Protocol for a feasibility randomized trial of self-management support for people with chronic obstructive pulmonary disease using lay health coaches
Alex D Federman, Michele Barry, Esther Moas, Claire Davenport, Christina McGeough, Marisilis Tejeda, Leny Rivera, Stacie Gutierrez, Hilda Mejias, Destini Belton, Cathleen Mathew, Peter K Lindenauer, Danielle McDermott, Rachel O'Conor, Michael S Wolf, Juan P Wisnivesky, Alex D Federman, Michele Barry, Esther Moas, Claire Davenport, Christina McGeough, Marisilis Tejeda, Leny Rivera, Stacie Gutierrez, Hilda Mejias, Destini Belton, Cathleen Mathew, Peter K Lindenauer, Danielle McDermott, Rachel O'Conor, Michael S Wolf, Juan P Wisnivesky
Abstract
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.
Trial registration: ClinicalTrials.gov NCT04533412.
Keywords: COPD; Chronic obstructive pulmonary disease; Community health worker; Health coach; Randomized controlled trial; Self-management support.
Conflict of interest statement
Declaration of interests
The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
Copyright © 2021 Elsevier Inc. All rights reserved.
Source: PubMed