Viewing Study NCT04105088



Ignite Creation Date: 2024-05-06 @ 1:43 PM
Last Modification Date: 2024-10-26 @ 1:19 PM
Study NCT ID: NCT04105088
Status: RECRUITING
Last Update Posted: 2024-01-19
First Post: 2019-09-24

Brief Title: Bayis Ilh Tus - A Strong Breath Prevalence and Contributors to COPD in First Nations Communities in British Columbia
Sponsor: University of British Columbia
Organization: University of British Columbia

Study Overview

Official Title: Bayis Ilh Tus - A Strong Breath Community-Based Research to Identify the Prevalence of and Contributors to Chronic Obstructive Pulmonary Disease in Remote and Rural First Nations Communities in British Columbia
Status: RECRUITING
Status Verified Date: 2024-01
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: False
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: ASB
Brief Summary: Background First Nations peoples in Canada carry an increased respiratory health burden compared to non-First Nations However there is little accurate information of how many First Nations people have COPD especially in remote and rural areas

Goal Aims of the Study The goal of this study is to estimate the burden of COPD in remote and rural First Nations communities This project is a partnership between the University of British Columbia UBC Carrier Sekani Family Services CSFS and 13 First Nations communities in northern BC

Aim 1 Estimate the prevalence of COPD and the magnitude of underdiagnosis Aim 2 Characterize the relationship between inhaled pollutants from residential occupational and communitycultural sources and 1 symptoms 2 airflow obstruction and 3 health care utilization

Methodology The investigators will recruit adults from randomly-selected households in 13 First Nations communities in northern BC Detailed measurements of lung function symptoms self-reported exposure to lung irritants air quality and healthcare use will be collected

Expected Outcomes This study will provide an accurate estimate of the prevalence of COPD and using a culturally-relevant community-based research approach will identify the contribution of risk factors to COPD in First Nations communities
Detailed Description: Background First Nations peoples in Canada carry an increased respiratory health burden compared to non-First Nations They are often exposed to high rates of indoor air pollution and cigarette smoke and although there is a high use of acute health care services for chronic obstructive pulmonary disease COPD this disease is not on the radar in many First Nations communities This may be because there is little accurate information of how many First Nations people have COPD especially in remote and rural areas The current estimates of prevalence of COPD in First Nations are based on self-report surveys which are known to underestimate the true number threefold Although it is well-known that cigarette smoking causes COPD there has been less attention paid to the contribution of residential historicalcommunitycultural and occupational factors to the burden of COPD in First Nations people

Goal Aims of the Study The goal of this study is to estimate the burden of COPD in remote and rural First Nations communities This project is a partnership between the University of British Columbia UBC Carrier Sekani Family Services CSFS and 13 First Nations communities in northern BC

Aim 1 Estimate the prevalence of COPD and the magnitude of underdiagnosis Aim 2 Characterize the relationship between inhaled pollutants from residential occupational and communitycultural sources and 1 symptoms 2 airflow obstruction and 3 health care utilization

The Primary Outcome is the prevalence of COPD

Methodology The investigators will recruit adults from randomly-selected households in 13 First Nations communities in northern BC The investigators will collect detailed measurements of lung function symptoms self-reported exposure to lung irritants and healthcare use The investigators will also collect indoor air quality measures from homes and community buildings For Aim 1 the prevalence and underdiagnosis of COPD will be estimated by measuring lung function using post-bronchodilator spirometry and comparing the presence of airflow obstruction with the diagnosis of COPD in the electronic health record For Aim 2 the investigators will explore the relationship between inhaled indoor air pollutants and 1 current cough wheeze and dyspnea 2 airflow obstruction and 3 respiratory-related primary care visits or hospitalization adjusting for age sex and smoking history

Expected Outcomes This study will provide an accurate estimate of the prevalence of COPD and using a culturally-relevant community-based research approach will identify the contribution of risk factors to COPD in First Nations communities The Primary Outcome is the prevalence of COPD

Significance of this Project This project is a novel partnership between UBC CSFS and partner Nations to explore the prevalence and risk factors of COPD using a Indigenous approach to health research This study is unique in being able to address the risks of COPD in remote and rural First Nations communities which will lead to further work to identify strategies to reduce these risks and improve lung health

Study Oversight

Has Oversight DMC: None
Is a FDA Regulated Drug?: False
Is a FDA Regulated Device?: False
Is an Unapproved Device?: None
Is a PPSD?: None
Is a US Export?: None
Is an FDA AA801 Violation?: None