Chronic obstructive pulmonary disease (COPD) severely hinders quality of life for those affected and is costly to the health care system. Care gaps in areas such as pharmacotherapy, inhaler technique, and knowledge of disease are prevalent, particularly for vulnerable populations served by community clinics. Non-professionally licensed health coaches have been shown to be an effective and cost-efficient solution in bridging care gaps and facilitating self-management for patients with other chronic diseases, but no research to date has explored their efficacy in improving care for people living with COPD.
This is multi-site, single blinded, randomized controlled trial evaluates the efficacy of health coaches to facilitate patient self-management of disease and improve quality of life for patients with moderate to severe COPD. Spirometry, survey, and an exercise capacity test are conducted at baseline and at 9 months. A short survey is administered by phone at 3 and 6 months post-enrollment. The nine month health coaching intervention focuses on enhancing disease understanding and symptom awareness, improving use of inhalers; making personalized plans to increase physical activity, smoking cessation, or otherwise improve disease management; and facilitating care coordination.
The results of this study will provide evidence regarding the efficacy and feasibility of health coaching to improve self-management and quality of life for urban underserved patients with moderate to severe COPD.
ClinicalTrials.gov identifier NCT02234284. Registered 12 August 2014.
CDC - COPD Home Page - Chronic Obstructive Pulmonary Disease (COPD) (2016). https://www.cdc.gov/copd/index.html Accessed 24 Apr 2017.
Pothirat C, Liwsrisakun C, Bumroongkit C, Deesomchok A, Theerakittikul T, Limsukon A. Comparative study on health care utilization and hospital outcomes of severe acute exacerbation of chronic obstructive pulmonary disease managed by pulmonologists vs internists. Int J Chron Obstruct Pulmon Dis. 2015. doi: 10.2147/COPD.S81267. CrossRefPubMedPubMedCentral
Willard-Grace R, Chen EH, Hessler D, De Vore D, Prado C, Bodenheimer T, Thom DH. Health Coaching by Medical Assistants to Improve Control of Diabetes, Hypertension, and Hyperlipidemia in Low-Income Patients: A Randomized Controlled Trial. Ann Fam Med. 2015. doi: 10.1370/afm.1768. CrossRefPubMedPubMedCentral
Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG. Research electronic data capture (REDCap) – A metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2009;42:377–81. CrossRef
Global Strategy for the Diagnosis, Management and Prevention of COPD, Global Initiative for Chronic Obstructive Lung Disease – GOLD. http://goldcopd.org(2017). Accessed 01 May 2017.
Tsai CL, Hodder RV, Page JH, Cydulka RK, Rowe BH, Camargo CA. The short-form chronic respiratory disease questionnaire was a valid, reliable, and responsive quality-of-life instrument in acute exacerbations of chronic obstructive pulmonary disease. J Clin Epidemiol. 2008. doi: 10.1016/j.jclinepi.2007.07.003. CrossRefPubMed
Tsiligianni IG, van der Molen T, Moraitaki D, Lopez I, Kocks JW, Karagiannis K, Siafakas N, Tzanakis N. Assessing health status in COPD. A head-to-head comparison between the COPD assessment test (CAT) and the clinical COPD questionnaire (CCQ). BMC Pulm Med. 2012. doi: 10.1186/1471-2466-12-20. CrossRefPubMedPubMedCentral
Goetz K, Freund T, Gensichen J, Miksch A, Szecsenyi J, Steinhaeuser J. Adaptation and Psychometric Properties of the PACIC Short Form. Am J Manag Care. 2012;18:55–60.
Morisky DE, Green LW, Levine DM. Concurrent and predictive validity of a self-reported measure of medication adherence. Med Care. 1986;24:67–74. CrossRef
Morisky DE, Ang A, Krousel-Wood M, Ward HJ. Predictive Validity of a Medication Adherence Measure in an Outpatient Setting. J Clin Hypertens. 2008;10:348–54. CrossRef
Thom DH, Ribisl KM, Stewart AL, Luke DA. Further validation and reliability testing of the Trust in Physician Scale. The Stanford Trust Study Physicians. Med Care. 1999;37:510–7. CrossRef
Melani AS, Canessa P, Coloretti I, DeAngelis G, DeTullio R, Del Donn M, Giacobbe R, Scarlato I, Serafini A, Barbato N, Vaghi A, Sestini P, Educational Study Group of the Italian Association of Hospital Pulmonologists (AIPO). Inhaler mishandling is very common in patients with chronic airflow obstruction and long-term home nebuliser use. Respir Med. 2012. doi: 10.1016/j.rmed.2011.11.016. CrossRefPubMed
- Health coaching to improve self-management and quality of life for low income patients with chronic obstructive pulmonary disease (COPD): protocol for a randomized controlled trial
Denise De Vore
David H. Thom
- BioMed Central
Neu im Fachgebiet Innere Medizin
Meistgelesene Bücher aus der Inneren Medizin
Sommerakademie-Visual, Mail Icon II