Ignite Creation Date:
2024-05-06 @ 3:30 PM
Last Modification Date:
2024-10-26 @ 1:51 PM
Study NCT ID:
NCT04656093
Status:
COMPLETED
Last Update Posted:
2021-06-07
First Post:
2020-11-30
Brief Title:
Healthy Mediation Adherence To Transform and Effectively Relieve Symptoms
Sponsor:
Icahn School of Medicine at Mount Sinai
Organization:
Icahn School of Medicine at Mount Sinai
Study Overview
Official Title:
Self-management Behaviors Among COPD Patients With Multi-Morbidity
Status:
COMPLETED
Status Verified Date:
2021-06
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:
None
Brief Summary:
The goal of the parent R01 study has been to determine how beliefs about chronic illness and their treatments affect SMB in the context of chronic obstructive pulmonary disease COPD with comorbid hypertension HTN and or diabetes DM The educational counseling modules the study team plans to pilot test are rooted in the Self-Regulation Model SRM a theory of health behaviors that has been used to develop interventions but has only been applied to research on behaviors around single diseases
Detailed Description:
Outcomes for patients with multimorbidity MM are often poor in part because of low adherence to self-management behaviors SMB Research has identified key determinants of SMB for individual diseases and shown the powerful influence that illness representations and medication beliefs have on these behaviors Yet little is known about the impact of illness representations in the context of MM where beliefs about one illness and its treatments may be at odds or symbiotic with those for comorbidities Without this knowledge ability to provide optimal self-management support for MM patients is limited The Pilot will be focusing on three mayor components with the hopes to provide optimal self-management support for MM patients
i Beliefs about Multi-Morbidity The Care Coach will discuss the participants individual disease self-management-related beliefs This discussion will be guided by a semi-structured questionnaire covering domains from Brief Illness Perception Questionnaire BIPQ and the Beliefs about Medication Questionnaire BMQ for each pertinent multi-morbidity
For example the Care Coach will ask How long do you believe that your COPD will continue And how about your hypertension how long will it continue The Care Coach will note the participants responses to each question and mark which beliefs seem to be potentially counterproductive to self-management eg very concerned about taking DM medications long-term These beliefs will be used to focus the intervention session section on cognitive restructuring Beliefs will be addressed using a Cognitive restructuring approach
ii Emotional Response Next the Care Coach will ask the participant about the role of emotional responses and mental state in their disease management This will consist of 1-2 semi-structured questions about symptoms of anxiety and depression as well as the emotional impact of each comorbidity in the participants life
For example Does your COPD affect you emotionally If yes In what ways The Care Coach will take notes on the participants self-reported emotional response to their comorbidities as well as any observed indications of distressemotional reaction to their illnesses This information combined with the participants data from the 15-month DISH interview Diagnostic Interview and Structured Hamilton assessment tool will be used to determine the focus of the emotional response portion of the intervention
iii Self-Management Behaviors SMB Finally the Care Coach will discuss patients self-management behaviors for their comorbidities Heshe will ask the patient to explain how heshe manages each condition and any challenges heshe faces in self-management
For example Can you describe to me how you manage your COPD How about your hypertension The Care Coach will use the participants responses combined with self-reported and objective medication adherence from the observational study to determine the focus of the SMB portion of 2nd session
i Beliefs about Multi-Morbidity The Care Coach will discuss the participants individual disease self-management-related beliefs This discussion will be guided by a semi-structured questionnaire covering domains from Brief Illness Perception Questionnaire BIPQ and the Beliefs about Medication Questionnaire BMQ for each pertinent multi-morbidity
For example the Care Coach will ask How long do you believe that your COPD will continue And how about your hypertension how long will it continue The Care Coach will note the participants responses to each question and mark which beliefs seem to be potentially counterproductive to self-management eg very concerned about taking DM medications long-term These beliefs will be used to focus the intervention session section on cognitive restructuring Beliefs will be addressed using a Cognitive restructuring approach
ii Emotional Response Next the Care Coach will ask the participant about the role of emotional responses and mental state in their disease management This will consist of 1-2 semi-structured questions about symptoms of anxiety and depression as well as the emotional impact of each comorbidity in the participants life
For example Does your COPD affect you emotionally If yes In what ways The Care Coach will take notes on the participants self-reported emotional response to their comorbidities as well as any observed indications of distressemotional reaction to their illnesses This information combined with the participants data from the 15-month DISH interview Diagnostic Interview and Structured Hamilton assessment tool will be used to determine the focus of the emotional response portion of the intervention
iii Self-Management Behaviors SMB Finally the Care Coach will discuss patients self-management behaviors for their comorbidities Heshe will ask the patient to explain how heshe manages each condition and any challenges heshe faces in self-management
For example Can you describe to me how you manage your COPD How about your hypertension The Care Coach will use the participants responses combined with self-reported and objective medication adherence from the observational study to determine the focus of the SMB portion of 2nd session
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
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| 5R01HL126508-05 | NIH | None | httpsreporternihgovquickSearch5R01HL126508-05 |