HELPing Older People With Very Severe Chronic Obstructive Pulmonary Disease Towards the End of Their Lives: Developing, Piloting and Refining a Practical Intervention (HELP-COPD)
HELP-COPD
2 other identifiers
interventional
44
1 country
1
Brief Summary
The purpose of this study is to develop, refine and pilot a novel complex (HELP-COPD) assessment, undertaken during or immediately after a hospital admission, which addresses the holistic care needs of people with severe chronic obstructive pulmonary disease (COPD).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for early_phase_1
Started Jan 2012
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
January 1, 2012
CompletedFirst Submitted
Initial submission to the registry
July 23, 2012
CompletedFirst Posted
Study publicly available on registry
July 26, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2013
CompletedFebruary 12, 2014
July 1, 2012
1.7 years
July 23, 2012
February 11, 2014
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
FACIT
The Functional Assessment of Chronic Illness Therapy (FACIT) measurement system has a core of 27 validated questions in four domains: Physical, Social/Family, Emotional, and Functional well-being. Scores range from 0 (worst quality of life) to 108, and are responsive to change with a minimum clinically important difference for improvement of 5.5. A sub-scale of 10 questions for use in lung cancer is considered to be appropriate in other respiratory conditions.
3 and 6 months
Secondary Outcomes (8)
The St George Respiratory Questionnaire (SGRQ)
3 and 6 months
MRC Dyspnoea score
3 and 6 months
Dyspnoea 12
3 and 6 months
COPD Assessment Test (CAT)
3 and 6 months
The Hospital Anxiety and Depression Scale (HADS)
3 and 6 months
- +3 more secondary outcomes
Study Arms (2)
Intervention group
EXPERIMENTALControl group
NO INTERVENTIONInterventions
The trial specialist nurse trained in palliative aspects of respiratory care will arrange a meeting to suit the patients' clinical condition and convenience. During the meeting the HELP-COPD action plan will be worked through by the patient and study nurse, and any areas of concern will be identified. Based on the findings of the assessment, a range of actions points may be generated. All referrals will be made through the usual channels. Issues that have arisen from the assessment will be clearly recorded on the HELP-COPD action plan and by ensuring that all agencies and the patient have copies of the plan it is hoped that the planned action points will be reviewed and implementation facilitated. The action plan will be reviewed by the study nurse who will contact the patient at 1, 3 and 6 months to check progress with action points.
Eligibility Criteria
You may qualify if:
- Registered with Lothian General Practice
- Admitted with an exacerbation of COPD as their primary diagnosis at Royal Infirmary of Edinburgh
You may not qualify if:
- People with lung cancer
- People unable to give informed consent and complete questionnaire booklets in English
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Edinburghlead
- The Dunhill Medical Trustcollaborator
Study Sites (1)
Royal Infirmary of Edinburgh
Edinburgh, City of Edinburgh, EH16 4SA, United Kingdom
Related Publications (1)
Kendall M, Buckingham S, Ferguson S, MacNee W, Sheikh A, White P, Worth A, Boyd K, Murray SA, Pinnock H. Exploring the concept of need in people with very severe chronic obstructive pulmonary disease: a qualitative study. BMJ Support Palliat Care. 2018 Dec;8(4):468-474. doi: 10.1136/bmjspcare-2015-000904. Epub 2015 Aug 26.
PMID: 26310525DERIVED
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Hilary Pinnock, Dr
University of Edinburgh
Study Design
- Study Type
- interventional
- Phase
- early phase 1
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- INVESTIGATOR
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- FACTORIAL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 23, 2012
First Posted
July 26, 2012
Study Start
January 1, 2012
Primary Completion
September 1, 2013
Study Completion
December 1, 2013
Last Updated
February 12, 2014
Record last verified: 2012-07