Pulmonary Specialist-Health Coach Consult Model Study
a study on Asthma Chronic Obstructive Pulmonary Disease
Summary
- Eligibility
- for people ages 18 years and up (full criteria)
- Location
- at San Francisco, California and other locations
- Dates
- study startedcompletion around
- Principal Investigator
- by Rachel Willard-Grace, MPH
Description
Summary
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. Three hundred sixty (360) patients from ten clinics will be enrolled in the study and randomized at the individual level to receive health coaching or usual care; 180 patients will receive usual care and 180 patients will receive the PuSHCon model.
Official Title
Pulmonary Specialist-Health Coach Consult (PuSHCon) Model to Improve Access to Specialist Consultation and Receipt of Recommended Evidence-based Care for Vulnerable Patients With Chronic Obstructive Pulmonary Disease (COPD) and Asthma
Details
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 will evaluate the effectiveness of a novel model for pulmonary specialist-health coach consultations (PuSHCon) in its ability to increase access to specialty recommendations and the provision of evidence-based care for patients with chronic obstructive pulmonary disease (COPD) and/or asthma receiving care at federally qualified health centers (FQHCs). The specific aims of the study are to compare the use of evidence-based care and of patient reported outcomes 4 months after the consultation. In addition, the study will evaluate the cost per patient in each model to determine the model's effectiveness in increasing access and lowering cost.
The first aim of comparing the use of evidence-based care will be measured as the proportion of guideline-based recommendations that are ultimately received by the patients. The secondary endpoint for this aim will be measured through the proportion of patients receiving guideline-concordant medications at 4 months after consultation compared to baseline.
The second aim of the study regarding patient-reported outcomes will be measured primarily through the change in COPD and/or asthma related quality of life measures from baseline to 4 months post consultation. The secondary measure for this aim will look at changes in COPD and/or asthma specific symptom scores.
The third aim of the study is to assess the impact of this model on access to care and cost of care. Access will be measured by tracking the number of patients who successfully complete a consultation per month. Costs will be determined by calculating time spent per patients, as well as by health care utilization.
Keywords
COPD Asthma, Health coaching, COPD, Asthma, Access to specialty care, PushCon Model
Eligibility
You can join if…
Open to people ages 18 years and up
- English or Spanish speaking
- At least 18 years of age
- Diagnosed with asthma or COPD
- Experiencing uncontrolled symptoms or exacerbations
You CAN'T join if...
- 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
Locations
- Maxine Hall Health Center
accepting new patients
San Francisco California 94115 United States - Ocean Park Health Center
not yet accepting patients
San Francisco California 94122 United States - Castro Mission Health Center
accepting new patients
San Francisco California 94131 United States - St. Anthony Medical Clinic
not yet accepting patients
San Francisco California 94102 United States - Tom Waddell Urban Health Clinic
not yet accepting patients
San Francisco California 94102 United States - Family Health Center
accepting new patients
San Francisco California 94110 United States - Mission Neighborhood Health Center
not yet accepting patients
San Francisco California 94110 United States - Richard H. Fine People's Clinic (General Medicine Clinic)
not yet accepting patients
San Francisco California 94110 United States - Potrero Hill Health Center
not yet accepting patients
San Francisco California 94107 United States - Southeast Health Center
not yet accepting patients
San Francisco California 94124 United States
Lead Scientist at UCSF
Details
- Status
- accepting new patients
- Start Date
- Completion Date
- (estimated)
- Sponsor
- University of California, San Francisco
- ID
- NCT03695276
- Study Type
- Interventional
- Participants
- Expecting 360 study participants
- Last Updated
Frequently Asked Questions
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If you do not hear from the study team, please call 888-689-8273 and tell them you’re interested in study number NCT03695276.