Evidence map›Paper›PMID 26953637›Full record

Trial reportAmerican journal of respiratory and critical care medicine2016

Health Coaching and Chronic Obstructive Pulmonary Disease Rehospitalization. A Randomized Study.

Roberto Benzo, Kristin Vickers, Paul J Novotny, Sharon Tucker, Johanna Hoult, Pamela Neuenfeldt, John Connett, Kate Lorig, Charlene McEvoy

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in American journal of respiratory and critical care medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01058486 (Multicomponent Intervention to Decrease COPD-related Hospitalizations), which is not on this map. Cited by 93 papers, 16 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
93citing papers in PubMed, 16 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01058486 nacompletednot on this map

Multicomponent Intervention to Decrease COPD-related Hospitalizations

TypeinterventionalSponsorMayo ClinicRan2010 to 2016Enrolled215ConditionsPulmonary Disease, Chronic ObstructiveArmsSelf-Management and Motivational Interviewing
3 · Its place in the literature

Who cites it

93 citing papers in PubMed, 16 syntheses or guidelines pooled it.

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  10. Design of pulmonary rehabilitation programmes during acute exacerbations of COPD: a systematic review and network meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2020
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33 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Roberto Benzo1 Mindful Breathing Laboratory, Division of Pulmonary and Critical Care Medicine.
Kristin Vickers2 Department of Psychology, and.
Paul J Novotny3 Department of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, Minnesota.
Sharon Tucker4 University of Iowa Hospitals & Clinics, Iowa City, Iowa.
Johanna Hoult1 Mindful Breathing Laboratory, Division of Pulmonary and Critical Care Medicine.
Pamela Neuenfeldt5 HealthPartners Institute for Education and Research, Bloomington, Minnesota.
John Connett6 Academic Health Center, University of Minnesota, Minneapolis, Minnesota; and.
Kate Lorig7 Stanford Patient Education Research Center, Palo Alto, California.
Charlene McEvoy5 HealthPartners Institute for Education and Research, Bloomington, Minnesota.

Funding

X RAY STRUCTURE/FUNCTION STUDIES OF HUMAN LUNGF32HL009468 · NHLBI · UNIVERSITY OF CALIFORNIA SAN FRANCISCO · PI BRINEN, LINDA S · 1996 to 1998
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NHLBI NIH HHS F32 HL009468
6 · The paper itself

Abstract

rationaleHospital readmission for chronic obstructive pulmonary disease (COPD) has attracted attention owing to the burden to patients and the health care system. There is a knowledge gap on approaches to reducing COPD readmissions.

objectivesTo determine the effect of comprehensive health coaching on the rate of COPD readmissions.

methodsA total of 215 patients hospitalized for a COPD exacerbation were randomized at hospital discharge to receive either (1) motivational interviewing-based health coaching plus a written action plan for exacerbations (the use of antibiotics and oral steroids) and brief exercise advice or (2) usual care. MEASUREMENTS AND MAIN

resultsWe evaluated the rate of COPD-related hospitalizations during 1 year of follow-up. The absolute risk reductions of COPD-related rehospitalization in the health coaching group were 7.5% (P = 0.01), 11.0% (P = 0.02), 11.6% (P = 0.03), 11.4% (P = 0.05), and 5.4% (P = 0.24) at 1, 3, 6, 9, and 12 months, respectively, compared with the control group. The odds ratios for COPD hospitalization in the intervention arm compared with the control arm were 0.09 (95% confidence interval [CI], 0.01-0.77) at 1 month postdischarge, 0.37 (95% CI, 0.15-0.91) at 3 months postdischarge, 0.43 (95% CI, 0.20-0.94) at 6 months postdischarge, and 0.60 (95% CI, 0.30-1.20) at 1 year postdischarge. The missing value rate for the primary outcome was 0.4% (one patient). Disease-specific quality of life improved significantly in the health coaching group compared with the control group at 6 and 12 months, based on the Chronic Respiratory Disease Questionnaire emotional score (emotion and mastery domains) and physical score (dyspnea and fatigue domains) (P < 0.05). There were no differences between groups in measured physical activity at any time point.

conclusionsHealth coaching may represent a feasible and possibly effective intervention designed to reduce COPD readmissions. Clinical trial registered with www.clinicaltrials.gov (NCT01058486).

Indexed as

AgedExercise TherapyFemaleHumansMaleMentoringMotivational InterviewingPatient ReadmissionPulmonary Disease, Chronic ObstructiveQuality of Lifechronic obstructive pulmonary diseasecommunication skillshealth coachinghospitalizationsquality of life

Identifiers

PMID26953637
PMCPMC5027231

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.