The Science Journal of the American Association for Respiratory Care

2012 OPEN FORUM Abstracts

COPD SCREENING AND HEALTH COACHING FOR CLIENTS AT THE YMCA SENIOR EXPO.

Georgianna Sergakis, Sarah Varekojis, Crystal Dunlevy; The Ohio State University, Columbus, OH

BACKGROUND: Community screenings are critical to identification of populations at-risk for COPD in order to provide secondary and tertiary prevention strategies and improve quality of life, decrease exacerbations, and slow progression of the disease. The purpose of the project was to involve undergraduate students in service learning, to offer personalized telephonic health coaching (HC) sessions on appropriate topics, and to evaluate the effectiveness of the personalized health coaching sessions. METHODS: RT students at a large mid-western university conducted health screenings at a local YMCA Senior Expo. Participants completed a health history questionnaire, height, weight, blood pressure, spirometry, and exhaled CO measurements. Interested participants were enrolled in the study and were contacted by health sciences students trained in HC. RESULTS: Thirty-six participants in June and November 2011, and 13 consented to telephonic HC. Two were male, and 9 (69%) were 60 years or older. Eleven of 13 (85%) were overweight or obese, and 7 (54%) had pre-hypertension or hypertension. One had a history of pulmonary disease, while 5 reported experiencing respiratory symptoms in the last 4 weeks. Four were current smokers and 3 were former smokers. Only 1 never smoker reported experiencing respiratory symptoms in the last 4 weeks, while 2 current and 1 former smoker denied experiencing respiratory symptoms in the last 4 weeks. 3 of the 13 (23%) had COPD screening scores 5 or greater, 2 of which were current smokers and the other was a former smoker. Only 3 of 13 completed telephonic HC sessions, ranging from 2 – 5 sessions. Topics included tobacco cessation, nutrition, diabetes. When contacted to arrange HC sessions, 2 declined because they were asymptomatic, 3 would prefer in person HC, and 1 was too busy. 6 were not contacted, some because the phone had been disconnected. CONCLUSIONS: Despite active engagement through YMCA activities, these older adults still demonstrated a need for HC in several areas. Other approaches to deliver HC, like small group or individual face-to-face meetings are recommended. Made possible by a grant from The Ohio State University Area Health Education Center (AHEC) Sponsored Research - Made possible by a grant from The Ohio State University Area Health Education Center (AHEC)