Patient self-management in primary care patients with mild COPD - protocol of a randomised controlled trial of telephone health coaching

Manbinder S Sidhu; Amanda Daley; Rachel Jordan; Peter A Coventry; Carl Heneghan; Sue Jowett; Sally Singh; Jennifer Marsh; Peymane Adab; Jinu Varghese; David Nunan; Amy Blakemore; Jenny Stevens; Lee Dowson; David Fitzmaurice; Catherine Jolly

doi:10.1186/s12890-015-0011-5

Patient self-management in primary care patients with mild COPD - protocol of a randomised controlled trial of telephone health coaching

Manbinder S Sidhu, Amanda Daley, Rachel Jordan, Peter A Coventry, Carl Heneghan, Sue Jowett, Sally Singh, Jennifer Marsh, Peymane Adab, Jinu Varghese, David Nunan, Amy Blakemore, Jenny Stevens, Lee Dowson, David Fitzmaurice, Catherine Jolly

Health Economics Unit

Research output: Contribution to journal › Article › peer-review

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Abstract

BACKGROUND: The prevalence of diagnosed chronic obstructive pulmonary disease (COPD) in the UK is 1.8%, although it is estimated that this represents less than half of the total disease in the population as much remains undiagnosed. Case finding initiatives in primary care will identify people with mild disease and symptoms. The majority of self-management trials have identified patients from secondary care clinics or following a hospital admission for exacerbation of their condition. This trial will recruit a primary care population with mild symptoms of COPD and use telephone health coaching to encourage self-management.

METHODS/DESIGN: In this study, using a multi-centred randomised controlled trial (RCT) across at least 70 general practices in England, we plan to establish the effectiveness of nurse-led telephone health coaching to support self-management in primary care for people who report only mild symptoms of their COPD (MRC grade 1 and 2) compared to usual care. The intervention focuses on taking up smoking cessation services, increasing physical activity, medication management and action planning and is underpinned by behavioural change theory. In total, we aim to recruit 556 patients with COPD confirmed by spirometry with follow up at six and 12 months. The primary outcome is health related quality of life using the St Georges Respiratory Questionnaire (SGRQ). Spirometry and BMI are measured at baseline. Secondary outcomes include self-reported health behaviours (smoking and physical activity), physical activity measured by accelerometery (at 12 months), psychological morbidity, self-efficacy and cost-effectiveness of the intervention. Longitudinal qualitative interviews will explore how engaged participants were with the intervention and how embedded behaviour change was in every day practices.

DISCUSSION: This trial will provide robust evidence about the effectiveness of a novel telephone health coaching intervention to promote behaviour change and prevent disease progression in patients with mild symptoms of dyspnoea in primary care.

TRIAL REGISTRATION: Current controlled trials ISRCTN06710391 .

Original language	English
Article number	16
Journal	BMC Pulmonary Medicine
Volume	15
DOIs	https://doi.org/10.1186/s12890-015-0011-5
Publication status	Published - 22 Feb 2015

Keywords

COPD
Self-management
Physical activity
Randomised controlled trial

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10.1186/s12890-015-0011-5

Sidhu_Patient_self-management_BMC_Pulmonary_Medicine_2015
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. Checked July 2015
Final published version, 613 KBLicence: Creative Commons: Attribution (CC BY)

Centre for Musculoskeletal Ageing Research (linked to 18289 & 19482)
Lord, J., Buckley, C., Duda, J., Dunn, W., Miall, C. & Greig, C.
Medical Research Council
1/08/12 → 31/07/17
Project: Research Councils

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Sidhu, M. S., Daley, A., Jordan, R., Coventry, P. A., Heneghan, C., Jowett, S., Singh, S., Marsh, J., Adab, P., Varghese, J., Nunan, D., Blakemore, A., Stevens, J., Dowson, L., Fitzmaurice, D., & Jolly, C. (2015). Patient self-management in primary care patients with mild COPD - protocol of a randomised controlled trial of telephone health coaching. BMC Pulmonary Medicine, 15, Article 16. https://doi.org/10.1186/s12890-015-0011-5

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abstract = "BACKGROUND: The prevalence of diagnosed chronic obstructive pulmonary disease (COPD) in the UK is 1.8%, although it is estimated that this represents less than half of the total disease in the population as much remains undiagnosed. Case finding initiatives in primary care will identify people with mild disease and symptoms. The majority of self-management trials have identified patients from secondary care clinics or following a hospital admission for exacerbation of their condition. This trial will recruit a primary care population with mild symptoms of COPD and use telephone health coaching to encourage self-management.METHODS/DESIGN: In this study, using a multi-centred randomised controlled trial (RCT) across at least 70 general practices in England, we plan to establish the effectiveness of nurse-led telephone health coaching to support self-management in primary care for people who report only mild symptoms of their COPD (MRC grade 1 and 2) compared to usual care. The intervention focuses on taking up smoking cessation services, increasing physical activity, medication management and action planning and is underpinned by behavioural change theory. In total, we aim to recruit 556 patients with COPD confirmed by spirometry with follow up at six and 12 months. The primary outcome is health related quality of life using the St Georges Respiratory Questionnaire (SGRQ). Spirometry and BMI are measured at baseline. Secondary outcomes include self-reported health behaviours (smoking and physical activity), physical activity measured by accelerometery (at 12 months), psychological morbidity, self-efficacy and cost-effectiveness of the intervention. Longitudinal qualitative interviews will explore how engaged participants were with the intervention and how embedded behaviour change was in every day practices.DISCUSSION: This trial will provide robust evidence about the effectiveness of a novel telephone health coaching intervention to promote behaviour change and prevent disease progression in patients with mild symptoms of dyspnoea in primary care.TRIAL REGISTRATION: Current controlled trials ISRCTN06710391 .",

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Sidhu, MS , Daley, A , Jordan, R, Coventry, PA, Heneghan, C, Jowett, S, Singh, S, Marsh, J, Adab, P , Varghese, J, Nunan, D, Blakemore, A, Stevens, J, Dowson, L, Fitzmaurice, D & Jolly, C 2015, 'Patient self-management in primary care patients with mild COPD - protocol of a randomised controlled trial of telephone health coaching', BMC Pulmonary Medicine, vol. 15, 16. https://doi.org/10.1186/s12890-015-0011-5

TY - JOUR

T1 - Patient self-management in primary care patients with mild COPD - protocol of a randomised controlled trial of telephone health coaching

AU - Sidhu, Manbinder S

AU - Daley, Amanda

AU - Jordan, Rachel

AU - Coventry, Peter A

AU - Heneghan, Carl

AU - Jowett, Sue

AU - Singh, Sally

AU - Marsh, Jennifer

AU - Adab, Peymane

AU - Varghese, Jinu

AU - Nunan, David

AU - Blakemore, Amy

AU - Stevens, Jenny

AU - Dowson, Lee

AU - Fitzmaurice, David

AU - Jolly, Catherine

PY - 2015/2/22

Y1 - 2015/2/22

N2 - BACKGROUND: The prevalence of diagnosed chronic obstructive pulmonary disease (COPD) in the UK is 1.8%, although it is estimated that this represents less than half of the total disease in the population as much remains undiagnosed. Case finding initiatives in primary care will identify people with mild disease and symptoms. The majority of self-management trials have identified patients from secondary care clinics or following a hospital admission for exacerbation of their condition. This trial will recruit a primary care population with mild symptoms of COPD and use telephone health coaching to encourage self-management.METHODS/DESIGN: In this study, using a multi-centred randomised controlled trial (RCT) across at least 70 general practices in England, we plan to establish the effectiveness of nurse-led telephone health coaching to support self-management in primary care for people who report only mild symptoms of their COPD (MRC grade 1 and 2) compared to usual care. The intervention focuses on taking up smoking cessation services, increasing physical activity, medication management and action planning and is underpinned by behavioural change theory. In total, we aim to recruit 556 patients with COPD confirmed by spirometry with follow up at six and 12 months. The primary outcome is health related quality of life using the St Georges Respiratory Questionnaire (SGRQ). Spirometry and BMI are measured at baseline. Secondary outcomes include self-reported health behaviours (smoking and physical activity), physical activity measured by accelerometery (at 12 months), psychological morbidity, self-efficacy and cost-effectiveness of the intervention. Longitudinal qualitative interviews will explore how engaged participants were with the intervention and how embedded behaviour change was in every day practices.DISCUSSION: This trial will provide robust evidence about the effectiveness of a novel telephone health coaching intervention to promote behaviour change and prevent disease progression in patients with mild symptoms of dyspnoea in primary care.TRIAL REGISTRATION: Current controlled trials ISRCTN06710391 .

AB - BACKGROUND: The prevalence of diagnosed chronic obstructive pulmonary disease (COPD) in the UK is 1.8%, although it is estimated that this represents less than half of the total disease in the population as much remains undiagnosed. Case finding initiatives in primary care will identify people with mild disease and symptoms. The majority of self-management trials have identified patients from secondary care clinics or following a hospital admission for exacerbation of their condition. This trial will recruit a primary care population with mild symptoms of COPD and use telephone health coaching to encourage self-management.METHODS/DESIGN: In this study, using a multi-centred randomised controlled trial (RCT) across at least 70 general practices in England, we plan to establish the effectiveness of nurse-led telephone health coaching to support self-management in primary care for people who report only mild symptoms of their COPD (MRC grade 1 and 2) compared to usual care. The intervention focuses on taking up smoking cessation services, increasing physical activity, medication management and action planning and is underpinned by behavioural change theory. In total, we aim to recruit 556 patients with COPD confirmed by spirometry with follow up at six and 12 months. The primary outcome is health related quality of life using the St Georges Respiratory Questionnaire (SGRQ). Spirometry and BMI are measured at baseline. Secondary outcomes include self-reported health behaviours (smoking and physical activity), physical activity measured by accelerometery (at 12 months), psychological morbidity, self-efficacy and cost-effectiveness of the intervention. Longitudinal qualitative interviews will explore how engaged participants were with the intervention and how embedded behaviour change was in every day practices.DISCUSSION: This trial will provide robust evidence about the effectiveness of a novel telephone health coaching intervention to promote behaviour change and prevent disease progression in patients with mild symptoms of dyspnoea in primary care.TRIAL REGISTRATION: Current controlled trials ISRCTN06710391 .

KW - COPD

KW - Self-management

KW - Physical activity

KW - Randomised controlled trial

U2 - 10.1186/s12890-015-0011-5

DO - 10.1186/s12890-015-0011-5

M3 - Article

C2 - 25880414

SN - 1471-2466

VL - 15

JO - BMC Pulmonary Medicine

JF - BMC Pulmonary Medicine

M1 - 16

ER -

Patient self-management in primary care patients with mild COPD - protocol of a randomised controlled trial of telephone health coaching

Abstract

Keywords

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Centre for Musculoskeletal Ageing Research (linked to 18289 & 19482)

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