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Coping Skills for Patients With Chronic Obstructive Pulmonary Disease (COPD) and Their Caregivers

This study is currenly Recruiting patients.
Sponsored by: Duke University

Purpose
This study is an NIH-funded clinical trial conducted at Duke University Medical Center and Ohio State University. The purpose of this study is to examine the effects of a telephone-based, care-giver assisted, coping skills training (CST) program in patients with Chronic Obstructive Pulmonary Disease (COPD) and their caregivers. This may help COPD patients and their caregivers to deal better with the stress of lung disease. This study will test 3 primary hypotheses: 1) That enhanced CST will be more effective in improving quality of life compared to a Usual Medical Care plus COPD education and symptom management control group; 2) That enhanced CST will be associated with better medical outcomes (i.e., greater survival and fewer COPD-related physician visits or hospitalizations) compared to Controls over a follow-up period of up to 4 years; and 3) That improvements in quality of life and survival will be mediated by increased functional capacity and better coping.
Study Type: Intervention
Condition Intervention Phase
Chronic Obstructive Pulmonary Disease
Array: Array Array: Array N/A
Study Design:Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
Official Title: Telephone-based Intervention for Patients With COPD and Their Caregivers
Further Study Details:
Expected Total Enrollment:
Study Dates:August 2008 -
This proposed study builds upon our prior research by: a) adapting and refining our CST protocol, which was effective in improving psychosocial adjustment in patients awaiting lung transplantation, to a broader population of patients with COPD who are not immediate candidates for lung transplantation; b) enhancing our intervention to improve functional capacity, reduce somatic symptoms, and improve survival; c) examining the impact of CST on medical expenditures; and d) including caregivers in an enhanced CST intervention.

Eligibility
Ages Eligible for Study- Min: 21 Years Max: N/A
Gender: Both
Criteria

Inclusion Criteria:

  • male or female outpatients 21 years of age or older

  • a diagnosis of COPD

  • FEV1 25% or greater of predicted value

  • FEV1/FVC <70%

  • capacity to give informed consent and follow study procedures

    Exclusion Criteria:

  • dementia

  • psychotic features including delusions or hallucinations

  • acute suicide or homicide risk

  • other illness (e.g., cancer) that is likely to cause death within 3 years

  • unstable angina

  • congestive heart failure stage III
  • IV by NYHA classification

  • active involvement in pulmonary rehabilitation or a formal exercise program

  • Location and Contact Information
    Please refer to this study by ClinicalTrials.gov identifier: NCT00736268
    Ohio
    Ohio State University - Columbus, Ohio 43210
    Charles F. Emery, Ph.D. 614-688-3061 emery.33@osu.edu

    More Information
    Record Last Reviewed:August 2009
    Last Updated:August 4, 2009
    Record First Recieved:August 13, 2008
    ClinicalTrials.gov Identifier:NCT00736268
    Health Authority: United States Food and Drug Administration
    Information obtained from ClinicalTrials.gov on September 02, 2010

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