Better Respiratory Education and Treatment Help Empower (BREATHE) study: Methodology and baseline characteristics of a randomized controlled trial testing a transitional care program to improve patient-centered care delivery among chronic obstructive pulmonary disease patients

the BREATHE Study Patient Family Partners Group

Research output: Contribution to journalArticle

Abstract

Background Chronic Obstructive Pulmonary Disease (COPD) is a leading cause of hospitalizations. Interventional studies focusing on the hospital-to-home transition for COPD patients are few. In the BREATHE (Better Respiratory Education and Treatment Help Empower) study, we developed and tested a patient and family-centered transitional care program that helps prepare hospitalized COPD patients and their family caregivers to manage COPD at home. Methods In the study's initial phase, we co-developed the BREATHE transitional care program with COPD patients, family-caregivers, and stakeholders. The program offers tailored services to address individual patients' needs and priorities at the hospital and for 3 months post discharge. We tested the program in a single-blinded RCT with 240 COPD patients who were randomized to receive the program or ‘usual care’. Program participants were offered the opportunity to invite a family caregiver, if available, to enroll with them into the study. The primary outcomes were the combined number of COPD-related hospitalizations and Emergency Department (ED) visits per participant at 6 months post discharge, and the change in health-related quality of life over the 6 months study period. Other measures include ‘all cause’ hospitalizations and ED visits; patient activation; self-efficacy; and, self-care behaviors. Discussion Unlike 1 month transitional care programs that focus on patients' post-acute care needs, the BREATHE program helps hospitalized COPD patients manage the post discharge period as well as prepare them for long term self-management of COPD. If proven effective, this program may offer a timely solution for hospitals in their attempts to reduce COPD rehospitalizations.

Original languageEnglish (US)
Pages (from-to)159-167
Number of pages9
JournalContemporary Clinical Trials
Volume62
DOIs
StatePublished - Nov 1 2017

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Patient-Centered Care
Chronic Obstructive Pulmonary Disease
Randomized Controlled Trials
Education
Caregivers
Therapeutics
Hospitalization
Self Care
Hospital Emergency Service
Subacute Care
Transitional Care
Patient Participation
Self Efficacy
Quality of Life

ASJC Scopus subject areas

  • Pharmacology (medical)

Cite this

@article{44f5048725e64a1686da684cdd3d7fe0,
title = "Better Respiratory Education and Treatment Help Empower (BREATHE) study: Methodology and baseline characteristics of a randomized controlled trial testing a transitional care program to improve patient-centered care delivery among chronic obstructive pulmonary disease patients",
abstract = "Background Chronic Obstructive Pulmonary Disease (COPD) is a leading cause of hospitalizations. Interventional studies focusing on the hospital-to-home transition for COPD patients are few. In the BREATHE (Better Respiratory Education and Treatment Help Empower) study, we developed and tested a patient and family-centered transitional care program that helps prepare hospitalized COPD patients and their family caregivers to manage COPD at home. Methods In the study's initial phase, we co-developed the BREATHE transitional care program with COPD patients, family-caregivers, and stakeholders. The program offers tailored services to address individual patients' needs and priorities at the hospital and for 3 months post discharge. We tested the program in a single-blinded RCT with 240 COPD patients who were randomized to receive the program or ‘usual care’. Program participants were offered the opportunity to invite a family caregiver, if available, to enroll with them into the study. The primary outcomes were the combined number of COPD-related hospitalizations and Emergency Department (ED) visits per participant at 6 months post discharge, and the change in health-related quality of life over the 6 months study period. Other measures include ‘all cause’ hospitalizations and ED visits; patient activation; self-efficacy; and, self-care behaviors. Discussion Unlike 1 month transitional care programs that focus on patients' post-acute care needs, the BREATHE program helps hospitalized COPD patients manage the post discharge period as well as prepare them for long term self-management of COPD. If proven effective, this program may offer a timely solution for hospitals in their attempts to reduce COPD rehospitalizations.",
author = "{the BREATHE Study Patient Family Partners Group} and Hanan Aboumatar and M. Naqibuddin and S. Chung and H. Adebowale and Bone, {Lee R} and T. Brown and Cooper, {Lisa A} and Ayse Gurses and Knowlton, {Amy Ruth} and D. Kurtz and L. Piet and Nirupama Putcha and Rand, {Cynthia S} and Debra Roter and E. Shattuck and C. Sylvester and A. Urteaga-Fuentes and Wise, {Robert A} and Jennifer Wolff and T. Yang and J. Hibbard and Howell, {Eric E} and M. Myers and K. Shea and J. Sullivan and L. Syron and Wang, {Nae Yuh} and P. Pronovost",
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T1 - Better Respiratory Education and Treatment Help Empower (BREATHE) study

T2 - Methodology and baseline characteristics of a randomized controlled trial testing a transitional care program to improve patient-centered care delivery among chronic obstructive pulmonary disease patients

AU - the BREATHE Study Patient Family Partners Group

AU - Aboumatar, Hanan

AU - Naqibuddin, M.

AU - Chung, S.

AU - Adebowale, H.

AU - Bone, Lee R

AU - Brown, T.

AU - Cooper, Lisa A

AU - Gurses, Ayse

AU - Knowlton, Amy Ruth

AU - Kurtz, D.

AU - Piet, L.

AU - Putcha, Nirupama

AU - Rand, Cynthia S

AU - Roter, Debra

AU - Shattuck, E.

AU - Sylvester, C.

AU - Urteaga-Fuentes, A.

AU - Wise, Robert A

AU - Wolff, Jennifer

AU - Yang, T.

AU - Hibbard, J.

AU - Howell, Eric E

AU - Myers, M.

AU - Shea, K.

AU - Sullivan, J.

AU - Syron, L.

AU - Wang, Nae Yuh

AU - Pronovost, P.

PY - 2017/11/1

Y1 - 2017/11/1

N2 - Background Chronic Obstructive Pulmonary Disease (COPD) is a leading cause of hospitalizations. Interventional studies focusing on the hospital-to-home transition for COPD patients are few. In the BREATHE (Better Respiratory Education and Treatment Help Empower) study, we developed and tested a patient and family-centered transitional care program that helps prepare hospitalized COPD patients and their family caregivers to manage COPD at home. Methods In the study's initial phase, we co-developed the BREATHE transitional care program with COPD patients, family-caregivers, and stakeholders. The program offers tailored services to address individual patients' needs and priorities at the hospital and for 3 months post discharge. We tested the program in a single-blinded RCT with 240 COPD patients who were randomized to receive the program or ‘usual care’. Program participants were offered the opportunity to invite a family caregiver, if available, to enroll with them into the study. The primary outcomes were the combined number of COPD-related hospitalizations and Emergency Department (ED) visits per participant at 6 months post discharge, and the change in health-related quality of life over the 6 months study period. Other measures include ‘all cause’ hospitalizations and ED visits; patient activation; self-efficacy; and, self-care behaviors. Discussion Unlike 1 month transitional care programs that focus on patients' post-acute care needs, the BREATHE program helps hospitalized COPD patients manage the post discharge period as well as prepare them for long term self-management of COPD. If proven effective, this program may offer a timely solution for hospitals in their attempts to reduce COPD rehospitalizations.

AB - Background Chronic Obstructive Pulmonary Disease (COPD) is a leading cause of hospitalizations. Interventional studies focusing on the hospital-to-home transition for COPD patients are few. In the BREATHE (Better Respiratory Education and Treatment Help Empower) study, we developed and tested a patient and family-centered transitional care program that helps prepare hospitalized COPD patients and their family caregivers to manage COPD at home. Methods In the study's initial phase, we co-developed the BREATHE transitional care program with COPD patients, family-caregivers, and stakeholders. The program offers tailored services to address individual patients' needs and priorities at the hospital and for 3 months post discharge. We tested the program in a single-blinded RCT with 240 COPD patients who were randomized to receive the program or ‘usual care’. Program participants were offered the opportunity to invite a family caregiver, if available, to enroll with them into the study. The primary outcomes were the combined number of COPD-related hospitalizations and Emergency Department (ED) visits per participant at 6 months post discharge, and the change in health-related quality of life over the 6 months study period. Other measures include ‘all cause’ hospitalizations and ED visits; patient activation; self-efficacy; and, self-care behaviors. Discussion Unlike 1 month transitional care programs that focus on patients' post-acute care needs, the BREATHE program helps hospitalized COPD patients manage the post discharge period as well as prepare them for long term self-management of COPD. If proven effective, this program may offer a timely solution for hospitals in their attempts to reduce COPD rehospitalizations.

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