Recruiting

Observational Study

Sponsor:

Baystate Medical Center

Code:

NCT05399056

Conditions

Chronic Obstructive Pulmonary Disease

Eligibility Criteria

Sex: All

Age: 40+

Healthy Volunteers: Not accepted

Interventions

Telephonic Peer Coaching

Storytelling

Study Details

Brief summary:

Chronic Obstructive Pulmonary Disease (COPD) affects approximately 16 million Americans and is characterized by recurrent exacerbations that lead to 1.5 million Emergency Department visits and 700,000 hospitalizations annually. Pulmonary rehabilitation (PR) is a structured program of exercise and self-management support that has been proven to relieve shortness of breath and increase quality of life when initiated after an exacerbation, but unfortunately, few eligible patients participate. This project will compare the effectiveness of two novel strategies - one involving video narratives of other patients telling their story of how they overcame challenges and completed PR, the other involving telephonic peer coaching with an individual with lived experience - to enhanced usual care, and to each other, at increasing patient participation in PR after an exacerbation.

Conditions

Chronic Obstructive Pulmonary Disease

Study ID

NCT05399056

Start date

Feb 24, 2023

Status verified date

May, 2026

Completion date

Jan 31, 2027

Anticipated

Primary completion date

Jul 30, 2026

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 40+

Healthy Volunteers: Not accepted

Inclusion Criteria:

  • 40 years or older
  • Received treatment for COPD exacerbation in either inpatient or outpatient setting
  • Referred for pulmonary rehabilitation
  • Ability to understand and communicate in English
  • Willingness to participate in calls with peer coach and to view storytelling videos
  • Working phone

Exclusion Criteria:

  • Unwilling to attend PR
  • Not eligible for PR based on spirometry or other clinical contraindications as determined by PR staff
  • Currently enrolled in, or completion of 12 or more sessions of PR in the past
  • Comfort measures only or Hospice care
  • Resident of long-term care facility
  • Unable or unwilling to give informed consent

Study Design

Enrollment

305 participants

Anticipated

Allocation

Randomized

Intervention Model

Parallel Assignment

Primary purpose

Health Services Research

Interventions and Outcome Measures

Arms

no intervention: Enhanced usual care

Enhanced usual care describes a process in which automated surveillance is used to identify individuals experiencing a COPD exacerbation. This is followed by direct outreach - either through in-person visits while a patient is hospitalized, or by mail and telephone in the outpatient setting, to facilitate referral to PR. Subjects randomized to this arm will be given a pamphlet describing the benefits of PR.

active comparator: Enhanced usual care + Storytelling

Subjects randomized to the eUC + Storytelling intervention will view the video narrative(s) of one or more individuals with COPD who has overcome similar barriers and has attended a program of PR. Subjects will be shown the first chapter of the story immediately after randomization and will receive email and/or text messages to prompt viewing of subsequent chapters at 2 weeks, 1 month, 2 months, 3 months and 5 months. Emails and text messages will include a link to a REDCap document that contains a set of embedded video clips representing the next chapter in each storyteller's narrative.

active comparator: Enhanced usual care + Peer support

Subjects randomized to the eUC + Peer support intervention will be matched with a peer coach of the same gender, race, and approximate age. For those enrolled during a hospitalization, coaches will be instructed to attempt the initial phone contact prior to the patient's discharge; for patients enrolled after an ED visit or outpatient exacerbation, coaches will be instructed to contact the patients within 72 hours of randomization. Peer coaches will be asked to complete at least one call each week during months 1-2, biweekly calls during months 3-4, and monthly calls during months 5-6. Coaches will be asked to follow a conversation guide, provided during the initial training, to structure phone conversations with their paired patient.

Interventions

Telephonic Peer Coaching

Telephonic Peer Coaching from an individual with lived experience with COPD and Pulmonary Rehabilitation trained in motivational interviewing

Storytelling

Video narratives of an individual with lived experience with COPD and Pulmonary Rehabilitation describing their journey through Pulmonary Rehabilitation

Primary outcome measure

  • Number of Pulmonary Rehabilitation (PR) sessions: Completion of ≥6 PR sessions within 6 months of randomization [ Time Frame: 6 months ]

Central Contacts and Locations

Central contacts

Rajashree Kotejoshyer, ScD

978-761-8709Rajashree.Kotejoshyer@baystatehealth.org

Jennifer Hazelton

978-337-0340jennifer.hazelton@umassmed.edu

Locations

Baystate Health

Recruiting

Springfield, Massachusetts, United States, 01199

Contacts

Rajashree Kotejoshyer

9787618709Rajashree.Kotejoshyer@baystatehealth.org

More Information

Sponsor

Baystate Medical Center

Last update posted

Jun 5, 2026

Last verified

May, 2026

Keywords

  • COPD
  • Pulmonary rehabilitation
  • Storytelling
  • Peer coaching
  • motivational interviewing
  • Behavioral interventions
  • chronic obstructive pulmonary disease

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-10. This information was provided to ClinicalTrials.gov by Baystate Medical Center on 2026-06-05.