Physical Activity Coaching in Chronic Obstructive Pulmonary Disease (COPD)

Mayo Clinic50 enrolled

Overview

This study is designed to explore a new approach to help people with chronic obstructive pulmonary disease (COPD) become more physically active. Through weekly telephone sessions with a health coach utilizing motivational interviewing, participants will be empowered to set goals for increased physical activity (emphasis on walking). The objective of the study is to determine if telephone-based health coaching is a reasonable and effective way to increase physical activity, as measured by a gold-standard activity monitor, in people with COPD.

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Chronic Obstructive Pulmonary Disease Physical Activity Health Behavior

Interventions

Participants will be given a pedometer and activity log to use daily to track their physical activity accomplishments. Weekly, they will participate in a health coaching telephone session to discuss physical activity and set goals. The health coach is knowledgable in COPD care and will utilize a motivational interviewing approach to support the self-efficacy of the participants to be more active.

Eligibility

Sex: ALLMin age: 40 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Men and women age 40 years and older * Current or former cigarette smoker of at least 10 pack-years * Diagnosis of COPD stage II to IV COPD as documented by pulmonary function testing (FEV1 \<80% predicted, FEV1/FVC ration \<0.71) within the past 24 months * Able to ambulate independently or with a walking aid (wheeled or standard walker or cane) Exclusion Criteria: * Unable to walk without assistance of another person * patients with a high likelihood of being lost to follow-up or contact (patients with active chemical dependency), are planning to move out of the state, are not able to be contacted by telephone * patients with an inability to provide good data or follow commands (patients who are disoriented or have a severe neurologic/psychiatric condition)

Outcomes

Primary Outcomes

Effectiveness of telephone-based health coaching in COPD.

Determine the effectiveness of a telephone-based health coaching intervention on daily physical activity level, as measured by a gold-standard activity monitor and daily pedometer record, acceptability of intervention through qualitative interviews with participants, and health-related quality of life as measured by questionnaires.

Time frame: 3 Months