Pulmonary Disease, Chronic Obstructive, Asthma COPD
Conditions
Brief summary
The purpose of this pilot study was to: 1. partner with African American churches to increase awareness of COPD. 2. use a community-based approach to facilitate early detection of COPD in the church setting. The pre-screening with a paper-based tool and spirometry testing were provided at community health fairs at the churches. 3. determine the impact of a combined intervention (education and mobile phone/text messages) on health related-related quality of life and health behaviors of African Americans with asthma and COPD. The study used a randomized controlled trial (RCT) design to assess the effect of the intervention (education and mobile text-messaging) on health-related quality of life and health behaviors recommended for improved COPD self-management. All participants received the educational component then were randomized to a control group and intervention group, in which participants received mobile phone-based text messages on improving health behaviors associated with better self-management of asthma and COPD.
Detailed description
This pilot study evaluated the feasibility and impact of a combined intervention on HRQOL and three health behaviors (nutrition, physical activity, avoiding triggers) in African Americans with asthma or COPD. This was a community-based intervention that recruited participants from six predominantly African American churches. African Americans over 18 years with asthma or COPD were randomized to control or intervention. Intervention received education (asthma COPD (ACOPD) Program) and a one-month text-messaging program, while control received the ACOPD Program alone. Measures were made at three- and 9-month follow-up. Independent and paired t-tests were used to examine HRQOL between groups and over time.
Interventions
BEHAVIORALEducation and mobile phone text-messaging
The investigators piloted a knowledge and mobile text-messaging intervention using a prospective group design, allocating 14 (asthma=8; COPD=6) and 15 (asthma=9; COPD=6) participants to control and intervention groups respectively, after stratifying by type of disease.
OTHEREducation only
Participants in the control group only received the educational intervention.
Sponsors
Kent State University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SCREENING
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Eligible participants for the study were African American adults of 18 years and above. Participants had to have reported physician diagnosed (on the survey distributed at the church) or spirometry diagnosed (at the community health fair) asthma or COPD, access to a text-messaging enabled mobile phone, and provision of signed informed consent.
Exclusion criteria
* Individuals unwilling to participate in the study and patients with other chronic lung diseases, terminal, or comorbid illnesses more severe in nature than asthma or COPD (i.e., heart disease and cancer) were excluded from the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Disease Knowledge: Knowledge and Management Questionnaire | Baseline, 3 months after ACOPD workshop, 9-months post-ACOPD workshop | Disease Knowledge: A knowledge questionnaire on basic disease concepts and management practices |
| Health-related quality of life (HRQOL) in participants with Chronic Obstructive Pulmonary Disease (COPD) | Baseline, 3 months after ACOPD workshop, 9-months post-ACOPD workshop | Health-related quality of life: The validated Clinical COPD Questionnaire used to measure HRQOL. The scores range from 0 to 6, higher values indicate poorer health status, and a change in score \>0.4 is considered clinically important. |
| Health-related quality of life in participants with Asthma | Baseline, 3 months after ACOPD workshop, 9-months post-ACOPD workshop | Health-related quality of life at baseline: The validated 15-item mini-Asthma Quality of Life Questionnaire (mAQLQ) used to measure HRQOL. The scores range from 1-7, higher scores indicate better health status, and a change in score \>0.5 is considered clinically important. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Respiratory management behaviors | Baseline, 3 months after ACOPD workshop, 9-months post-ACOPD workshop | Respiratory Management Behaviors Questionnaire (RMBQ) at baseline: A study-developed questionnaire with 27 items and were summarized as frequencies and proportions. |
| Self-efficacy | Baseline, 3 months after ACOPD workshop, 9-months post-ACOPD workshop | Self-Efficacy Questionnaire (SEQ) at baseline: The Self-Efficacy Questionnaire with 6-items from a combination of self-efficacy scales developed for chronic illness. The scale ranges from 1-10 and higher scores indicate higher self-efficacy. |
Countries
United States
Outcome results
None listed