ENROLLING_BY_INVITATION

Laying the Foundation for Building a Resilient KPNC Community in the Face of Worsening Air Quality Due to Wildfire Smoke

Conditions

Chronic Obstructive Pulmonary Disease (COPD)Exacerbation of COPD Exacerbation of Chronic Obstructive Pulmonary Disease air pollution wildfire smoke

Quick Navigation

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

The overarching goal of this project is to conduct a pilot intervention in high-risk Kaiser Permanente Northern California patients with chronic obstructive pulmonary disease to mitigate their exposure to poor air quality and decrease exacerbations of lung disease.

Official Title

Laying the Foundation for Building a Resilient KPNC Community in the Face of Worsening Air Quality Due to Wildfire Smoke

Quick Facts

Study Start:2025-10-07

Study Completion:2026-12-31

Study Type:Not specified

Phase:Not Applicable

Enrollment:Not specified

Status:ENROLLING_BY_INVITATION

Study ID

NCT07118189

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:65 Years

Sexes Eligible for Study:ALL

Accepts Healthy Volunteers:No

Standard Ages:OLDER_ADULT

Inclusion Criteria	Exclusion Criteria
* KPNC patients * enrolled in Care Plus * non-smoking * oxygen-dependent * adults aged ≥65 years old * have had membership for at least 1 year prior to data extraction not counting \</=3mo gaps) * have known COPD (at least 2 encounters with COPD ICD codes over a 3 year period in the 10 years prior to data extraction using the following ICD codes: ICD-9 491.21, 491.22, 491.8, 491.9, 492.8, 493.2, 493.21, 493.22, 496 and ICD-10 J44.1, J44.0, J41.8, J44.9, J42)15 * have picked up at least 1 controller inhaler at the pharmacy within 1 year prior to data extraction * at least 2 exacerbations of COPD treated in any setting (outpatient or acute care) within 1 year before to data extraction.	* with \<1 year of continuous membership prior to the date they entered the cohort, allowing for 3-month, non-contiguous gaps * any diagnosis with any of the past or present problems: blindness, dementia, deaf or hearing impaired, hospice admission, "tracheostomy" procedure code or problems and/or attached to a ventilator * hearing, visually, physically, memory, and/or speech impaired * those on the "Do Not Call" list * non-English speakers.

Inclusion Criteria

Exclusion Criteria

* KPNC patients
* enrolled in Care Plus
* non-smoking
* oxygen-dependent
* adults aged ≥65 years old
* have had membership for at least 1 year prior to data extraction not counting \</=3mo gaps)
* have known COPD (at least 2 encounters with COPD ICD codes over a 3 year period in the 10 years prior to data extraction using the following ICD codes: ICD-9 491.21, 491.22, 491.8, 491.9, 492.8, 493.2, 493.21, 493.22, 496 and ICD-10 J44.1, J44.0, J41.8, J44.9, J42)15
* have picked up at least 1 controller inhaler at the pharmacy within 1 year prior to data extraction
* at least 2 exacerbations of COPD treated in any setting (outpatient or acute care) within 1 year before to data extraction.

* with \<1 year of continuous membership prior to the date they entered the cohort, allowing for 3-month, non-contiguous gaps
* any diagnosis with any of the past or present problems: blindness, dementia, deaf or hearing impaired, hospice admission, "tracheostomy" procedure code or problems and/or attached to a ventilator
* hearing, visually, physically, memory, and/or speech impaired
* those on the "Do Not Call" list
* non-English speakers.

Contacts and Locations

Study Locations (Sites)

Kaiser Permanente Northern California Division of Research

Pleasanton, California, 94588

United States

Collaborators and Investigators

Sponsor: Kaiser Permanente

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2025-10-07

Study Completion Date2026-12-31

Study Record Updates

Study Start Date2025-10-07

Study Completion Date2026-12-31

Terms related to this study

Keywords Provided by Researchers

chronic obstructive pulmonary disease (COPD)
air pollution
wildfire smoke

Additional Relevant MeSH Terms

Chronic Obstructive Pulmonary Disease (COPD)
Exacerbation of COPD
Exacerbation of Chronic Obstructive Pulmonary Disease