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The purpose of this pilot study was to:
The study used a randomized controlled trial (RCT) design to assess the effect of the intervention (education and mobile text-messaging) on health-related quality of life and health behaviors recommended for improved COPD self-management. All participants received the educational component then were randomized to a control group and intervention group, in which participants received mobile phone-based text messages on improving health behaviors associated with better self-management of asthma and COPD.
This pilot study evaluated the feasibility and impact of a combined intervention on HRQOL and three health behaviors (nutrition, physical activity, avoiding triggers) in African Americans with asthma or COPD. This was a community-based intervention that recruited participants from six predominantly African American churches. African Americans over 18 years with asthma or COPD were randomized to control or intervention. Intervention received education (asthma COPD (ACOPD) Program) and a one-month text-messaging program, while control received the ACOPD Program alone. Measures were made at three- and 9-month follow-up. Independent and paired t-tests were used to examine HRQOL between groups and over time.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Education (Asthma COPD Workshop) and mobile phone | Experimental | The ACOPD Workshop comprised of 1-hour educational sessions on basic disease knowledge (one session) and management practices (two sessions). Participants were given:
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| Education only | Active Comparator | The ACOPD Workshop comprised of 1-hour educational sessions on basic disease knowledge (one session) and management practices (two sessions) i.e., three core health behaviors (nutrition, physical activity, and avoiding triggers) recommended for proper management of asthma and COPD. Participants were given:
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Education and mobile phone text-messaging | Behavioral | The investigators piloted a knowledge and mobile text-messaging intervention using a prospective group design, allocating 14 (asthma=8; COPD=6) and 15 (asthma=9; COPD=6) participants to control and intervention groups respectively, after stratifying by type of disease. |
| Measure | Description | Time Frame |
|---|---|---|
| Disease Knowledge: Knowledge and Management Questionnaire | Disease Knowledge: A knowledge questionnaire on basic disease concepts and management practices | Baseline, 3 months after ACOPD workshop, 9-months post-ACOPD workshop |
| Health-related quality of life (HRQOL) in participants with Chronic Obstructive Pulmonary Disease (COPD) | Health-related quality of life: The validated Clinical COPD Questionnaire used to measure HRQOL. The scores range from 0 to 6, higher values indicate poorer health status, and a change in score >0.4 is considered clinically important. | Baseline, 3 months after ACOPD workshop, 9-months post-ACOPD workshop |
| Health-related quality of life in participants with Asthma | Health-related quality of life at baseline: The validated 15-item mini-Asthma Quality of Life Questionnaire (mAQLQ) used to measure HRQOL. The scores range from 1-7, higher scores indicate better health status, and a change in score >0.5 is considered clinically important. | Baseline, 3 months after ACOPD workshop, 9-months post-ACOPD workshop |
| Measure | Description | Time Frame |
|---|---|---|
| Respiratory management behaviors | Respiratory Management Behaviors Questionnaire (RMBQ) at baseline: A study-developed questionnaire with 27 items and were summarized as frequencies and proportions. | Baseline, 3 months after ACOPD workshop, 9-months post-ACOPD workshop |
| Self-efficacy |
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Inclusion Criteria:
Participants had to have reported physician diagnosed (on the survey distributed at the church) or spirometry diagnosed (at the community health fair) asthma or COPD, access to a text-messaging enabled mobile phone, and provision of signed informed consent.
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kent State University | Kent | Ohio | 44242 | United States |
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| ID | Term |
|---|---|
| D029424 | Pulmonary Disease, Chronic Obstructive |
| ID | Term |
|---|---|
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D002908 | Chronic Disease |
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| ID | Term |
|---|---|
| D004522 | Educational Status |
| ID | Term |
|---|---|
| D012959 | Socioeconomic Factors |
| D011154 | Population Characteristics |
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| Education only | Other | Participants in the control group only received the educational intervention. |
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Self-Efficacy Questionnaire (SEQ) at baseline: The Self-Efficacy Questionnaire with 6-items from a combination of self-efficacy scales developed for chronic illness. The scale ranges from 1-10 and higher scores indicate higher self-efficacy. |
| Baseline, 3 months after ACOPD workshop, 9-months post-ACOPD workshop |
| D020969 |
| Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |