clinical condition (i.e., no pulmonary exacerbation for at least 6 weeks); * no changes in medication for at least 4 weeks before enrollment; * currently sedentary (i.e., exercise or participate in sports less than 3 times per week for 20 min in the past 6 months) and do not play any exergames; * report dyspnea on exertion leading to a limitation in performing daily activities (i.e., Medical Research Council (MRC) dyspnea grade \>1); * able to read and follow exercise directions in English on the television screen; * have permission from their treating physician to participate in moderate-intensity exercise; * able to provide informed consent by understanding the nature of study participation. Exclusion Criteria: * contraindication for moderate-intensity exercise (e.g., unstable cardiac disease), * severe musculoskeletal, vestibular, or neurological disorders limiting exercise performance, or inability to perform the 6-min walk test or 15-step test, * requires \> 6 lpm supplemental oxygen therapy via nasal cannula during exercise to maintain SpO2 \>88%; * MRC dyspnea grade 4 or 5; IPF patients with MRC dyspnea grade 4 or 5 have been reported to show little or no improvement, or deteriorated following pulmonary rehab; * stage 2 hypertension, * anemia (hemoglobin \< 8 g/dL); * collagen vascular disease; * obstructive lung disease, * non-parenchymal restrictive lung disease, * occupational lung disease (pneumoconiosis, hypersensitivity pneumonitis), * sarcoidosis, * other idiopathic interstitial pneumonia; * currently participating or have participated (in the past 30 days) in another clinical trial which can affect the outcomes of the proposed study; or * planning to move out of Alabama within the next 6 months.