Protocol for a feasibility randomized trial of self-management support for people with chronic obstructive pulmonary disease using lay health coaches.

Autor: Federman AD; Division of General Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, United States of America. Electronic address: alex.federman@mssm.edu., Barry M; Division of General Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, United States of America., Moas E; Mount Sinai Health System, New York, NY, United States of America., Davenport C; Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, United States of America., McGeough C; City Health Works, New York, NY, United States of America., Tejeda M; City Health Works, New York, NY, United States of America., Rivera L; City Health Works, New York, NY, United States of America., Gutierrez S; City Health Works, New York, NY, United States of America., Mejias H; City Health Works, New York, NY, United States of America., Belton D; City Health Works, New York, NY, United States of America., Mathew C; Mount Sinai Hospital, New York, NY, United States of America., Lindenauer PK; Institute for Healthcare Delivery and Population Sciences, University of Massachusetts Medical School-Baystate, Springfield, MA, United States of America., McDermott D; Baystate Medical Center, Springfield, MA, United States of America., O'Conor R; Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States of America., Wolf MS; Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States of America., Wisnivesky JP; Division of General Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, United States of America.
Jazyk: angličtina
Zdroj: Contemporary clinical trials [Contemp Clin Trials] 2021 Nov; Vol. 110, pp. 106570. Date of Electronic Publication: 2021 Sep 21.
DOI: 10.1016/j.cct.2021.106570
Abstrakt: Challenges with self-management are a major contributor to poor outcomes among adults with chronic obstructive pulmonary disease (COPD). The causes of poor self-management in COPD are manifold, and they arise from physical, cognitive, socioeconomic, environmental and societal sources. To address this complexity, we developed the Supporting self-Management Behaviors in Adults with COPD (SaMBA-COPD) model, which uses lay health coaches to identify a patient's barriers to effective COPD self-management and provide tailored support to help them overcome those barriers, reduce their symptoms and need for urgent care and improve their quality of life. The 6-month intervention includes referral of patients to a pharmacist for prescription of antibiotic and oral steroid "rescue packs" and support for a structured home exercise routine. All interactions of coaches and patients will take place by telephone or video call. We will test the feasibility and preliminary efficacy of SaMBA-COPD in a trial of 58 patients randomized 1:1 to the intervention or a COPD education control. Outcomes will be assessed at 6 and 9 months. Data from the trial will be used to inform the design of a fully powered, multi-site randomized trial of the intervention.
(Copyright © 2021 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: