Evidence map›Paper›PMID 33906954›Full record

Trial reportRespiratory care2021

Feasibility of a Health Coaching and Home-Based Rehabilitation Intervention With Remote Monitoring for COPD.

Roberto P Benzo, Jennifer Ridgeway, Johanna P Hoult, Paul Novotny, Benjamin E Thomas, Nyanjok M Lam, Maria V Benzo, Kevin Kramer, Sara Seifert

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

Trial report in Respiratory care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02557178 (Home-Based Health Management of COPD Patients), which is not on this map. Cited by 29 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 5 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.

NCT02557178 nacompletednot on this map

Home-Based Health Management of COPD Patients

TypeinterventionalSponsorSara SeifertRan2016 to 2019Enrolled154ConditionsChronic Obstructive Pulmonary DiseaseArmshealth coaching
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  5. Physical activity promotion interventions in chronic airways disease: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2023
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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

9 authors.

Roberto P BenzoDepartment of Pulmonary and Critical Care Medicine, Mindful Breathing Laboratory, Mayo Clinic, Rochester, Minnesota. benzo.roberto@mayo.edu.
Jennifer RidgewayCenter for Health Care Delivery, Mayo Clinic, Rochester, Minnesota.
Johanna P HoultDepartment of Pulmonary and Critical Care Medicine, Mindful Breathing Laboratory, Mayo Clinic, Rochester, Minnesota.
Paul NovotnyBiomedical Statistics and Informatics, Mayo Clinic, Rochester, Minnesota.
Benjamin E ThomasDepartment of Pulmonary and Critical Care Medicine, Mindful Breathing Laboratory, Mayo Clinic, Rochester, Minnesota.
Nyanjok M LamDepartment of Pulmonary and Critical Care Medicine, Mindful Breathing Laboratory, Mayo Clinic, Rochester, Minnesota.
Maria V BenzoDepartment of Pulmonary and Critical Care Medicine, Mindful Breathing Laboratory, Mayo Clinic, Rochester, Minnesota.
Kevin KramerMinnesota Health Solutions, Minneapolis, Minnesota.
Sara SeifertMinnesota Health Solutions, Minneapolis, Minnesota.

Funding

Home Based Rehabilitation for COPDR01HL140486 · NHLBI · MAYO CLINIC ROCHESTER · PI BENZO, ROBERTO PABLO · 2018 to 2022
$3.4M
Pulmonary Rehabiltation before Lung Cancer ResectionR01CA163293 · NCI · MAYO CLINIC ROCHESTER · PI BENZO, ROBERTO PABLO · 2012 to 2017
$1.6M
Home-based Health Management of COPD PatientsR44HL114162 · NHLBI · MINNESOTA HEALTHSOLUTIONS CORPORATION · PI SEIFERT, SARA · 2015 to 2017
$1.4M
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
Home-based Health Management of COPD PatientsR43HL114162 · NHLBI · MINNESOTA HEALTHSOLUTIONS CORPORATION · PI SEIFERT, SARA · 2012 to 2012
$176k
NCI NIH HHS R01 CA163293NHLBI NIH HHS K24 HL138150NHLBI NIH HHS R01 HL140486NHLBI NIH HHS R43 HL114162NHLBI NIH HHS R44 HL114162NHLBI NIH HHS R61 HL142933
6 · The paper itself

Abstract

backgroundPulmonary rehabilitation is an effective treatment for patients with COPD, but patient uptake and adherence to the current offering of center-based pulmonary rehabilitation is modest due to transportation, access, poverty, and frailty, and even more so in the context of the COVID pandemic. Home-based options have been proposed and were found noninferior to center-based rehabilitation; however, there is a lack of home-based programs, and more understanding is needed. We aimed to test the feasibility, uptake, and adherence to a home-based program for COPD rehabilitation with health coaching.

methodsWe conducted a randomized trial with a wait-list controlled design to evaluate the effects of a home-based program with health coaching on breathlessness in subjects with moderate to severe COPD unable to attend the regular pulmonary rehabilitation program. The 8-week intervention consisted of video-guided exercises to be done 6 times a week and captured with a computer tablet. Health coaching was done weekly over the telephone to review subject activity and symptoms and to provide an opportunity for the subject to define their weekly goals. The primary outcomes were uptake, adherence, and Chronic Respiratory Questionnaire (CRQ) Dyspnea Domain. Secondary outcomes were self-management abilities and CRQ Emotions-Mastery-Fatigue.

results154 subjects with moderate to severe COPD were randomized. Subject adherence was 86% to the proposed 6-times a week exercise routine. There (

conclusionsThe tested home-based rehabilitation program with health coaching was feasible, highly acceptable, showed a high degree of adherence, and improved self-management abilities. This study offers seminal information for home-based rehabilitation programs to design alternative options of rehabilitation to individuals with COPD that cannot attend to the well-established center-based pulmonary rehabilitation. (ClinicalTrials.gov registration NCT02557178.).

Indexed as

COVID-19MentoringPulmonary Disease, Chronic ObstructiveFeasibility StudiesHumansQuality of LifeSARS-CoV-2COPDhealth coachinghome-basedpulmonary rehabilitation

Identifiers

PMID33906954
PMCPMC10027177

What OpenQuestion holds

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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.