Evidence map›Paper›PMID 31937527›Full record

Trial reportAnnals of family medicine2020

Lay Health Coaching to Increase Appropriate Inhaler Use in COPD: A Randomized Controlled Trial.

Rachel Willard-Grace, Chris Chirinos, Jessica Wolf, Denise DeVore, Beatrice Huang, Danielle Hessler, Stephanie Tsao, George Su, David H Thom

Open access · diamondAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Annals of family medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 12% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Peak Inspiratory Flow Rate in COPD: An Analysis of Clinical Trial and Real-World Data.International journal of chronic obstructive pulmonary disease
    Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Review
  12. A Telemedicine Approach for Monitoring COPD: A Prospective Feasibility and Acceptability Cohort Study.International journal of chronic obstructive pulmonary disease · 2022
    Article
  13. Review
  14. Review
  15. Article
  16. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Rachel Willard-GraceDepartment of Family and Community Medicine, University of California San Francisco, San Francisco, California Rachel.Willard@ucsf.edu.
Chris ChirinosDepartment of Family and Community Medicine, University of California San Francisco, San Francisco, California.
Jessica WolfDepartment of Family and Community Medicine, University of California San Francisco, San Francisco, California.
Denise DeVoreDepartment of Family and Community Medicine, University of California San Francisco, San Francisco, California.
Beatrice HuangDepartment of Family and Community Medicine, University of California San Francisco, San Francisco, California.
Danielle HesslerDepartment of Family and Community Medicine, University of California San Francisco, San Francisco, California.
Stephanie TsaoSan Francisco Department of Public Health, San Francisco, California.
George SuDepartment of Medicine: Pulmonology, Critical Care, Allergy and Sleep Medicine Program, University of California San Francisco, San Francisco, California.
David H ThomDepartment of Medicine, Stanford University School of Medicine, Palo Alto, California.
University of California, San Francisco · USSan Francisco Department of Public Health · USStanford University · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025780 · NCRR · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2008 to 2011
$61.3M
NCRR NIH HHS UL1 RR025780
6 · The paper itself

Abstract

purposePoor adherence to medications is more prevalent for chronic obstructive pulmonary disease (COPD) than for other chronic conditions and is associated with unfavorable health outcomes. Few interventions have successfully improved adherence for COPD medications; none of these use unlicensed health care personnel. We explored the efficacy of lay health coaches to improve inhaler adherence and technique.

methodsWithin a randomized controlled trial, we recruited English- and Spanish-speaking patients with moderate to severe COPD from urban, public primary care clinics serving a low-income, predominantly African American population. Participants were randomized to receive 9 months of health coaching or usual care. Outcome measures included self-reported adherence to inhaled controller medications in the past 7 days and observed technique for all inhalers. We used generalized linear models, controlling for baseline values and clustering by site.

resultsBaseline adherence and inhaler technique were uniformly poor and did not differ by study arm. At 9 months, health-coached patients reported a greater number of days of adherence compared with usual care patients (6.4 vs 5.5 days; adjusted

conclusionsHealth coaching may provide a scalable model that can improve care for people living with COPD.

Indexed as

Drug MonitoringMentoringNebulizers and VaporizersAdministration, InhalationAgedFemaleHumansMaleMiddle AgedPulmonary Disease, Chronic Obstructivechronic illnesschronic obstructive pulmonary diseasehealth coachinginhalersinhaler techniquemedication adherencepatient educationpractice-based researchprimary careself-managementshared decision making

Identifiers

PMID31937527
PMCPMC7227462
OpenAlexW2998742393

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.