Aides in Respiration Health Coaching for COPD
| Status: | Active, not recruiting |
|---|---|
| Conditions: | Chronic Obstructive Pulmonary Disease, Pulmonary |
| Therapuetic Areas: | Pulmonary / Respiratory Diseases |
| Healthy: | No |
| Age Range: | 40 - 95 |
| Updated: | 6/3/2016 |
| Start Date: | November 2014 |
| End Date: | July 2017 |
Health Coaching to Reduce Disparities for Patients With Chronic Obstructive Pulmonary Disease (COPD)
This proposed study will examine whether health coaches can improve the management of COPD
in a population of vulnerable patients cared for in 'safety-net' clinics. The study is
designed as a randomized controlled trial for patients with moderate to severe COPD.
Patients will be randomized into a health coaching group and a usual care group. Those in
the health coaching group will receive 9 months of active health coaching. Outcome variables
will be measured at baseline and after 9 months
in a population of vulnerable patients cared for in 'safety-net' clinics. The study is
designed as a randomized controlled trial for patients with moderate to severe COPD.
Patients will be randomized into a health coaching group and a usual care group. Those in
the health coaching group will receive 9 months of active health coaching. Outcome variables
will be measured at baseline and after 9 months
None as would duplicate information recorded elsewhere
Inclusion Criteria:
- Patient at one of the participating primary care clinics (at least 1 visit in past 12
months)
- Age 40 and older
- Speaking English or Spanish
- Plan to continue to be seen at current clinic and to not leave the area for >2 months
anytime in the next 9 months or to be absent at 9 or 15 months
- COPD defined as ever having had a post-bronchodilator Forced Expiratory Volume in 1
second/Forced Vital Capacity (FEV1/FVC) <.70
- Willingness to attempt spirometry
- At least moderate COPD, defined as at least one of the following:
- Ever Forced Expiratory Volume in 1 second (FEV1) < 80% predicted
- 1 or more emergency department (ED) visit for COPD exacerbation in past 12
months
- 1 or more hospital stays for COPD exacerbation in past 12 months
- 1 or more prescriptions for oral prednisone for at least 40 mg per day for at
least 5 days in past 12 months
- Ever on home oxygen therapy
- Ever outpatient percutaneous oxygen saturation of
- Ever outpatient partial pressure of oxygen (ppO2) by arterial blood gas (ABG) of
- At least 3 outpatient visits for COPD in past 12 months AND a current COPD
Assessment Test (CAT) score of >/=10 or an modified Medical Research Council
(mMRC) score of >/=2.
- Currently using tiotropium inhaler or combination inhaled corticosteroid and
long-acting beta agonist
Exclusion Criteria:
- Unable to participate in the study due to mental or physical impairment
- Severe or terminal illness that precludes focus on COPD
- No phone
We found this trial at
1
site
San Francisco, California 94110
Principal Investigator: David H Thom, MD, PhD
Phone: 415-206-6167
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