Pulmonary Specialist-Health Coach Consult Model Pilot
| Status: | Not yet recruiting |
|---|---|
| Conditions: | Asthma, Chronic Obstructive Pulmonary Disease |
| Therapuetic Areas: | Pulmonary / Respiratory Diseases |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 3/8/2019 |
| Start Date: | March 13, 2019 |
| End Date: | August 31, 2019 |
| Contact: | Margae Knox, MPH |
| Email: | margae.knox@ucsf.edu |
| Phone: | 415.206.6454 |
Pulmonary Specialist-Health Coach Consult (PuSHCon) Model to Improve Access to Specialist Consultation and Receipt of Recommended Evidence-based Care for Vulnerable Patients With Chronic Obstructive Pulmonary Disease (COPD) and Asthma
The Pulmonary Specialist-Health Coach Consultation (PuSHCon) study examines the
implementation of health coach-assisted consultations to improve access to specialist care
and implementation of specialist recommendations for patients with COPD, asthma, and asthma
COPD overlap syndrome (ACOS) for low-income and vulnerable patients seen at public health
clinics. A limited number of patients (50) from two clinics will be enrolled in the pilot
study; 25 patients from one clinic will receive a pulmonary consultation under usual care and
25 patients from the other clinic will receive the PuSHCon model.
implementation of health coach-assisted consultations to improve access to specialist care
and implementation of specialist recommendations for patients with COPD, asthma, and asthma
COPD overlap syndrome (ACOS) for low-income and vulnerable patients seen at public health
clinics. A limited number of patients (50) from two clinics will be enrolled in the pilot
study; 25 patients from one clinic will receive a pulmonary consultation under usual care and
25 patients from the other clinic will receive the PuSHCon model.
While evidence-based care for chronic obstructive pulmonary disease (COPD) and asthma can
substantially reduce disease burden and prevent emergency visits and hospitalizations, it is
estimated that 55% of patients with COPD do not receive all recommended care and that less
than 50% of patients with asthma are well controlled.
The proposed study is a one-year cluster randomized controlled pilot trial comparing the
Pulmonary specialist-health coach (PuSHCon) model to usual care for primary care patients
referred for a consultation with a pulmonary specialist. This study is intended to prepare
the way for a larger randomized controlled trial comparing the PuSHCon model to usual care
for primary care patients referred for a consultation with a pulmonary specialist.
The investigators will use a combination of quantitative and qualitative methods to assess
the implementation the PuSHCon model and measurement of patient-centered outcomes (Specific
Aim 1) and the impact of PuSHCon model on patient reported quality of care, satisfaction, and
patient receipt of care recommended by the pulmonary specialist (Specific Aim 2). The results
of the current study will provide initial enrollment for a subsequent 5 year randomized
controlled trial.
substantially reduce disease burden and prevent emergency visits and hospitalizations, it is
estimated that 55% of patients with COPD do not receive all recommended care and that less
than 50% of patients with asthma are well controlled.
The proposed study is a one-year cluster randomized controlled pilot trial comparing the
Pulmonary specialist-health coach (PuSHCon) model to usual care for primary care patients
referred for a consultation with a pulmonary specialist. This study is intended to prepare
the way for a larger randomized controlled trial comparing the PuSHCon model to usual care
for primary care patients referred for a consultation with a pulmonary specialist.
The investigators will use a combination of quantitative and qualitative methods to assess
the implementation the PuSHCon model and measurement of patient-centered outcomes (Specific
Aim 1) and the impact of PuSHCon model on patient reported quality of care, satisfaction, and
patient receipt of care recommended by the pulmonary specialist (Specific Aim 2). The results
of the current study will provide initial enrollment for a subsequent 5 year randomized
controlled trial.
Inclusion Criteria:
- English or Spanish speaking
- At last 18 years of age
- Diagnosed with asthma or COPD
- Referred to see a pulmonary specialist
Exclusion Criteria:
- Do not plan to attend primary care clinic for at least 3 months
- Already engaged in pulmonary specialty care (defined as at least one visit in last 12
months)
- Cognitive dysfunction that would prevent interaction with a health coach
- Not having a phone at which the participant can be reached
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