Aides in Respiration Health Coaching for COPD

Completed · Not applicable

Conditions studied: Chronic Obstructive Pulmonary Disease (COPD)

In brief

This study examined whether health coaches can improve the management of chronic obstructive pulmonary disease (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 were randomized into a health coaching group and a usual care group. Those in the health coaching group received 9 months of active health coaching. Outcome variables were measured at baseline and after 9 months

Key facts

Study ID

NCT02234284

Run by

University of California, San Francisco

People needed

192

Starts

2014-11-12

Expected to finish

2017-05-04

Last updated by the study team

2019-06-10

Who can join

Age: 40 and older, up to 95. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• 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 of FEV1/FVC of .70 to .74 and diagnosis of COPD by the study pulmonologist
• 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 a COPD exacerbation in past 12 months
• Ever on home oxygen therapy
• Ever outpatient percutaneous oxygen saturation of </=88%
• Ever outpatient partial pressure of oxygen (ppO2) by arterial blood gas (ABG) of </=55mm Hg
• 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

You may not qualify if…

• Unable to participate in the study due to mental or physical impairment
• Severe or terminal illness that precludes focus on COPD
• No phone

Where it is running

• San Francisco Departmen of Public Health Community Clinics — San Francisco, California, United States

Full record on ClinicalTrials.gov

Trial information comes from ClinicalTrials.gov and is refreshed daily. TrialsForMe does not provide medical care and does not run the studies it lists.