# Comprehensive Home-based Self-management Support for COPD Patients

> **NIH NIH R34** · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · 2020 · $284,162

## Abstract

The debilitating nature of chronic obstructive pulmonary disease (COPD) can be mitigated through careful
self-management behaviors, like consistent use of COPD medications and pulmonary rehabilitation.
Unfortunately, COPD self-management support programs have produced disappointing results and access
to pulmonary rehabilitation is limited, indicating that new approaches to supporting COPD patients are
needed. We propose the Supporting self-Management Behaviors in Adults (SaMBA)—COPD model in
response to this need. We previously developed and demonstrated the effectiveness of the Supporting
Asthma Self-Management Behaviors for aging Adults (SAMBA) model, a unique chronic illness self-
management support strategy that involves comprehensively screening for barriers to effective self-
management and disease control coupled with tailored, theory-based, barrier-specific interventions. To
improve COPD outcomes, we will refine and adapt the SAMBA model for COPD. In the process, we will
introduce new theoretical considerations to the model, specifically addressing coping behaviors, and
introduce home-based pulmonary rehabilitation lead by community health workers. The Specific Aims are
to (1) establish the SaMBA-COPD model with extensive stakeholder input, and (2) and conduct a small,
randomized controlled trial to determine feasibility of the model and determine effect sizes in preparation
for a fully powered trial. We will convene a group of patients, clinicians, community health workers, and
representatives of a health system and a major health insurer to adapt the SAMBA model for COPD care.
Innovative features will include comprehensive screening to identify barriers to effective COPD self-
management, a focus on coping behaviors that will advance self-management behaviors as posited by the
Common Sense Model of Self-Regulation, and a home-based pulmonary rehabilitation feature lead by
community health workers. By the end of Year 1, the SaMBA-COPD model and materials will be ready for
feasibility testing (n=58). This project is significant for aiming to improve SMB in patients with COPD, a
common and crippling illness, filling major gaps left by other COPD self-management support programs,
and assessing the generalizability of a new model of self-management support by testing it in a new
condition. The intervention itself is innovative for its comprehensive, patient-centered, stakeholder-
designed approach to identifying and addressing barriers to effective SMB in COPD, including coping
behaviors, for engaging CHWs in its delivery, and for integrating home-based pulmonary rehabilitation in a
potentially low cost and sustainable delivery model.

## Key facts

- **NIH application ID:** 9948749
- **Project number:** 5R34HL143747-02
- **Recipient organization:** ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
- **Principal Investigator:** Alex D Federman
- **Activity code:** R34 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $284,162
- **Award type:** 5
- **Project period:** 2019-06-15 → 2022-04-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9948749

## Citation

> US National Institutes of Health, RePORTER application 9948749, Comprehensive Home-based Self-management Support for COPD Patients (5R34HL143747-02). Retrieved via AI Analytics 2026-05-22 from https://api.ai-analytics.org/grant/nih/9948749. Licensed CC0.

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