Trial Outcomes & Findings for Comparative Effectiveness of a Peer-led O2 Infoline for Patients and Caregivers (NCT NCT02098369)

NCT ID: NCT02098369

Last Updated: 2018-08-06

Results Overview

Number of individuals who used the stationary concentrator for a mean of at least 17.7 hours per day

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

444 participants

Primary outcome timeframe

60 days

Results posted on

2018-08-06

Participant Flow

Participant milestones

Participant milestones
Measure
Usual Care
Written education material (basic) Written education material (basic): Education material on COPD distributed to all participants.
Proactive
Written education material (basic) Additional education material PELICAN-Proactive \[In addition to the usual care, participants will receive educational material and a proactive telephone peer coaching program (coaches call participants)\] Written education material (basic): Education material on COPD distributed to all participants. Additional education material: Additional education material sent to participants in the proactive and reactive arms. PELICAN-Proactive: In the proactive arm, calls will be initiated by the coach. The phone calls will involve educational and social support components. PELICAN is grounded on the social cognitive theory of behavior change and seeks to improve patient adherence by addressing patient self-efficacy and outcome expectancy.
Reactive
Written education material (basic) Additional education material PELICAN-Reactive \[In addition to the usual care, participants will receive educational material and a reactive telephone peer coaching program (participants call coaches)\] Written education material (basic): Education material on COPD distributed to all participants. Additional education material: Additional education material sent to participants in the proactive and reactive arms. PELICAN-Reactive: Participants allocated to the reactive PELICAN group will be offered the opportunity to access the COPD Foundation Infoline toll-free.
Overall Study
STARTED
142
154
148
Overall Study
COMPLETED
135
145
143
Overall Study
NOT COMPLETED
7
9
5

Reasons for withdrawal

Reasons for withdrawal
Measure
Usual Care
Written education material (basic) Written education material (basic): Education material on COPD distributed to all participants.
Proactive
Written education material (basic) Additional education material PELICAN-Proactive \[In addition to the usual care, participants will receive educational material and a proactive telephone peer coaching program (coaches call participants)\] Written education material (basic): Education material on COPD distributed to all participants. Additional education material: Additional education material sent to participants in the proactive and reactive arms. PELICAN-Proactive: In the proactive arm, calls will be initiated by the coach. The phone calls will involve educational and social support components. PELICAN is grounded on the social cognitive theory of behavior change and seeks to improve patient adherence by addressing patient self-efficacy and outcome expectancy.
Reactive
Written education material (basic) Additional education material PELICAN-Reactive \[In addition to the usual care, participants will receive educational material and a reactive telephone peer coaching program (participants call coaches)\] Written education material (basic): Education material on COPD distributed to all participants. Additional education material: Additional education material sent to participants in the proactive and reactive arms. PELICAN-Reactive: Participants allocated to the reactive PELICAN group will be offered the opportunity to access the COPD Foundation Infoline toll-free.
Overall Study
Withdrawal by Subject
1
5
0
Overall Study
Lost to Follow-up
5
1
3
Overall Study
Death
1
1
1
Overall Study
Other
0
2
1

Baseline Characteristics

Comparative Effectiveness of a Peer-led O2 Infoline for Patients and Caregivers

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Usual Care
n=142 Participants
Written education material (basic) Written education material (basic): Education material on COPD distributed to all participants.
Proactive
n=154 Participants
Written education material (basic) Additional education material PELICAN-Proactive \[In addition to the usual care, participants will receive educational material and a proactive telephone peer coaching program (coaches call participants)\] Written education material (basic): Education material on COPD distributed to all participants. Additional education material: Additional education material sent to participants in the proactive and reactive arms. PELICAN-Proactive: In the proactive arm, calls will be initiated by the coach. The phone calls will involve educational and social support components. PELICAN is grounded on the social cognitive theory of behavior change and seeks to improve patient adherence by addressing patient self-efficacy and outcome expectancy.
Reactive
n=148 Participants
Written education material (basic) Additional education material PELICAN-Reactive \[In addition to the usual care, participants will receive educational material and a reactive telephone peer coaching program (participants call coaches)\] Written education material (basic): Education material on COPD distributed to all participants. Additional education material: Additional education material sent to participants in the proactive and reactive arms. PELICAN-Reactive: Participants allocated to the reactive PELICAN group will be offered the opportunity to access the COPD Foundation Infoline toll-free.
Total
n=444 Participants
Total of all reporting groups
Age, Continuous
66.5 years
STANDARD_DEVIATION 9.0 • n=5 Participants
68.0 years
STANDARD_DEVIATION 8.8 • n=7 Participants
65.9 years
STANDARD_DEVIATION 8.4 • n=5 Participants
66.8 years
STANDARD_DEVIATION 8.8 • n=4 Participants
Sex: Female, Male
Female
88 Participants
n=5 Participants
111 Participants
n=7 Participants
103 Participants
n=5 Participants
302 Participants
n=4 Participants
Sex: Female, Male
Male
54 Participants
n=5 Participants
43 Participants
n=7 Participants
45 Participants
n=5 Participants
142 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants
n=5 Participants
5 Participants
n=7 Participants
0 Participants
n=5 Participants
9 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
136 Participants
n=5 Participants
146 Participants
n=7 Participants
146 Participants
n=5 Participants
428 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
2 Participants
n=5 Participants
3 Participants
n=7 Participants
2 Participants
n=5 Participants
7 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
2 Participants
n=4 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
25 Participants
n=5 Participants
31 Participants
n=7 Participants
26 Participants
n=5 Participants
82 Participants
n=4 Participants
Race (NIH/OMB)
White
111 Participants
n=5 Participants
116 Participants
n=7 Participants
117 Participants
n=5 Participants
344 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
4 Participants
n=5 Participants
3 Participants
n=7 Participants
3 Participants
n=5 Participants
10 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
4 Participants
n=7 Participants
1 Participants
n=5 Participants
6 Participants
n=4 Participants

PRIMARY outcome

Timeframe: 60 days

Population: All participants with evaluable data for oxygen use across all equipment.

Number of individuals who used the stationary concentrator for a mean of at least 17.7 hours per day

Outcome measures

Outcome measures
Measure
Usual Care
n=104 Participants
Written education material (basic) Written education material (basic): Education material on COPD distributed to all participants.
Proactive
n=105 Participants
Written education material (basic) Additional education material PELICAN-Proactive \[In addition to the usual care, participants will receive educational material and a proactive telephone peer coaching program (coaches call participants)\] Written education material (basic): Education material on COPD distributed to all participants. Additional education material: Additional education material sent to participants in the proactive and reactive arms. PELICAN-Proactive: In the proactive arm, calls will be initiated by the coach. The phone calls will involve educational and social support components. PELICAN is grounded on the social cognitive theory of behavior change and seeks to improve patient adherence by addressing patient self-efficacy and outcome expectancy.
Reactive
n=116 Participants
Written education material (basic) Additional education material PELICAN-Reactive \[In addition to the usual care, participants will receive educational material and a reactive telephone peer coaching program (participants call coaches)\] Written education material (basic): Education material on COPD distributed to all participants. Additional education material: Additional education material sent to participants in the proactive and reactive arms. PELICAN-Reactive: Participants allocated to the reactive PELICAN group will be offered the opportunity to access the COPD Foundation Infoline toll-free.
Adherence to Supplemental O2 Prescription
77 Participants
73 Participants
97 Participants

SECONDARY outcome

Timeframe: 60 days

Population: The number of participants included in the analysis for each outcome measure may not match the total number of participants enrolled in the study as some participants declined to provide responses to some outcome measures.

Change in T-score from baseline to day 60. (A negative change in score indicates worse physical functioning.)

Outcome measures

Outcome measures
Measure
Usual Care
n=131 Participants
Written education material (basic) Written education material (basic): Education material on COPD distributed to all participants.
Proactive
n=134 Participants
Written education material (basic) Additional education material PELICAN-Proactive \[In addition to the usual care, participants will receive educational material and a proactive telephone peer coaching program (coaches call participants)\] Written education material (basic): Education material on COPD distributed to all participants. Additional education material: Additional education material sent to participants in the proactive and reactive arms. PELICAN-Proactive: In the proactive arm, calls will be initiated by the coach. The phone calls will involve educational and social support components. PELICAN is grounded on the social cognitive theory of behavior change and seeks to improve patient adherence by addressing patient self-efficacy and outcome expectancy.
Reactive
n=139 Participants
Written education material (basic) Additional education material PELICAN-Reactive \[In addition to the usual care, participants will receive educational material and a reactive telephone peer coaching program (participants call coaches)\] Written education material (basic): Education material on COPD distributed to all participants. Additional education material: Additional education material sent to participants in the proactive and reactive arms. PELICAN-Reactive: Participants allocated to the reactive PELICAN group will be offered the opportunity to access the COPD Foundation Infoline toll-free.
PROMIS - Physical Function
-0.5 T-score
Standard Error 0.3
-0.1 T-score
Standard Error 0.3
-0.2 T-score
Standard Error 0.3

SECONDARY outcome

Timeframe: 60 days

Population: The number of participants included in the analysis for each outcome measure may not match the total number of participants enrolled in the study as some participants declined to provide responses to some outcome measures.

Change in T-score from baseline to day 60. (A negative change in score indicates less fatigue.)

Outcome measures

Outcome measures
Measure
Usual Care
n=130 Participants
Written education material (basic) Written education material (basic): Education material on COPD distributed to all participants.
Proactive
n=144 Participants
Written education material (basic) Additional education material PELICAN-Proactive \[In addition to the usual care, participants will receive educational material and a proactive telephone peer coaching program (coaches call participants)\] Written education material (basic): Education material on COPD distributed to all participants. Additional education material: Additional education material sent to participants in the proactive and reactive arms. PELICAN-Proactive: In the proactive arm, calls will be initiated by the coach. The phone calls will involve educational and social support components. PELICAN is grounded on the social cognitive theory of behavior change and seeks to improve patient adherence by addressing patient self-efficacy and outcome expectancy.
Reactive
n=142 Participants
Written education material (basic) Additional education material PELICAN-Reactive \[In addition to the usual care, participants will receive educational material and a reactive telephone peer coaching program (participants call coaches)\] Written education material (basic): Education material on COPD distributed to all participants. Additional education material: Additional education material sent to participants in the proactive and reactive arms. PELICAN-Reactive: Participants allocated to the reactive PELICAN group will be offered the opportunity to access the COPD Foundation Infoline toll-free.
PROMIS - Fatigue
0.1 T-score
Standard Error 0.7
-1.0 T-score
Standard Error 0.6
0.3 T-score
Standard Error 0.6

SECONDARY outcome

Timeframe: 60 days

Population: The number of participants included in the analysis for each outcome measure may not match the total number of participants enrolled in the study as some participants declined to provide responses to some outcome measures.

Change in T-score from baseline to day 60. (A negative change in score indicates less emotional distress - anxiety.)

Outcome measures

Outcome measures
Measure
Usual Care
n=136 Participants
Written education material (basic) Written education material (basic): Education material on COPD distributed to all participants.
Proactive
n=142 Participants
Written education material (basic) Additional education material PELICAN-Proactive \[In addition to the usual care, participants will receive educational material and a proactive telephone peer coaching program (coaches call participants)\] Written education material (basic): Education material on COPD distributed to all participants. Additional education material: Additional education material sent to participants in the proactive and reactive arms. PELICAN-Proactive: In the proactive arm, calls will be initiated by the coach. The phone calls will involve educational and social support components. PELICAN is grounded on the social cognitive theory of behavior change and seeks to improve patient adherence by addressing patient self-efficacy and outcome expectancy.
Reactive
n=139 Participants
Written education material (basic) Additional education material PELICAN-Reactive \[In addition to the usual care, participants will receive educational material and a reactive telephone peer coaching program (participants call coaches)\] Written education material (basic): Education material on COPD distributed to all participants. Additional education material: Additional education material sent to participants in the proactive and reactive arms. PELICAN-Reactive: Participants allocated to the reactive PELICAN group will be offered the opportunity to access the COPD Foundation Infoline toll-free.
PROMIS - Emotional Distress - Anxiety
0.3 T-score
Standard Error 0.7
-1.2 T-score
Standard Error 0.7
-0.1 T-score
Standard Error 0.6

SECONDARY outcome

Timeframe: 60 days

Population: The number of participants included in the analysis for each outcome measure may not match the total number of participants enrolled in the study as some participants declined to provide responses to some outcome measures.

Change in T-score from baseline to day 60. (A negative change in score indicates less sleep disturbance.)

Outcome measures

Outcome measures
Measure
Usual Care
n=135 Participants
Written education material (basic) Written education material (basic): Education material on COPD distributed to all participants.
Proactive
n=142 Participants
Written education material (basic) Additional education material PELICAN-Proactive \[In addition to the usual care, participants will receive educational material and a proactive telephone peer coaching program (coaches call participants)\] Written education material (basic): Education material on COPD distributed to all participants. Additional education material: Additional education material sent to participants in the proactive and reactive arms. PELICAN-Proactive: In the proactive arm, calls will be initiated by the coach. The phone calls will involve educational and social support components. PELICAN is grounded on the social cognitive theory of behavior change and seeks to improve patient adherence by addressing patient self-efficacy and outcome expectancy.
Reactive
n=140 Participants
Written education material (basic) Additional education material PELICAN-Reactive \[In addition to the usual care, participants will receive educational material and a reactive telephone peer coaching program (participants call coaches)\] Written education material (basic): Education material on COPD distributed to all participants. Additional education material: Additional education material sent to participants in the proactive and reactive arms. PELICAN-Reactive: Participants allocated to the reactive PELICAN group will be offered the opportunity to access the COPD Foundation Infoline toll-free.
PROMIS - Sleep Disturbance
-0.4 T-score
Standard Error 0.7
-2.1 T-score
Standard Error 0.6
-0.8 T-score
Standard Error 0.7

SECONDARY outcome

Timeframe: 60 days

Population: The number of participants included in the analysis for each outcome measure may not match the total number of participants enrolled in the study as some participants declined to provide responses to some outcome measures.

Change in T-score from baseline to day 60. (A negative change in score indicates less emotional distress - depression.)

Outcome measures

Outcome measures
Measure
Usual Care
n=135 Participants
Written education material (basic) Written education material (basic): Education material on COPD distributed to all participants.
Proactive
n=141 Participants
Written education material (basic) Additional education material PELICAN-Proactive \[In addition to the usual care, participants will receive educational material and a proactive telephone peer coaching program (coaches call participants)\] Written education material (basic): Education material on COPD distributed to all participants. Additional education material: Additional education material sent to participants in the proactive and reactive arms. PELICAN-Proactive: In the proactive arm, calls will be initiated by the coach. The phone calls will involve educational and social support components. PELICAN is grounded on the social cognitive theory of behavior change and seeks to improve patient adherence by addressing patient self-efficacy and outcome expectancy.
Reactive
n=141 Participants
Written education material (basic) Additional education material PELICAN-Reactive \[In addition to the usual care, participants will receive educational material and a reactive telephone peer coaching program (participants call coaches)\] Written education material (basic): Education material on COPD distributed to all participants. Additional education material: Additional education material sent to participants in the proactive and reactive arms. PELICAN-Reactive: Participants allocated to the reactive PELICAN group will be offered the opportunity to access the COPD Foundation Infoline toll-free.
PROMIS - Emotional Distress - Depression
1.1 T-score
Standard Error 0.6
-1.8 T-score
Standard Error 0.7
0.5 T-score
Standard Error 0.7

SECONDARY outcome

Timeframe: 60 days

Population: The number of participants included in the analysis for each outcome measure may not match the total number of participants enrolled in the study as some participants declined to provide responses to some outcome measures.

Change in T-score from baseline to day 60. (A negative change in score indicates less satisfaction with social roles and activities.)

Outcome measures

Outcome measures
Measure
Usual Care
n=127 Participants
Written education material (basic) Written education material (basic): Education material on COPD distributed to all participants.
Proactive
n=127 Participants
Written education material (basic) Additional education material PELICAN-Proactive \[In addition to the usual care, participants will receive educational material and a proactive telephone peer coaching program (coaches call participants)\] Written education material (basic): Education material on COPD distributed to all participants. Additional education material: Additional education material sent to participants in the proactive and reactive arms. PELICAN-Proactive: In the proactive arm, calls will be initiated by the coach. The phone calls will involve educational and social support components. PELICAN is grounded on the social cognitive theory of behavior change and seeks to improve patient adherence by addressing patient self-efficacy and outcome expectancy.
Reactive
n=127 Participants
Written education material (basic) Additional education material PELICAN-Reactive \[In addition to the usual care, participants will receive educational material and a reactive telephone peer coaching program (participants call coaches)\] Written education material (basic): Education material on COPD distributed to all participants. Additional education material: Additional education material sent to participants in the proactive and reactive arms. PELICAN-Reactive: Participants allocated to the reactive PELICAN group will be offered the opportunity to access the COPD Foundation Infoline toll-free.
PROMIS - Satisfaction With Social Roles and Activities
0.5 T-score
Standard Error 0.6
0.2 T-score
Standard Error 0.6
-1.2 T-score
Standard Error 0.6

SECONDARY outcome

Timeframe: 60 days

Population: The number of participants included in the analysis for each outcome measure may not match the total number of participants enrolled in the study as some participants declined to provide responses to some outcome measures.

Change in T-score from baseline to day 60. (A negative change in score indicates less ability to participate in social roles and activities.)

Outcome measures

Outcome measures
Measure
Usual Care
n=121 Participants
Written education material (basic) Written education material (basic): Education material on COPD distributed to all participants.
Proactive
n=131 Participants
Written education material (basic) Additional education material PELICAN-Proactive \[In addition to the usual care, participants will receive educational material and a proactive telephone peer coaching program (coaches call participants)\] Written education material (basic): Education material on COPD distributed to all participants. Additional education material: Additional education material sent to participants in the proactive and reactive arms. PELICAN-Proactive: In the proactive arm, calls will be initiated by the coach. The phone calls will involve educational and social support components. PELICAN is grounded on the social cognitive theory of behavior change and seeks to improve patient adherence by addressing patient self-efficacy and outcome expectancy.
Reactive
n=130 Participants
Written education material (basic) Additional education material PELICAN-Reactive \[In addition to the usual care, participants will receive educational material and a reactive telephone peer coaching program (participants call coaches)\] Written education material (basic): Education material on COPD distributed to all participants. Additional education material: Additional education material sent to participants in the proactive and reactive arms. PELICAN-Reactive: Participants allocated to the reactive PELICAN group will be offered the opportunity to access the COPD Foundation Infoline toll-free.
PROMIS - Ability to Participate in Social Roles and Activities
1.0 T-score
Standard Error 0.6
1.4 T-score
Standard Error 0.6
0.9 T-score
Standard Error 0.6

Adverse Events

Usual Care

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Proactive

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Reactive

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Jerry A. Krishnan, MD, PhD

University of Illinois at Chicago

Phone: 312-413-0637

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place