My Lung Health Coach-A Virtual COPD Self-management Support Program Integrated Into the Electronic Patient Record

NCT ID: NCT07027852

Last Updated: 2025-06-19

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 50 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-01-15
• Study Completion Date: 2026-06-05

Brief Summary

Study Description: My Lung Health Coach (MLHC) is a virtual COPD education and self-management support program delivered through one-on-one sessions with a Certified Respiratory Educator (CRE) over 12 weeks. It includes six sessions that cover essential COPD topics such as: Basic COPD knowledge, Smoking cessation, Medications (inhalers, oxygen), Physical activity, Mental health and wellness, Vaccinations, Symptom self-management, Nutrition, Travel, and Long-term planning (including end-of-life care). The investigators have also developed a companion app to MLHC integrated into the electronic patient record that patients can access through their EPIC MyHealth app on the participants phones, tablets, or desktops. This study will evaluate the feasibility and effectiveness of MLHC and the companion app.

Detailed Description

My Lung Health Coach (MLHC) is a freely available evidence-based and person-centered COPD self-management program that connects people virtually with experienced certified respiratory educators (CREs) to provide structured COPD education and self-management support. MLHC was jointly developed by the Lung Health Foundation (a charitable organization focused on lung health advocacy) and academic Respirologist Dr. Andrew Kouri, with input from community members living with COPD. MLHC links community members living with COPD with certified respiratory health educators, using a person-centred approach to provide COPD education and self-management support. It is delivered virtually through one-on-one meetings offered over multiple sessions over 12 weeks. The topics covered in the program include: general COPD knowledge, smoking cessation, COPD medications (inhalers, oxygen), physical activity counselling, mental health and wellness, vaccinations, symptom self-management skills (breathing, energy management, symptom monitoring), nutrition, travel, and long-term planning (including end-of-life care).

To improve the patient experience using MLHC, the investigators have integrated the MLHC program into the Epic Care Companion app at Women's College Hospital, an interactive patient-facing app designed as an extension of the Epic electronic health record system. Using Care Companion, patients will be able to track their progress through MLHC, accomplish session-specific educational and self-management tasks, and share their progress with their Women's College healthcare teams.

Conditions

Copd

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: SUPPORTIVE_CARE
• Blinding Strategy: NONE

Study Groups

Single Arm Behavioral

Study Description: My Lung Health Coach (MLHC) is a virtual COPD education and self-management support program delivered by a Certified Respiratory Educator (CRE) over 12 weeks. The investigators have also developed a companion app to MLHC integrated into the electronic patient record that patients can access through their EPIC MyHealth app. This study will evaluate the feasibility and effectiveness of MLHC and the companion app.

Group Type: EXPERIMENTAL

My Lung Health Coach

Intervention Type: BEHAVIORAL

Virtual education and self-management program with companion application

Interventions

My Lung Health Coach

Virtual education and self-management program with companion application

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

1. Must be deemed to have capacity to provide informed consent;

2. Must sign and date the informed consent form;

3. Stated willingness to comply with all study procedures;

4. Be diagnosed with COPD as per a WCH Respirologist

5. Be 40 years or older

6. Be a current or ex-smoker

7. Preferred but not required: have a history of at least 1 COPD exacerbation (requiring prednisone or antibiotic use, or an urgent healthcare visit of any kind) in the previous 12 months

Exclusion Criteria

1. Experienced a COPD exacerbation in the 4 previous weeks to study enrollment

2. Co-diagnosis of asthma by a WCH Respirologist

3. Significant co-morbidities that could interfere with program participation or terminal illness

4. Unwilling to download and use the Epic Care Companion app and has a unsuitable mobile device to do this

5. Pregnancy

• Minimum Eligible Age: 40 Years
• Maximum Eligible Age: 100 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Women's College Hospital

OTHER

Sponsor Role: lead

Responsible Party

Andrew Kouri

Doctor Andrew Kouri

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Andrew Kouri, MD

Role: PRINCIPAL_INVESTIGATOR

Womens College Hospital

Locations

Womens College Hospital

Toronto, Ontario, Canada

Site Status: RECRUITING

Countries

Canada

Central Contacts

Andrew Kouri, MD

Role: CONTACT

andrew.kouri@wchospital.ca

(416) 323-6400

kinza ahmed, Bsc

Role: CONTACT

kinza.ahmed@wchospital.ca

6478941963

Facility Contacts

Andrew Kouri, MD

Role: primary

andrew.kouri@wchospital.ca

4163236400

Provided Documents

Document Type: Study Protocol

View Document

Other Identifiers

1

Identifier Type: -

Identifier Source: org_study_id