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Am J Respir Crit Care Med. 2016 Sep 15;194(6):672-80. doi: 10.1164/rccm.201512-2503OC.

Health Coaching and Chronic Obstructive Pulmonary Disease Rehospitalization. A Randomized Study.

Author information

1
1 Mindful Breathing Laboratory, Division of Pulmonary and Critical Care Medicine.
2
2 Department of Psychology, and.
3
3 Department of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, Minnesota.
4
4 University of Iowa Hospitals & Clinics, Iowa City, Iowa.
5
5 HealthPartners Institute for Education and Research, Bloomington, Minnesota.
6
6 Academic Health Center, University of Minnesota, Minneapolis, Minnesota; and.
7
7 Stanford Patient Education Research Center, Palo Alto, California.

Abstract

RATIONALE:

Hospital readmission for chronic obstructive pulmonary disease (COPD) has attracted attention owing to the burden to patients and the health care system. There is a knowledge gap on approaches to reducing COPD readmissions.

OBJECTIVES:

To determine the effect of comprehensive health coaching on the rate of COPD readmissions.

METHODS:

A total of 215 patients hospitalized for a COPD exacerbation were randomized at hospital discharge to receive either (1) motivational interviewing-based health coaching plus a written action plan for exacerbations (the use of antibiotics and oral steroids) and brief exercise advice or (2) usual care.

MEASUREMENTS AND MAIN RESULTS:

We evaluated the rate of COPD-related hospitalizations during 1 year of follow-up. The absolute risk reductions of COPD-related rehospitalization in the health coaching group were 7.5% (P = 0.01), 11.0% (P = 0.02), 11.6% (P = 0.03), 11.4% (P = 0.05), and 5.4% (P = 0.24) at 1, 3, 6, 9, and 12 months, respectively, compared with the control group. The odds ratios for COPD hospitalization in the intervention arm compared with the control arm were 0.09 (95% confidence interval [CI], 0.01-0.77) at 1 month postdischarge, 0.37 (95% CI, 0.15-0.91) at 3 months postdischarge, 0.43 (95% CI, 0.20-0.94) at 6 months postdischarge, and 0.60 (95% CI, 0.30-1.20) at 1 year postdischarge. The missing value rate for the primary outcome was 0.4% (one patient). Disease-specific quality of life improved significantly in the health coaching group compared with the control group at 6 and 12 months, based on the Chronic Respiratory Disease Questionnaire emotional score (emotion and mastery domains) and physical score (dyspnea and fatigue domains) (P < 0.05). There were no differences between groups in measured physical activity at any time point.

CONCLUSIONS:

Health coaching may represent a feasible and possibly effective intervention designed to reduce COPD readmissions. Clinical trial registered with www.clinicaltrials.gov (NCT01058486).

KEYWORDS:

chronic obstructive pulmonary disease; communication skills; health coaching; hospitalizations; quality of life

PMID:
26953637
PMCID:
PMC5027231
DOI:
10.1164/rccm.201512-2503OC
[Indexed for MEDLINE]
Free PMC Article

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