Pulmonary Specialist-Health Coach Consult Model Pilot

Clinical Trial ID: NCT03695276

Description

The Pulmonary Specialist-Health Coach Consultation (PuSHCon) study examines the implementation of health coach-assisted consultations to improve access to specialist care and implementation of specialist recommendations for patients with COPD, asthma, and asthma COPD overlap syndrome (ACOS) for low-income and vulnerable patients seen at public health clinics. A limited number of patients (50) from two clinics will be enrolled in the pilot study; 25 patients from one clinic will receive a pulmonary consultation under usual care and 25 patients from the other clinic will receive the PuSHCon model.

While evidence-based care for chronic obstructive pulmonary disease (COPD) and asthma can substantially reduce disease burden and prevent emergency visits and hospitalizations, it is estimated that 55% of patients with COPD do not receive all recommended care and that less than 50% of patients with asthma are well controlled. The proposed study is a one-year cluster randomized controlled pilot trial comparing the Pulmonary specialist-health coach (PuSHCon) model to usual care for primary care patients referred for a consultation with a pulmonary specialist. This study is intended to prepare the way for a larger randomized controlled trial comparing the PuSHCon model to usual care for primary care patients referred for a consultation with a pulmonary specialist. The investigators will use a combination of quantitative and qualitative methods to assess the implementation the PuSHCon model and measurement of patient-centered outcomes (Specific Aim 1) and the impact of PuSHCon model on patient reported quality of care, satisfaction, and patient receipt of care recommended by the pulmonary specialist (Specific Aim 2). The results of the current study will provide initial enrollment for a subsequent 5 year randomized controlled trial.


Criteria

Inclusion Criteria: - English or Spanish speaking - At last 18 years of age - Diagnosed with asthma or COPD - Referred to see a pulmonary specialist Exclusion Criteria: - Do not plan to attend primary care clinic for at least 3 months - Already engaged in pulmonary specialty care (defined as at least one visit in last 12 months) - Cognitive dysfunction that would prevent interaction with a health coach - Not having a phone at which the participant can be reached

  • Start Date

    2019-04-03

  • Last Updated

    2019-04-11

  • Sponsor

    National Heart, Lung, and Blood Institute (NHLBI)

  • Condition Name

    COPD Asthma

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