Tele-Pulmonary Rehabilitation For Patients With Chronic Lung Diseases

Inclusion Criteria:

1. Patients meeting the Israeli Health Basket criteria for reimbursement of pulmonary rehabilitation (PR), including one of the following conditions:

   * COPD with an FEV1 below 50% or with severe exacerbation (hospitalization) in the previous year or two moderate exacerbations in the previous year.
   * Interstitial lung disease with an FVC below 80% or a DLCO below 60%.
   * Bronchiectasis with at least two exacerbations in the past year or at least one hospitalization, and an FEV1 below 80%.
   * Pulmonary arterial hypertension.
2. Willingness to initiate a PR or Tele-PR (TPR) programs.
3. Ability to perform the TPR program or traditional PR activities as assessed by a member of the study team prior to enrollment.
4. Agree to participate, with signed informed consent.

Exclusion Criteria:

1. Uncontrolled comorbidity (e.g uncontrolled congestive heart failure)
2. Inability to operate the mobile application.
3. Without a mobile device or computer.
4. A hospitalization in the 2-months prior to randomization.
5. Completed PR program in the last 12 months.
6. Inability to complete 10 repetitions in the 1-minute sit-to-stand test or 5-second single-leg stance
7. Pregnancy
8. Inability to provide informed consent due to impaired decision-making capacity, as determined by the study's capacity assessment.