NCT07125053

Brief Summary

Although COPD self-management treatment programs are effective in reducing COPD-related hospitalizations and increasing quality of life, there is a limited understanding of 'how and why' they work. The proposed research will use an engineering-inspired study design to identify effective COPD self-management treatment components and guide its 'real world' implementation. The long-term goal of this line of research is to build an optimized COPD self-management program, and scale the program up to reduce the burden of COPD at a population health level.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
448

participants targeted

Target at P75+ for not_applicable

Timeline
40mo left

Started Aug 2025

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress18%
Aug 2025Sep 2029

First Submitted

Initial submission to the registry

August 9, 2025

Completed
6 days until next milestone

First Posted

Study publicly available on registry

August 15, 2025

Completed
3 days until next milestone

Study Start

First participant enrolled

August 18, 2025

Completed
4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2029

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2029

Last Updated

September 22, 2025

Status Verified

September 1, 2025

Enrollment Period

4 years

First QC Date

August 9, 2025

Last Update Submit

September 19, 2025

Conditions

Keywords

copdemphysemachronic bronchitisself-managementlifestyle managementphysical activityinhaler usepatient education

Outcome Measures

Primary Outcomes (1)

  • 12-month respiratory-related hospitalization

    Incidence of one or more respiratory-related hospitalization at 12-month follow-up

    12 months

Secondary Outcomes (1)

  • Health-related quality of life

    12 weeks

Study Arms (8)

Condition #1

EXPERIMENTAL

Education = self-guided; Physical Activity = on; Inhaler Training = on

Behavioral: Education (self-guided)Behavioral: Physical ActivityBehavioral: Inhaler Training

Condition #2

EXPERIMENTAL

Education = self-guided; Physical Activity = on; Inhaler Training = off

Behavioral: Education (self-guided)Behavioral: Physical Activity

Condition #3

EXPERIMENTAL

Education = self-guided; Physical Activity = off; Inhaler Training = on

Behavioral: Education (self-guided)Behavioral: Inhaler Training

Condition #4

EXPERIMENTAL

Education = self-guided; Physical Activity = off; Inhaler Training = off

Behavioral: Education (self-guided)

Condition #5

EXPERIMENTAL

Education = counselor-led; Physical Activity = on; Inhaler Training = on

Behavioral: Education (counselor-led)Behavioral: Physical ActivityBehavioral: Inhaler Training

Condition #6

EXPERIMENTAL

Education = counselor-led; Physical Activity = on; Inhaler Training = off

Behavioral: Education (counselor-led)Behavioral: Physical Activity

Condition #7

EXPERIMENTAL

Education = counselor-led; Physical Activity = off; Inhaler Training = on

Behavioral: Education (counselor-led)Behavioral: Inhaler Training

Condition #8

EXPERIMENTAL

Education = counselor-led; Physical Activity = off; Inhaler Training = off

Behavioral: Education (counselor-led)

Interventions

The self-guided eduction program consists of a mailed booklet entitled, "Learning to live with COPD," along with two additional mailings with information on the ALA's Patient and Caregiver Network and the Respiratory Health Association's COPD Caregiver's Toolkit.

Condition #1Condition #2Condition #3Condition #4

The counselor-led education program combines mailings with phone counseling delivered by ALA Lung Helpline counselors. Three phone sessions (20-30 minutes each) are completed over the course of 6 weeks in the main treatment phase, with two additional optional booster sessions offered between 6 and 12-weeks post-randomization. The counselor-led program follows a structured outline of curriculum for each session, focusing on the topic areas of developing a COPD exacerbation action plan, recognizing COPD exacerbations, and coping with breathlessness.

Condition #5Condition #6Condition #7Condition #8

The physical activity program will consist of a personalized prescription for home-based exercise following published guidelines, consisting of aerobic, strengthening, and flexibility exercises, tailored to participants' current fitness level and dyspnea symptoms. Aerobic exercise will incorporate ground-based walking training, a well-established, safe, and feasible physical activity program for individuals with COPD. Participants will complete three videoconference sessions (30-45 minutes each) over the course of 6 weeks in the main treatment phase, with two additional optional booster sessions between week 6 and 12.

Condition #1Condition #2Condition #5Condition #6

Participants will receive inhaler technique education using a virtual teach-to-goal method. In each session, individuals are observed using their inhaler, provided feedback, and then observed again. Inhaler technique is scored using a checklist specific to each inhaler device. Participants will complete two inhaler training sessions via videoconference at week 1 and week 4, with an optional booster session offered at week 8.

Condition #1Condition #3Condition #5Condition #7

Eligibility Criteria

Age40 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Residence in the continental United States
  • Age 40 years or older
  • Report a physician diagnosis of COPD
  • Report a COPD-related hospitalization over the past 12 months
  • Use an inhaled medication for COPD at least once per week
  • Have access to a connected device (i.e., smartphone, tablet, and/ or computer) to complete study procedures

You may not qualify if:

  • COPD exacerbation within the past month
  • New or worsening chest pain that happens without exertion
  • Cognitive dysfunction impairing ability to provide informed consent and follow study procedures
  • Terminal illness (i.e., \< 6 month life expectancy) that is non-COPD related
  • Living at a chronic care facility (i.e., nursing home, assisted living)
  • Inability to participate in mild physical activity such as walking, stretching, and lower limb exercises
  • Inability to speak/ read English

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Rush University Medical Center

Chicago, Illinois, 60612, United States

RECRUITING

MeSH Terms

Conditions

Pulmonary Disease, Chronic ObstructiveEmphysemaBronchitis, ChronicMotor Activity

Interventions

Educational StatusExercise

Condition Hierarchy (Ancestors)

Lung Diseases, ObstructiveLung DiseasesRespiratory Tract DiseasesChronic DiseaseDisease AttributesPathologic ProcessesPathological Conditions, Signs and SymptomsBronchitisRespiratory Tract InfectionsInfectionsBronchial DiseasesBehavior

Intervention Hierarchy (Ancestors)

Socioeconomic FactorsPopulation CharacteristicsMotor ActivityMovementMusculoskeletal Physiological PhenomenaMusculoskeletal and Neural Physiological Phenomena

Study Officials

  • Amanda R. Mathew, PhD

    Rush University Medical Center

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Maritza Esqueda Medina, B.A.

CONTACT

Amanda R. Mathew, PhD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
FACTORIAL
Model Details: 2x2x2 factorial study
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 9, 2025

First Posted

August 15, 2025

Study Start

August 18, 2025

Primary Completion (Estimated)

September 1, 2029

Study Completion (Estimated)

September 1, 2029

Last Updated

September 22, 2025

Record last verified: 2025-09

Data Sharing

IPD Sharing
Will share

Demographics, social determinants of health, clinical trial results, medical records, audio recordings, and survey/ questionnaire data will be collected from a total of 448 adult participants in a nationwide study. Our intent is to share research data to the greatest extent possible, and there are only a few considerations that require us to limit the type and amount of data shared. Given the potential to deduce participant identities from a combination of geographic location and demographic factors, we will not be share geographic data (e.g., Census tract identifiers) or any data extracted from publicly available databases based on participant's residential address. Any intellectual property resulting from this study that can be patented will remain easily and widely available to the researchers in accordance with the NIH Principles and Guidelines. Distribution of resources to for-profit entities may occur under material transfer agreements or non-exclusive license arrangements.

Shared Documents
STUDY PROTOCOL
Time Frame
Data will be made available as soon as possible after the data collection period has ended and will occur no later than the end of the project period or the time of any publication after the study investigators have had reasonable time to prepare manuscripts. Data will remain available for a period of at least 10 years. (i.e., 9/1/29-9/1/39).
Access Criteria
Access to the data generated through this project will be granted upon review of a brief request form, completed by the requesting party, that summarizes the intended use of the data (e.g., the nature of any planned analyses), their qualifications, their institutional affiliation, and any required regulatory approval for the planned work by their IRB or other regulatory body. Data sharing will conform to any restrictions specified by regulatory bodies, such as IRBs and institutional Privacy Offices. A Data Use Agreement may be required, depending on the nature of the data requested, at the discretion of our institution's IRB, Office of Legal Affairs, or Privacy Office. Our plan is to deposit research data in the Open Science Framework data archive, an established, publicly accessible repository with a multitude of advantageous features.

Locations