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CompletedNCT00784342Updated Dec 13, 2012

Validation of PROMIS Banks With COPD Exacerbations

An observational study in Chronic Obstructive Pulmonary Disease, sponsored by University of North Carolina, Chapel Hill. Completed at 5 sites in United States. Open to participants aged 40 Years and older. Per ClinicalTrials.gov, last updated 2012-12-13.

Sponsored by University of North Carolina, Chapel Hill · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
188
Ages
40 Years and older
Sex
All
01

Study summary

The Patient-Reported Outcomes Measurement Information System (PROMIS) is an NIH Roadmap initiative to develop a computerized system measuring patient-reported outcomes in respondents with a wide range of chronic diseases and demographic characteristics. In the first four years of its existence, the PROMIS network developed item banks for measuring patient-reported outcomes in the areas of pain, fatigue, emotional distress, physical function, and social functioning. During the item banking process, the PROMIS network conducted focus groups, individual cognitive interviews, and lexile (reading level) analyses to refine the meaning, clarity, and literacy demands of all items. The item banks were administered to over 20,000 respondents and calibrated using models based on item response theory (IRT). Using these IRT calibrations, computerized adaptive test (CAT) algorithms were developed and implemented. The network has designed a series of studies using clinical populations to evaluate the item attributes, examine their utility as CATs, and validate the item banks. More information on the PROMIS network can be found at www.nihpromis.org.

Read the detailed description

This is a prospective longitudinal study of adult patients with chronic obstructive pulmonary disease (COPD) who will be enrolled when their COPD is considered clinically stable or during an acute exacerbation. This design will allow both within-person and between-person comparisons by exacerbation experience. Comprehensive clinical and patient-reported assessments will be performed at baseline and at 3 months (end of study). Subsets of items will be administered by interactive voice response (IVR) over the course of the study to measure changes in key symptoms over the course of recovery from an exacerbation. A subset of patients will be interviewed at the end of the study to assess content validity of PROMIS items in this patient population.

With such a study design, we will be able to evaluate the validity of the PROMIS items in this patient population under acute and stable conditions and evaluate responsiveness of several PROMIS item banks under conditions of known change in an underlying chronic disease. We will also evaluate stability of sub-domains that are not hypothesized to change with COPD exacerbations.

02

Conditions studied

  • Chronic Obstructive Pulmonary Disease

Keywords

  • COPD
03

In context

Lung Diseases, Obstructive

2,591 studies on the registry are indexed under Lung Diseases, Obstructive; 198 are open to participants now.

This study's enrollment of 188 is above the median of 150 across 638 observational studies indexed under Lung Diseases, Obstructive.

Browse Lung Diseases, Obstructive studies →

Lead sponsor

University of North Carolina, Chapel Hill is the lead sponsor of 1,340 studies on the registry; 133 are open to participants now.

Of its 155 completed or terminated interventional studies of FDA-regulated products, 136 (88%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
40 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

People presenting to primary care or specialty clinics with COPD either with exacerbation or without exacerbation. People admitted to the hospital with a COPD exacerbation.

Inclusion criteria

  • An established clinical history of COPD in accordance with the Global Initiative for Chronic Obstructive Lung Disease (GOLD) definition: COPD is a preventable and treatable disease with some significant extrapulmonary effects that may contribute to the severity in individual patients. Its pulmonary component is characterized by airflow limitation that is not fully reversible. The airflow limitation is usually progressive and associated with an abnormal inflammatory response of the lung to noxious particles or gases.
  • A history of smoking (at least 10 pack/year history)
  • Access to and able to communicate on a touch tone telephone
  • Read and speak English
  • Able to see and interact with a computer screen, mouse, and keyboard
  • A signed and dated written informed consent prior to study participation
  • For those enrolled into the exacerbation group: Treatment for an exacerbation may have been started no more than 3 days prior to the day of enrollment for patients recruited in the outpatient setting and no more than 6 days prior to the day of enrollment for patients recruited in the in-patients setting.
  • For those enrolled in the stable state group, the patient will be considered stable if he or she has been exacerbation-free for a minimum of 2 months prior to enrollment.

Exclusion criteria

Exclusion Criteria:

  • Any concurrent medical or psychiatric condition that may preclude participation in this study or completion of self-administered questionnaires (e.g., moderate to severe dementia and/or severe, uncontrolled schizophrenia, or other condition that would render the participant unable to complete a questionnaire)
  • History of asthma without co-existent COPD as the primary diagnosis
  • Experiencing a current heart failure exacerbation. (A diagnosis of heart failure is not in itself an exclusion criterion.)
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
188 participants (actual)

Groups and cohorts

  • Stable

    Patients who are stable have not had a COPD exacerbation in the past 2 months.

  • Exacerbation

    Patients with an exacerbation have been diagnosed and started on treatment for an exacerbation within the past 3 days.

06

Study locations

5 sites
  • NorthShore University HealthSystem (Formerly Evanston Northwestern Healthcare)
    Evanston, Illinois 60201, United States
  • University of North Carolina at Chapel Hill
    Chapel Hill, North Carolina 27599, United States
  • Duke University
    Durham, North Carolina 27701, United States
  • Pittsburgh VA Hospital
    Pittsburgh, Pennsylvania 15240, United States
  • University of Pittsburgh
    Pittsburgh, Pennsylvania 15261, United States
07

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 13, 2012, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
08

Registry details

Key details

Study ID
NCT00784342
Lead sponsor
University of North Carolina, Chapel Hill
Collaborators
University of Pittsburgh, Duke University, NorthShore University HealthSystem
Responsible party
Sponsor
First posted
Nov 2, 2008
Start date
Jul 2008
Primary completion
Jun 2009
Completion
Jun 2009
Last update
Dec 13, 2012

Study contacts

Darren A. Dewalt, MD, MPH
principal investigator · University of North Carolina, Chapel Hill

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Dec 2012. You cannot join it, but the record below documents what was studied.

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