Evidence map›Paper›PMID 38458558›Full record

ArticleContemporary clinical trials2024

Project EPIC (Empowering People to Independence in COPD): Study protocol for a hybrid effectiveness-implementation pilot randomized controlled trial of telephonic, geriatrics-palliative care nurse-coaching in older adults with COPD and their family caregivers.

Jun Y Byun, Rachel Wells, Avery C Bechthold, Jazmine Coffee-Dunning, Margaret Armstrong, Richard Taylor, Lanier O'Hare, Mark T Dransfield, Cynthia J Brown, David E Vance and 3 more

Registry-linked trialAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Contemporary clinical trials, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05040386 (Nurse Coach-Led Early Palliative Care for Older Adults With Chronic Obstructive Pulmonary Disease and Their Care Partners), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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.

NCT05040386 nacompletednot on this map

Nurse Coach-Led Early Palliative Care for Older Adults With Chronic Obstructive Pulmonary Disease and Their Care Partners: The Project EPIC Pilot Randomized Controlled Trial

TypeinterventionalSponsorUniversity of Alabama at BirminghamRan2022 to 2024Enrolled50ConditionsCOPDArmsEPIC (Empower People to Independence in COPD), Usual Care
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. 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

13 authors.

Jun Y ByunSchool of Nursing, University of Alabama at Birmingham, Birmingham, AL, United States of America. Electronic address: junbyun@uab.edu.
Rachel WellsSchool of Nursing, University of Alabama at Birmingham, Birmingham, AL, United States of America; Center for Palliative and Supportive Care, University of Alabama at Birmingham, Birmingham, AL, United States of America. Electronic address: raduncan@uab.edu.
Avery C BechtholdSchool of Nursing, University of Alabama at Birmingham, Birmingham, AL, United States of America. Electronic address: abechth@uab.edu.
Jazmine Coffee-DunningSchool of Nursing, University of Alabama at Birmingham, Birmingham, AL, United States of America; Center for Palliative and Supportive Care, University of Alabama at Birmingham, Birmingham, AL, United States of America. Electronic address: jcoffee1@uab.edu.
Margaret ArmstrongSchool of Nursing, University of Alabama at Birmingham, Birmingham, AL, United States of America; Center for Palliative and Supportive Care, University of Alabama at Birmingham, Birmingham, AL, United States of America. Electronic address: mlga@uab.edu.
Richard TaylorSchool of Nursing, University of Alabama at Birmingham, Birmingham, AL, United States of America; Center for Palliative and Supportive Care, University of Alabama at Birmingham, Birmingham, AL, United States of America. Electronic address: rtaylor@uabmc.edu.
Lanier O'HareSchool of Nursing, University of Alabama at Birmingham, Birmingham, AL, United States of America; Division of Pulmonary, Allergy and Critical Care, University of Alabama at Birmingham Pulmonary Division, THT│ 1900 University Blvd, Birmingham, AL 35294, United States of America. Electronic address: lohare@uabmc.edu.
Mark T DransfieldDivision of Pulmonary, Allergy and Critical Care, University of Alabama at Birmingham Pulmonary Division, THT│ 1900 University Blvd, Birmingham, AL 35294, United States of America. Electronic address: mdransfield@uabmc.edu.
Cynthia J BrownDepartment of Internal Medicine, Louisiana State University Health Sciences Center, 2021 Perdido St, New Orleans, LA 70112, United States of America. Electronic address: cbro50@lsuhsc.edu.
David E VanceSchool of Nursing, University of Alabama at Birmingham, Birmingham, AL, United States of America. Electronic address: devance@uab.edu.
J Nicholas OdomSchool of Nursing, University of Alabama at Birmingham, Birmingham, AL, United States of America; Center for Palliative and Supportive Care, University of Alabama at Birmingham, Birmingham, AL, United States of America. Electronic address: dionneod@uab.edu.
Marie BakitasSchool of Nursing, University of Alabama at Birmingham, Birmingham, AL, United States of America; Center for Palliative and Supportive Care, University of Alabama at Birmingham, Birmingham, AL, United States of America. Electronic address: mbakitas@uab.edu.
Anand S IyerSchool of Nursing, University of Alabama at Birmingham, Birmingham, AL, United States of America; Center for Palliative and Supportive Care, University of Alabama at Birmingham, Birmingham, AL, United States of America; Division of Pulmonary, Allergy and Critical Care, University of Alabama at Birmingham Pulmonary Division, THT│ 1900 University Blvd, Birmingham, AL 35294, United States of America; Division of Gerontology, Geriatrics, and Palliative Care, University of Alabama at Birmingham, Birmingham, AL, United States of America. Electronic address: aiyer@uabmc.edu.

Funding

Aging Well with COPD through Geriatrics-Palliative CareK76AG064327 · NIA · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI IYER, ANAND SATHYAN · 2020 to 2024
$1.2M
Optimizing an Early Palliative Care Intervention for Advanced HF PatientsK99NR019854 · NINR · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI WELLS, RACHEL D · 2021 to 2022
$174k
NIA NIH HHS K76 AG064327NINR NIH HHS K99 NR019854
6 · The paper itself

Abstract

backgroundEPIC (Empowering People to Independence in COPD) is a geriatric-palliative care telephonic, nurse coach intervention informed by Baltes' Theory of Successful Aging and adapted from the ENABLE (Educate, Nurture, Advise, Before Life Ends) intervention. EPIC, focused on improving independence, mobility, well-being, and COPD symptoms, has undergone formative and summative evaluation for adults with COPD.

methodsThe primary study aim is to assess the refined EPIC intervention's feasibility and acceptability via a pilot hybrid effectiveness-implementation randomized control trial in community-dwelling older adults with moderate to severe COPD and their family caregivers. The secondary aim is to explore the impact of EPIC on patient and caregiver outcomes. Older adults with COPD and their family caregivers (target N = 60 dyads) will be randomized to EPIC (intervention) or usual COPD care (control). EPIC includes six patient and four family caregiver weekly, telephone-based nurse coach sessions using a manualized curriculum (Charting Your Course), plus three monthly follow-up calls. Feasibility will be measured as completion of EPIC intervention and trial components (e.g., recruitment, retention, data collection). Acceptability will be evaluated using satisfaction surveys and post-study feedback interviews. A blinded data collector will assess exploratory outcomes (e.g., Life-Space mobility, quality of life, caregiver burden, emotional symptoms, loneliness, cognitive impairment, functional status, healthcare utilization) at baseline, 12, and 24 weeks. DISCUSSION: This intervention fills a gap in addressing the geriatrics and palliative care needs and equity for adults with COPD and their family caregivers.

trial registrationClinicalTrials.gov Identifier: NCT05040386.

Indexed as

CaregiversPalliative CarePulmonary Disease, Chronic ObstructiveQuality of LifeAgedFemaleHumansIndependent LivingMaleMentoringPilot ProjectsRandomized Controlled Trials as TopicTelephoneCOPDFamily caregiversGeriatricsOlder adultsPalliative careTelehealth

Identifiers

PMID38458558
PMCPMC11065558

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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.