Feasibility, Acceptability, and Safety Trial of Brief, Breath Control-Focused Acceptance and Commitment Therapy in Adults With Chronic Cough (FAST-COUGH)
Identifying Predictors of Treatment Response to Pharmacologic and Nonpharmacologic Interventions in Cough Hypersensitivity Syndrome
Přehled studie
Postavení
Postavení
Podmínky
Podmínky
Intervence / Léčba
Intervence / Léčba
Typ studie
Typ studie
Zápis (Odhadovaný)
Zápis
Fáze
Fáze
- Nelze použít
Kontakty a umístění
Studijní kontakt
Studijní kontakt
- Jméno: Carolyn K. Novaleski, Ph.D., CCC-SLP
- Telefonní číslo: 919-962-5965
- E-mail: carolyn_novaleski@med.unc.edu
Studijní místa
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North Carolina
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Chapel Hill, North Carolina, Spojené státy, 27599
- University of North Carolina at Chapel Hill
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Kontakt:
- Carolyn K. Novaleski, Ph.D., CCC-SLP
- Telefonní číslo: 919-962-5965
- E-mail: carolyn_novaleski@med.unc.edu
-
-
Kritéria účasti
Kritéria způsobilosti
Kritéria způsobilosti
Věk způsobilý ke studiu
- Dospělý
- Starší dospělý
Přijímá zdravé dobrovolníky
Popis
Inclusion Criteria:
- Confirmed patient with UNC Health electronic medical record number (MRN) via medical chart review
- 18-80 years of age via medical chart review
- Completed outpatient clinical encounter within the prior 12 months with a provider in pulmonary medicine, gastroenterology, otolaryngology, and/or allergy at UNC Health via medical chart review, with documentation that chronic cough (lasting 8 weeks or longer) was listed as one of the reasons for the visit, with terminology such as, but not limited to chronic, ongoing, recurrent, persistent, lingering, refractory, longstanding, constant, continual, continuous, prolonged, intermittent, frequent, repetitive, unresolved, non-resolving, habitual, troublesome, bothersome, unmanaged, unexplained, idiopathic, progressive, worsening, treatment-resistant, and/or intractable
- Documented interpretation by provider of normal chest imaging, defined as a chest radiograph (X-ray) or computed tomography (CT) scan of the chest without clinically significant abnormalities contributing to chronic cough, within the prior 12 months obtained as part of the evaluation for chronic cough via medical chart review
- Documented judgment of provider within the prior 12 months that chronic cough was not primarily attributable to untreated or inadequately treated pulmonary, gastroesophageal, or sinonasal condition(s) via medical chart review
- Chronic cough of at least moderate severity (i.e., moderate, severe, very severe) via self-report using a screening questionnaire
- Score ≤ 14 on the Patient Health Questionnaire-9 (PHQ-9), indicating no greater than moderate depressive symptom severity (maximum score: 27), via self-report using a screening questionnaire
- Score of ≤ 14 on the Generalized Anxiety Disorder-7 (GAD-7), indicating no greater than moderate generalized anxiety symptoms (maximum score: 21), via self-report using a screening questionnaire
- Score of ≤ 10 on the Distress Questionnaire-5 (DQ5), indicating no elevated psychological distress (maximum score: 25), via self-report using a screening questionnaire
- Agree to participate in a program to learn new ways to manage chronic cough for 4 weeks via self-report using a screening questionnaire
- Able to participate in study activities with a facilitator scheduled during standard weekday business hours via self-report using a screening questionnaire
- Access to reliable internet connection and device capable of videoconferencing (e.g., computer, tablet, smartphone) via self-report using a screening questionnaire
Exclusion Criteria:
- Current smoking status via medical chart review
- Current use of angiotensin-converting enzyme (ACE) inhibitor medication(s) via medical chart review, including Benazepril/brand name: Lotensin; Captopril/brand name: Capoten; Enalapril/brand name: Vasotec; Fosinopril/brand name: Monopril; Lisinopril/brand name: Prinivil, Zestril; Moexipril/brand name: Univasc; Perindopril/brand name: Aceon; Quinapril/brand name: Accupril; Ramipril/brand name: Altace; and/or Trandolapril/brand name: Mavik
- Unable to read, understand, and speak English without an interpreter via medical chart review
- Documented cognitive, intellectual, developmental, or neurological conditions that could interfere with reliable self-report, comprehension, or completion of study procedures via medical chart review
Studijní plán
Jak je studie koncipována?
Detaily designu
- Primární účel: Léčba
- Přidělení: N/A
- Intervenční model: Přiřazení jedné skupiny
- Maskování: Žádné (otevřený štítek)
Počet zbraní
Zbraně a zásahy
Skupina účastníků / ArmSkupina účastníků / Arm |
Intervence / LéčbaIntervence / Léčba |
|---|---|
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Experimentální: Acceptance and Commitment Therapy (ACT)
Brief Acceptance and Commitment Therapy (ACT) combined with breath control techniques
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Brief Acceptance and Commitment Therapy (ACT) combined with breath control techniques.
Treatment delivered once per week for 30 minutes each session for total of 4 weeks
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Co je měření studie?
Primární výstupní opatření
Primární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
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Recruitment rate
Časové okno: From screening and recruitment to enrollment
|
Proportion of participants in the target population expected to enroll in the study (numerator) out of all eligible individuals identified (denominator)
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From screening and recruitment to enrollment
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Retention rate
Časové okno: From enrollment to the end of treatment at 4 weeks
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Proportion of participants enrolled in the study expected to complete the follow-up assessments (numerator) out of all participants initially enrolled in the study (denominator)
|
From enrollment to the end of treatment at 4 weeks
|
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Adherence rate of session attendance
Časové okno: From enrollment to the end of treatment at 4 weeks
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Proportion of participants enrolled in the study expected to attend sessions for at least 24 minutes (80%) of the 30-minute sessions (numerator) out of all participants initially enrolled in the study (denominator)
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From enrollment to the end of treatment at 4 weeks
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Ordinal scale of adherence to self-directed activities
Časové okno: From enrollment to the end of treatment at 4 weeks
|
Proportion of participants enrolled in the study expected to complete more than half (50%) of the self-directed activities (numerator) out of all participants initially enrolled in the study (denominator)
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From enrollment to the end of treatment at 4 weeks
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Likert scale of agreement for cough-related adherence barriers
Časové okno: From enrollment to the end of treatment at 4 weeks
|
Proportion of participants enrolled in the study who completed the follow-up assessments expected to strongly agree or agree that each of 11 cough-related items was a barrier to doing in the program
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From enrollment to the end of treatment at 4 weeks
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Likert scale of agreement for acceptability
Časové okno: From enrollment to the end of treatment at 4 weeks
|
Proportion of participants enrolled in the study who completed the follow-up assessments expected to strongly agree or agree that the program was acceptable
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From enrollment to the end of treatment at 4 weeks
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Likert scale of agreement for appropriateness
Časové okno: From enrollment to the end of treatment at 4 weeks
|
Proportion of participants enrolled in the study who completed the follow-up assessments expected to strongly agree or agree that the program was a good fit for people with chronic cough
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From enrollment to the end of treatment at 4 weeks
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Likert scale of agreement for burden
Časové okno: From enrollment to the end of treatment at 4 weeks
|
Proportion of participants enrolled in the study who completed the follow-up assessments expected to strongly agree or agree that the time and work the program took was reasonable
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From enrollment to the end of treatment at 4 weeks
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Distress Questionnaire-5 (DQ5)
Časové okno: From enrollment to the end of treatment at 4 weeks
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Expected means of general levels of psychological distress at baseline and follow-up assessments, expected standard deviations, and proportion of participants who completed the follow-up assessments expected to have an increased score of 1 or greater in general levels of psychological distress
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From enrollment to the end of treatment at 4 weeks
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Binary scale for monitoring program-specific psychological distress
Časové okno: From enrollment to the end of treatment at 4 weeks
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Proportion of participants enrolled in the study expected to report experiencing increased psychological distress specifically related to the program
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From enrollment to the end of treatment at 4 weeks
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Adverse events (AEs)
Časové okno: From enrollment to the end of treatment at 4 weeks
|
Proportion of participants enrolled in the study expected to report one or more adverse events (AEs) and total number of AEs reported across all participants
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From enrollment to the end of treatment at 4 weeks
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Sekundární výstupní opatření
Sekundární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
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Leicester Cough Questionnaire
Časové okno: From enrollment to the end of treatment at 4 weeks
|
The Leicester Cough Questionnaire is a 19-item questionnaire that measures how chronic cough affects quality of life over the past two weeks.
It includes three domains: physical, psychological, and social.
Each item is rated on a seven-point Likert scale ranging from "all of the time" to "none of the time."
Total score range is between 3-21, with lower scores indicating a worse outcome.
Expected means of cough-related quality of life at baseline and follow-up assessments, mean score differences between baseline and follow-up assessments, and expected standard deviations
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From enrollment to the end of treatment at 4 weeks
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Acceptance and Action Questionnaire-II
Časové okno: From enrollment to the end of treatment at 4 weeks
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The Acceptance and Action Questionnaire-II is a 7-item questionnaire that measures psychological flexibility by assessing the ability to be present and accept internal feelings and thoughts.
Each item is rated on a seven-point Likert scale ranging from "never true" to "always true."
Total score range is between 7-49, with higher scores indicating a worse outcome.
Expected means of psychological flexibility at baseline and follow-up assessments, mean score differences between baseline and follow-up assessments, and expected standard deviations
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From enrollment to the end of treatment at 4 weeks
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Brief Experiential Avoidance Questionnaire
Časové okno: From enrollment to the end of treatment at 4 weeks
|
The Brief Experiential Avoidance Questionnaire is a 15-item questionnaire that measures experiential avoidance by assessing the tendency to avoid unpleasant feelings, thoughts, and bodily sensations.
Each item is rated on a six-point Likert scale ranging from "strongly disagree" to "strongly agree."
Total score range is between 15-90, with higher scores indicating a worse outcome.
Expected means of experiential avoidance at baseline and follow-up assessments, mean score differences between baseline and follow-up assessments, and expected standard deviations
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From enrollment to the end of treatment at 4 weeks
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Cognitive and Affective Mindfulness Scale-Revised
Časové okno: From enrollment to the end of treatment at 4 weeks
|
The Cognitive and Affective Mindfulness Scale-Revised is a 12-item questionnaire that measures a broad concept of mindfulness.
Each item is rated on a four-point Likert scale ranging from "rarely/not at all" to "almost always."
Total score range is between 12-48, with lower scores indicating a worse outcome.
Expected means of mindfulness at baseline and follow-up assessments, mean score differences between baseline and follow-up assessments, and expected standard deviations
|
From enrollment to the end of treatment at 4 weeks
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Spolupracovníci a vyšetřovatelé
Sponzor
Sponzor
Spolupracovníci
Spolupracovníci
Vyšetřovatelé
Vyšetřovatelé
- Vrchní vyšetřovatel: Carolyn Novaleski, Ph.D., CCC-SLP, University of North Carolina, Chapel Hill
Termíny studijních záznamů
Hlavní termíny studia
Začátek studia (Odhadovaný)
Začátek studia
Primární dokončení (Odhadovaný)
Primární dokončení
Dokončení studie (Odhadovaný)
Dokončení studie
Termíny zápisu do studia
První předloženo
První předloženo
První předloženo, které splnilo kritéria kontroly kvality
První předloženo, které splnilo kritéria kontroly kvality
První zveřejněno (Aktuální)
První zveřejněno
Aktualizace studijních záznamů
Poslední zveřejněná aktualizace (Aktuální)
Poslední zveřejněná aktualizace
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Naposledy ověřeno
Naposledy ověřeno
Více informací
Termíny související s touto studií
Klíčová slova
Další relevantní podmínky MeSH
- Nemoci dýchacích cest
- Poruchy dýchání
- Příznaky a symptomy, Respirační
- Patologické stavy, příznaky a symptomy
- Příznaky a symptomy
- Chronický kašel
- Kašel
- Syndrom přecitlivělosti kašle
- Terapie chování
- Psychoterapie
- Disciplíny a činnosti chování
- Kognitivní behaviorální terapie
- Přijetí a odhodlání terapie
Další identifikační čísla studie
Další identifikační čísla studie
- 25-1846
- K23HL169934 (Grant/smlouva NIH USA)
Plán pro data jednotlivých účastníků (IPD)
Plánujete sdílet data jednotlivých účastníků (IPD)?
Popis plánu IPD
Časový rámec sdílení IPD
Kritéria přístupu pro sdílení IPD
Typ podpůrných informací pro sdílení IPD
- ANALYTIC_CODE
Informace o lécích a zařízeních, studijní dokumenty
Studuje lékový produkt regulovaný americkým FDA
Studuje produkt zařízení regulovaný americkým úřadem FDA
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