Effectiveness of Home Automated Telemanagement in Chronic Obstructive Pulmonary Disorder
Evaluation of Home Automated Telemanagement in COPD
3 other identifiers
interventional
280
1 country
1
Brief Summary
All chronic obstructive pulmonary diseases (COPDs) block air flow to the lungs, and the two most common forms, emphysema and chronic bronchitis, are the most common causes of respiratory failure. Previous research shows that if COPD patients know more about their disease and how to manage it themselves, they will improve their quality of life and reduce their need for urgent care. However, traditional methods of teaching COPD patients about their disease and self-management skills are expensive and require intensive work. A new, less expensive way of reaching a large group of people with this information is needed to help patients stay healthier and happier with their treatment. This study will create a computer program that can help people learn about their disease and how to manage it themselves. This study will then determine whether the computer program, called Home Automated Telemanagement (HAT), helps patients with COPD in managing their disease and following their treatment plans.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Dec 2003
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
December 1, 2003
CompletedFirst Submitted
Initial submission to the registry
September 11, 2008
CompletedFirst Posted
Study publicly available on registry
September 15, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2012
CompletedOctober 12, 2023
October 1, 2023
9 years
September 11, 2008
October 10, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Clinical health, including lung function and respiratory symptoms
Measured at baseline and every 3 months for 18 months
Secondary Outcomes (5)
Disease-specific quality of life
Measured at baseline and every 3 months for 18 months
Exercise tolerance
Measured at baseline and at Months 6, 12, and 18
Urgent health care utilization
Measured at baseline and every 3 months for 18 months
Self-efficacy for COPD patients
Measured at baseline and every 3 months for 18 months
Activities of daily living (ADL)
Measured at baseline and every 3 months for 18 months
Study Arms (2)
HAT
EXPERIMENTALControl
NO INTERVENTIONInterventions
The HAT was designed as an Internet-based telemedicine system that (1) provides ongoing education to patients about their chronic disease, (2) helps patients follow their self-care plans, and (3) helps health care practitioners monitor their patients' self-management processes according to current clinical guidelines. During each telecommunication session, patients perform self-testing and receive structured disease-specific education, patient-tailored counseling, and advice on how to follow their individual self-care plans based on the current results of self-testing.
Eligibility Criteria
You may qualify if:
- Physician diagnosis of chronic obstructive pulmonary disorder (COPD)
- Moderate to severe COPD according to NHLBI/WHO Global Initiative for Chronic Obstructive Lung Disease (GOLD) classification (Stages II to III)
- Understands spoken English
- Has a functional telephone line or cable at home
You may not qualify if:
- Evidence that the participant may move from the study area before the completion of the study
- Presence of any health condition that would preclude participation, such as a psychiatric diagnosis or physical disability that would severely affect a participant's ability to carry out study procedures
- Inability to use telephone unassisted
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Johns Hopkins University
Baltimore, Maryland, 21224, United States
Related Publications (1)
Cox NS, Dal Corso S, Hansen H, McDonald CF, Hill CJ, Zanaboni P, Alison JA, O'Halloran P, Macdonald H, Holland AE. Telerehabilitation for chronic respiratory disease. Cochrane Database Syst Rev. 2021 Jan 29;1(1):CD013040. doi: 10.1002/14651858.CD013040.pub2.
PMID: 33511633DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Joseph Finkelstein, MD, PhD
Johns Hopkins University
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 11, 2008
First Posted
September 15, 2008
Study Start
December 1, 2003
Primary Completion
December 1, 2012
Study Completion
December 1, 2012
Last Updated
October 12, 2023
Record last verified: 2023-10