Impact of a Mobile Phone and Educational Intervention

Not Applicable

Completed

• Conditions: Pulmonary Disease, Chronic Obstructive; Asthma COPD

• Registration Number: NCT06878898
• Lead Sponsor: Kent State University

Brief Summary

The purpose of this pilot study was to:

1. partner with African American churches to increase awareness of COPD.

2. use a community-based approach to facilitate early detection of COPD in the church setting. The pre-screening with a paper-based tool and spirometry testing were provided at community health fairs at the churches.

3. determine the impact of a combined intervention (education and mobile phone/text messages) on health related-related quality of life and health behaviors of African Americans with asthma and COPD.

The study used a randomized controlled trial (RCT) design to assess the effect of the intervention (education and mobile text-messaging) on health-related quality of life and health behaviors recommended for improved COPD self-management. All participants received the educational component then were randomized to a control group and intervention group, in which participants received mobile phone-based text messages on improving health behaviors associated with better self-management of asthma and COPD.

Detailed Description

This pilot study evaluated the feasibility and impact of a combined intervention on HRQOL and three health behaviors (nutrition, physical activity, avoiding triggers) in African Americans with asthma or COPD. This was a community-based intervention that recruited participants from six predominantly African American churches. African Americans over 18 years with asthma or COPD were randomized to control or intervention. Intervention received education (asthma COPD (ACOPD) Program) and a one-month text-messaging program, while control received the ACOPD Program alone. Measures were made at three- and 9-month follow-up. Independent and paired t-tests were used to examine HRQOL between groups and over time.

Study Timeline

• Study Start: 2016-09
• Primary Completion: 2017-04
• Study Completion: 2017-04
• Study First Submitted: 2023-06-01
• Status Verified: 2025-03
• Study First Submitted QC: 2025-03-12
• Last Update Submitted: 2025-03-12
• Study First Posted: 2025-03-17
• Last Update Posted: 2025-03-17

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 29

Inclusion Criteria

• Eligible participants for the study were African American adults of 18 years and above.

Participants had to have reported physician diagnosed (on the survey distributed at the church) or spirometry diagnosed (at the community health fair) asthma or COPD, access to a text-messaging enabled mobile phone, and provision of signed informed consent.

Exclusion Criteria

• Individuals unwilling to participate in the study and patients with other chronic lung diseases, terminal, or comorbid illnesses more severe in nature than asthma or COPD (i.e., heart disease and cancer) were excluded from the study.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Disease Knowledge: Knowledge and Management Questionnaire	Baseline, 3 months after ACOPD workshop, 9-months post-ACOPD workshop	Disease Knowledge: A knowledge questionnaire on basic disease concepts and management practices
Health-related quality of life (HRQOL) in participants with Chronic Obstructive Pulmonary Disease (COPD)	Baseline, 3 months after ACOPD workshop, 9-months post-ACOPD workshop	Health-related quality of life: The validated Clinical COPD Questionnaire used to measure HRQOL. The scores range from 0 to 6, higher values indicate poorer health status, and a change in score \>0.4 is considered clinically important.
Health-related quality of life in participants with Asthma	Baseline, 3 months after ACOPD workshop, 9-months post-ACOPD workshop	Health-related quality of life at baseline: The validated 15-item mini-Asthma Quality of Life Questionnaire (mAQLQ) used to measure HRQOL. The scores range from 1-7, higher scores indicate better health status, and a change in score \>0.5 is considered clinically important.

Secondary Outcome Measures

Name	Time	Method
Respiratory management behaviors	Baseline, 3 months after ACOPD workshop, 9-months post-ACOPD workshop	Respiratory Management Behaviors Questionnaire (RMBQ) at baseline: A study-developed questionnaire with 27 items and were summarized as frequencies and proportions.
Self-efficacy	Baseline, 3 months after ACOPD workshop, 9-months post-ACOPD workshop	Self-Efficacy Questionnaire (SEQ) at baseline: The Self-Efficacy Questionnaire with 6-items from a combination of self-efficacy scales developed for chronic illness. The scale ranges from 1-10 and higher scores indicate higher self-efficacy.

Trial Locations

Locations (1)

Kent State University; 🇺🇸 Kent, Ohio, United States