Evidence map›Paper›PMID 34560265›Full record

ArticleContemporary clinical trials2021

Protocol for a feasibility randomized trial of self-management support for people with chronic obstructive pulmonary disease using lay health coaches.

Alex D Federman, Michele Barry, Esther Moas, Claire Davenport, Christina McGeough, Marisilis Tejeda, Leny Rivera, Stacie Gutierrez, Hilda Mejias, Destini Belton and 6 more

Open access · greenAbstract readClinical Trial Protocol
In one paragraph

Article in Contemporary clinical trials, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 39% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

16 authors at 7 institutions in 1 country.

Alex D FedermanDivision of General Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, United States of America. Electronic address: alex.federman@mssm.edu.
Michele BarryDivision of General Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, United States of America.
Esther MoasMount Sinai Health System, New York, NY, United States of America.
Claire DavenportDepartment of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, United States of America.
Christina McGeoughCity Health Works, New York, NY, United States of America.
Marisilis TejedaCity Health Works, New York, NY, United States of America.
Leny RiveraCity Health Works, New York, NY, United States of America.
Stacie GutierrezCity Health Works, New York, NY, United States of America.
Hilda MejiasCity Health Works, New York, NY, United States of America.
Destini BeltonCity Health Works, New York, NY, United States of America.
Cathleen MathewMount Sinai Hospital, New York, NY, United States of America.
Peter K LindenauerInstitute for Healthcare Delivery and Population Sciences, University of Massachusetts Medical School-Baystate, Springfield, MA, United States of America.
Danielle McDermottBaystate Medical Center, Springfield, MA, United States of America.
Rachel O'ConorDivision of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States of America.
Michael S WolfDivision of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States of America.
Juan P WisniveskyDivision of General Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, United States of America.
New York City Department of Health and Mental Hygiene · USIcahn School of Medicine at Mount Sinai · USNorthwestern University · USBaystate Health · USBaystate Medical Center · USMount Sinai Health System · USMount Sinai Hospital · US

Funding

The Claude D. Pepper Older Americans Independence Center (OAIC) at Northwestern UniversityP30AG059988 · NIA · NORTHWESTERN UNIVERSITY AT CHICAGO · PI ACKERMANN, RONALD T. · 2020 to 2024
$7.1M
Comprehensive Home-based Self-management Support for COPD PatientsR34HL143747 · NHLBI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI FEDERMAN, ALEX D, WISNIVESKY, JUAN P · 2019 to 2021
$751k
NHLBI NIH HHS R34 HL143747NIA NIH HHS P30 AG059988
6 · The paper itself

Abstract

Challenges with self-management are a major contributor to poor outcomes among adults with chronic obstructive pulmonary disease (COPD). The causes of poor self-management in COPD are manifold, and they arise from physical, cognitive, socioeconomic, environmental and societal sources. To address this complexity, we developed the Supporting self-Management Behaviors in Adults with COPD (SaMBA-COPD) model, which uses lay health coaches to identify a patient's barriers to effective COPD self-management and provide tailored support to help them overcome those barriers, reduce their symptoms and need for urgent care and improve their quality of life. The 6-month intervention includes referral of patients to a pharmacist for prescription of antibiotic and oral steroid "rescue packs" and support for a structured home exercise routine. All interactions of coaches and patients will take place by telephone or video call. We will test the feasibility and preliminary efficacy of SaMBA-COPD in a trial of 58 patients randomized 1:1 to the intervention or a COPD education control. Outcomes will be assessed at 6 and 9 months. Data from the trial will be used to inform the design of a fully powered, multi-site randomized trial of the intervention.

Indexed as

Pulmonary Disease, Chronic ObstructiveSelf-ManagementAdultExerciseFeasibility StudiesHumansQuality of LifeRandomized Controlled Trials as TopicChronic obstructive pulmonary diseaseCommunity health workerCOPDHealth coachRandomized controlled trialSelf-management support

Identifiers

PMID34560265
PMCPMC8595863
OpenAlexW3200249571

What OpenQuestion holds

Textmetadata
LicenceTDM
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.