Health Coaching Calls for Emphysema

1
Effectiveness
1
Safety
Mayo Clinic in Rochester, Rochester, MN
Emphysema+1 More
Health Coaching Calls - Behavioral
Eligibility
18+
All Sexes
Eligible conditions
Emphysema

Study Summary

This study is evaluating whether a health coach can help improve the quality of life for individuals with chronic obstructive pulmonary disease.

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Eligible Conditions

  • Emphysema
  • Chronic Obstructive Pulmonary Disease (COPD)

Treatment Effectiveness

Study Objectives

This trial is evaluating whether Health Coaching Calls will improve 1 primary outcome and 6 secondary outcomes in patients with Emphysema. Measurement will happen over the course of Baseline and 3 months.

Baseline and 3 months
Anxiety
Daily Physical activity
Health care utilization (hospitalization or ED visits)
Health related Quality of life
Meaning in Life
Patient Health
Self Management

Trial Safety

Trial Design

2 Treatment Groups

Attention Control
Intervention

This trial requires 50 total participants across 2 different treatment groups

This trial involves 2 different treatments. Health Coaching Calls is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

Intervention
Behavioral
Participants in this group will receive 12 weekly health coaching calls followed by 12 weeks of living a normal life.
Attention Control
Behavioral
Participants in this group will receive 6 educational guides and 6 calls to remind them to read the educational guides (over a 12 week period). The participants will then move to 12 weeks of weekly health coaching calls.

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: baseline and 3 months
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly baseline and 3 months for reporting.

Who is running the study

Principal Investigator
R. P. B.
Roberto P. Benzo, Principal Investigator
Mayo Clinic

Closest Location

Mayo Clinic in Rochester - Rochester, MN

Eligibility Criteria

This trial is for patients born any sex aged 18 and older. There are 2 eligibility criteria to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
Inclusion Criteria: Men and women 40 years or older who have been clinically diagnosed with COPD and who experience shortness of breath. show original
eme Persons with a terminal illness or those who are unable to communicate by phoneme will be excluded from the study. show original

Patient Q&A Section

Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What is emphysema?

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Emphysema is an abnormal widening of the airways. It can be either obstructs the airways and make breathing harder or enlarge the airways and make it harder to breathe at all. It is most commonly found in people older than 50 and women. In men at the age of 50 the most common form has a cough due to air that they sit and exhale, known as "snoring". It has been observed in people without prior history of smoking or COPD, and can be present in people with bronchiectasis. In infants with an early start to breathing the airways can be constricted. This is a cause of decreased oxygen, CO and pH levels.

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What are the signs of emphysema?

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Emphysema may cause the following signs and symptoms: shortness of breath (due to the presence of air in the alveoli), weight loss, fatigue, and decreased exercise tolerance. Coughing up blood, chest pain, and persistent cough or difficulty in keeping airways open are also

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Can emphysema be cured?

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Many patients with emphysema will have a significant improvement in their condition with lung-clearing surgery. Lung-clearing surgery should be considered early as treatment for lung emphysema.

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What causes emphysema?

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Emphysema in people with no histories of cigarette smoking is linked to two exposures: 1) passive smoking and occupational exposure, particularly to dust and 2) the use of organic solvents and petroleum hydrocarbons.

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What are common treatments for emphysema?

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In the past, the treatment of emphysema has been mainly with high-dose, long-lasting Oxygen therapy and Surgery. However, recent advances in medical device technology may open up new, promising, and less invasive options, such as the use of endobronchial coils for treating emphysema. Further research into novel treatment modalities for the treatment of emphysema is necessary.

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How many people get emphysema a year in the United States?

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In this survey of a nationally representative sample of US adults, there were not statistically significant associations between age and the prevalence of emphysema in a population with a mean age of 45 years. Findings from a recent study suggest that emphysema prevalence in the US, especially when measured as prevalence per 1000 subjects, is probably not an important issue in the early decades of the population. However, the findings suggest that it may become a significant concern later in life in this group.

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What is the latest research for emphysema?

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With respect to lung CT imaging of emphysema, the 2015 consensus guideline statement on emphysema published by the American Thoracic Society/European Respiratory Society is a good summary of much of what's current medical knowledge.

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Have there been other clinical trials involving health coaching calls?

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Participants found the health coaching calls to be informative in giving them an awareness of the symptoms that are indicative of obstructive lung disease (such as shortness of breath), the management of these symptoms, and the best available evidence for the treatment of emphysema and COPD.

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What are the latest developments in health coaching calls for therapeutic use?

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The findings of this study indicate that a significant number of callers have difficulty in achieving significant improvements in their health. Given their frequency of use and the potential impact on the individual, consultation and referral of callers for their ongoing health issues should be encouraged.

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Has health coaching calls proven to be more effective than a placebo?

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Despite randomized trials of health coaching, this study found no benefit from an additional telephone coaching session, even after 6 months of enrollment. Results from a recent paper are consistent with an earlier report that no benefit from a phone support intervention was documented after a long period of time. This suggests that health coaching is effective when used for 6 months at a time and then tapered but does not have any long-term benefit.

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Is health coaching calls typically used in combination with any other treatments?

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Data from a recent study shows that many patients will take a health coaching call as a prerequisite for enrollment in any other proposed treatment. It has been shown that patients who receive a health coaching call are better prepared for participating in a behavior-management program as compared with those who receive no health coaching.

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Have there been any new discoveries for treating emphysema?

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This article highlights one new approach to the treatment of emphysema (via nebulised form of statins) as well as several new therapies in the clinical development. These include anti-oxidants, glutathione S-transferase enzyme inhibition, anti-inflammatory cytokines, alirocumab, anti-tumour necrosis factor therapy, anti-nuclear antibody therapy, bronchodilator treatment with olodaterol/tiotropium/salmeterol, interleukin-13 alpha receptor inhibition, interleukin-13 blockade, and nebulised nitric oxide (NO).

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