Evidence map›Paper›PMID 30914491›Full record

Trial reportRespiratory care2019

Effect of Health Coaching Delivered by a Respiratory Therapist or Nurse on Self-Management Abilities in Severe COPD: Analysis of a Large Randomized Study.

Roberto Benzo, Charlene McEvoy

Registry-linked trialOpen access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Respiratory care, 2019. 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 20 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 7 pooled it
3.3field-weighted citation impact, top 7% of its field
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

20 citing papers in PubMed, 7 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Trial
  9. Trial
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Review
  20. Assessment of COPD-Related Knowledge Among Internal Medicine Nurses: A Cross-Sectional Study.International journal of chronic obstructive pulmonary disease · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 1 country.

Roberto BenzoMindful Breathing Laboratory, Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, Minnesota. benzo.roberto@mayo.edu.
Charlene McEvoyHealthPartners Institute for Education and Research, Bloomington, Minnesota.
HealthPartners · USMayo Clinic · US

Funding

Home Based Rehabilitation for COPDR01HL140486 · NHLBI · MAYO CLINIC ROCHESTER · PI BENZO, ROBERTO PABLO · 2018 to 2022
$3.4M
Increasing Adherence to Pulmonary Rehabilitation after COPD-related HospitalizationsR61HL142933 · NHLBI · MAYO CLINIC ROCHESTER · PI BENZO, ROBERTO PABLO · 2018 to 2019
$1.2M
Mechanistic Effects of Health Coaching to reduce COPD HospitalizationsK24HL138150 · NHLBI · MAYO CLINIC ROCHESTER · PI BENZO, ROBERTO PABLO · 2018 to 2022
$602k
NHLBI NIH HHS K24 HL138150NHLBI NIH HHS R01 HL140486NHLBI NIH HHS R61 HL142933
6 · The paper itself

Abstract

backgroundSelf-management of patients with COPD has received increasing attention in recent years given its association with improved outcomes. There is a scarcity of feasible interventions that can improve self-management abilities. We recently reported the positive effect of health coaching, started at the time of hospital discharge, on re-hospitalizations and emergency department visits for patients with COPD admitted for an exacerbation. In this substudy, we aimed to investigate the effects of health coaching delivered by a respiratory therapist or a nurse compared with guideline-based usual care on self-management abilities in COPD.

methodsSelf-management was measured by using the Chronic Respiratory Disease Questionnaire mastery domain and was assessed at baseline, at 6 months, and at 12 months after hospitalization.

resultsTwo hundred and fifteen subjects hospitalized for a COPD exacerbation were randomized to the intervention or the control. The mean change in the Chronic Respiratory Disease Questionnaire mastery score from baseline to month 6 was Δ0.58 32 ± 1.29 on the intervention arm and Δ0.17 32 ± 1.14 on the control arm (

conclusionsHealth coaching delivered by a respiratory therapist or a nurse improved self-management abilities when applied to subjects with COPD after hospital discharge for an exacerbation. (ClinicalTrials.gov Identifier: NCT01058486, Mayo IRB 09-004341).

Indexed as

AgedEmergency Service, HospitalFemaleHumansMaleMentoringMiddle AgedOutcome Assessment, Health CarePatient DischargePatient ReadmissionPulmonary Disease, Chronic ObstructiveRespiratory TherapySelf-ManagementChronic Respiratory Questionnaire mastery domainCOPDhealth coachinginterventionself-management

Identifiers

PMID30914491
PMCPMC7119186
OpenAlexW2923617435

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.