title: Chronic obstructive pulmonary disease self-management activation research trial (COPD-SMART): results of recruitment and baseline patient characteristics.
abstract: OBJECTIVE
  To describe the recruitment methods, study participation rate, and baseline characteristics of a representative sample of outpatients with COPD eligible for pulmonary rehabilitation participating in a trial of a lifestyle behavioral intervention to increase physical activity.
  
  
  METHODS
  A patient registry was developed for recruitment using an administrative database from primary care and specialty clinics of an academic medical center in northeast Texas for a parallel group randomized trial.
  
  
  RESULTS
  The registry was comprised of 5582 patients and over the course of the 30 month recruitment period 325 patients were enrolled for an overall study participation rate of 35.1%. After a 6-week COPD self-management education period provided to all enrolled patients, 305 patients were randomized into either usual care (UC; n=156) or the physical activity self-management intervention (PASM; n=149). There were no clinically significant differences in demographics, clinical characteristics, or health status indicators between the randomized groups.
  
  
  CONCLUSIONS
  The results of this recruitment process demonstrate the successful use of a patient registry for enrolling a representative sample of outpatients eligible for pulmonary rehabilitation with COPD from primary and specialty care. Moreover, this approach to patient recruitment provides a model for future studies utilizing administrative databases and electronic health records.
authors: University of Texas Health Sciences Center at Tyler, Department of Medicine, Tyler, TX, United States.
authors: Rennie
authors: R
authors: Russo
authors: Veterans Administration Portland Healthcare System and Oregon Health Science University, Department of Medicine, Portland, OR, United States. Electronic address: david.coultas@va.gov.
authors: David
authors: D
authors: Coultas
authors: University of Texas Health Sciences Center at Tyler, Department of Medicine, Tyler, TX, United States; Baylor Medical Center, Behavioral Health Center, Plano, TX, United States.
authors: Jamile
authors: J
authors: Ashmore
authors: University of Texas Health Sciences Center at Tyler, Department of Medicine, Tyler, TX, United States.
authors: Jennifer
authors: J
authors: Peoples
authors: University of Texas at Tyler, Department of Health and Kinesiology, Tyler, TX, United States.
authors: John
authors: J
authors: Sloan
authors: University of Alabama at Birmingham, Division of Preventive Medicine, Birmingham, AL, United States.
authors: Bradford E
authors: BE
authors: Jackson
authors: University of Texas Health Sciences Center at Tyler, Department of Medicine, Tyler, TX, United States.
authors: Minyong
authors: M
authors: Uhm
authors: University of Alabama at Birmingham, Division of Preventive Medicine, Birmingham, AL, United States.
authors: Karan P
authors: KP
authors: Singh
authors: University of South Carolina, Arnold School of Public Health, Columbia, SC, United States.
authors: Steven N
authors: SN
authors: Blair
authors: University of Alabama at Birmingham, Division of Preventive Medicine, Birmingham, AL, United States.
authors: Sejong
authors: S
authors: Bae
mesh_terms: D000368:Aged; D000428:Alcohol Drinking / Q000453:epidemiology; D001993:Bronchodilator Agents / Q000627:therapeutic use; D015897:Comorbidity; D003863:Depression / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009043:Motor Activity; D010358:Patient Participation; D018579:Patient Selection; D029424:Pulmonary Disease, Chronic Obstructive / Q000188:drug therapy / Q000453:epidemiology / Q000534:rehabilitation*; D012042:Registries; D012648:Self Care / Q000379:methods*; D012907:Smoking / Q000453:epidemiology; D013781:Texas / Q000453:epidemiology
chemical_list: D001993:Bronchodilator Agents
keywords: Chronic obstructive pulmonary disease; Physical activity; Randomized clinical trial; Recruitment; Self-management
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