Mechanistic Effects of Health Coaching to Reduce Chronic Obstructive Pulmonary Disease (COPD) Hospitalizations

Not Applicable

Completed

Conditions: COPD
Emphysema

Interventions: Behavioral: Health Coaching Calls
Behavioral: Control

Registration Number: NCT03837847

Lead Sponsor: Mayo Clinic

Brief Summary: The researchers are trying to explore the benefit of Health Coaching on patients with severe symptoms of COPD.

Detailed Description: Not available

Recruitment & Eligibility

Status: COMPLETED

Sex: All

Target Recruitment: 63

Inclusion Criteria

Men and women 40 years or older with a clinical diagnosis of COPD with shortness of breath.

Exclusion: terminal illness, inability to communicate by phone

Exclusion Criteria

Not provided

Study & Design

Study Type: INTERVENTIONAL

Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Health Coaching	Health Coaching Calls	Participants in this group will receive health coaching calls
Control group	Control	Participants in this group will receive 6 educational guides

Primary Outcome Measures

Name	Time	Method
Change in Chronic Respiratory Questionnaire (CRQ) Mastery Score	Baseline, 3 months	The CRQ-Mastery is a 4-item questionnaire that assesses mastery on a Likert scale from 1 - 7. Higher scores indicate a higher level of mastering the ability to deal with the symptoms of the disease.
Change in Chronic Respiratory Questionnaire (CRQ) Emotions Score	Baseline, 3 months	The CRQ-Emotions is a 7-item questionnaire that assesses emotions on a Likert scale from 1 - 7. Higher scores indicate less severity of emotions.
Change in Chronic Respiratory Questionnaire (CRQ) Dyspnea Score	Baseline, 3 months	The CRQ-Dyspnea is a 5-item questionnaire that assesses dyspnea on a Likert scale from 1 - 7. Higher scores indicate less severity of dyspnea.
Change in Chronic Respiratory Questionnaire (CRQ) Fatigue Score	Baseline, 3 months	The CRQ-Fatigue is a 4-item questionnaire that assesses fatigue on a Likert scale from 1 - 7. Higher scores indicate less severity of fatigue.

Secondary Outcome Measures

Name	Time	Method
Change in Self Management	Baseline, 3 months	Self-Management Ability Scale-30 item questionnaire measuring ability and function. Total score range is 0-100, higher score indicated better ability and function.
Change in Depression	Baseline, 3 months	The Patient Health Questionnaire 9-item (PHQ-9) scale used to assess severity of depression. Scoring is calculated by assigning scores of 0, 1, 2, and 3 to the response categories, respectively, of "not at all," "several days," "more than half the days," and "nearly every day." Total score ranges from 0 to 27 where 0 is no depression, 1-4 is minimal depression, 5-9 is mild depression, 10-14 is moderate depression, and 15-19 is moderately severe depression and 20-27 severe depression.
Change in Daily Physical Activity	Baseline,3 months	Mean change in the number of steps per day
Change in Meaning in Life Questionnaire (MLQ) - Presence of Meaning	Baseline, 3 months	The MLQ is a 10-item questionnaire that assesses quality of life rated on a seven-point scale from 1 = Absolutely Untrue to 7 =Absolutely True. The Presence of Meaning subscale score = subtract the rating for item #9 from 8, then add to the ratings for items 1, 4, 5, and 6. Total Presence of Meaning Scores range between 5 and 35. Higher scores indicate more fullness of meaning a person feels in their life.
Change in Meaning in Life Questionnaire (MLQ) - Search for Meaning	Baseline, 3 months	The MLQ is a 10-item questionnaire that assesses quality of life rated on a seven-point scale from 1 = Absolutely Untrue to 7 =Absolutely True. The Search for Meaning subscale score = add together the ratings for items 2, 3, 7, 8, and 10. Total Search for Meaning scores range between 5 and 35. Higher scores indicate more engaged and motivated a person feels to understand and find meaning in their life
Change in Anxiety	Baseline,3 months	The General Anxiety Disorder 2-item (GAD 2) scale assess severity of generalized anxiety disorder. Total scores range from 0-6, a higher score indicates greater anxiety.