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COPDSERENENCT06600126

Supporting Evidence-based Responses to Emotional Needs in Emphysema

A study testing Coping Skills Training and COPD Education in people with COPD, run by University of Pennsylvania at 2 sites in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The goal of this clinical trial is to understand how a Coping Skills Training program can reduce depression and anxiety in people with chronic obstructive pulmonary disease (COPD), particularly those who face health disparities, including those with low income, different racial backgrounds, or those living in rural… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
COPD
What is being tested?
Coping Skills Training and COPD Education
Could I receive a placebo?
No, everyone receives an active treatment
How many people
750 participants
Where
2 sitesUnited States
Study dates
30 Sep 2024to 5 Mar 2028
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients
  • Be at least 18 years of age
  • Have a documented diagnosis of COPD and confirmation of obstructive lung disease by spirometry (American Thoracic Society/European Respiratory Society guidelines) or radiology (imaging report indicating emphysematous changes)
  • Score greater than or equal to 8 during baseline screening using the PHQ-8
  • Identify an adult caregiver to participate with them
  • Have the ability to access a telephone or videoconferencing call up to once weekly (for approximately 30 minutes) for 12 sessions of the study intervention
Show all 10Show fewer
  • Spoken proficiency in Spanish and/or English
  • Caregivers
  • Be at least 18 years of age
  • Have the ability to access a telephone or videoconferencing call up to once weekly (for approximately 30 minutes) for 12 weeks

Who cannot join

  • Patients
  • Has significant dementia or cognitive impairment
  • Documentation in the EHR that the COPD diagnosis has not yet been disclosed to the patient
  • Is under the ongoing care of a licensed behavioral health clinician
  • Requires immediate referral to specialized behavioral health management
  • Caregivers
  • Has significant dementia or cognitive impairment

Trial locations and contacts

2 sites in 1 country. Contact the study team or a site near you to ask about taking part.

United States2 sites, 2 recruiting
  • Henry Ford Health System

    Detroit, Michigan, 48202

    Lisa Matero, PhD, 313-874-6677, lmatero1@hfhs.org

    Lisa Matero, PhD

    Recruiting
  • University of Pennsylvania

    Philadelphia, Pennsylvania, 19104

    Joanna Hart, MD, MSHP, 267-271-0665, Joanna.Hart@pennmedicine.upenn.edu

    Daniel Carter, 215-573-7082, Daniel.Carter@pennmedicine.upenn.edu

    Recruiting

Other trials in United States

About this study

The goal of this clinical trial is to understand how a Coping Skills Training program can reduce depression and anxiety in people with chronic obstructive pulmonary disease (COPD), particularly those who face health disparities, including those with low income, different racial backgrounds, or those living in rural areas. The main questions it aims to answer are:

  • How does the Coping Skills Training program help reduce stress and anxiety in patients?
  • What causes variations in the effectiveness of the Coping Skills Training program?
  • What are the barriers and facilitators to the uptake of the Coping Skills Training program?
Read more

Researchers will compare a 12-week Coping Skills Training program with a COPD Education program to see if the training leads to better health outcomes for participants.

Participants will:

  • Take part in weekly 30-minute sessions for 12 weeks if assigned to the Coping Skills Training group.
  • Take part in weekly 10-minute sessions for 12 weeks if assigned to the COPD Education group.
  • Complete surveys before, during, and after the intervention.
  • Patients and caregivers, including those who chose not to enroll, as well as clinicians, will be invited to participate in interviews to share their perspectives.
Read the detailed description

Social environments, including family structure and function, shape patients' care and outcomes. Yet the role of family caregivers in chronic illness care is often unrecognized or undervalued even when critically relevant. For example, psychological distress is highly prevalent among patients with chronic obstructive pulmonary disease (COPD). COPD affects more than 212 million people worldwide, annual US medical costs are over $49 billion, and groups experiencing health disparities are most affected. Family caregivers, patients, and clinicians identify emotional symptoms and coping as critical priorities in COPD care. Psychological distress is strongly associated with poor quality of life and clinical outcomes for patients with COPD, such as more frequent exacerbations and higher post-discharge mortality. Yet affected patients rarely receive psychological care, particularly patients who face barriers to behavioral health care access. Integrating families into approaches to reduce patients' psychological distress is likely to improve outcomes and equity.

The investigators' overarching objective is to reduce the burden of chronic illness on patients and families. The central hypothesis is that improving patients' coping skills and caregivers' ability to coach patients in use of these skills will improve patients' outcomes. The existing evidence amongst patients with COPD is strongest for non- pharmacological interventions for psychological distress, but fails to represent diverse study populations. High-quality family relationships (i.e., cohesion, problem solving, and communication) are associated with better clinical outcomes. Among patients with COPD, better family relationship quality is associated with reduced psychological distress and improved self-management and dyspnea. Coping Skills Training is a scalable intervention that uses cognitive-behavioral skills to teach patient-caregiver dyads how to respond to the many emotional, physical, functional, and psychosocial consequences of COPD. In an NIH-funded trial of 326 dyads, Coping Skills Training improved patients' psychological and health-related quality of life more than an educational control. Yet, the mechanisms of the intervention's success remain unknown and the prior work underrepresented groups experiencing health disparities. Filling these critical knowledge gaps is an urgent need that will allow the investigators to refine and scale effective and efficient interventions addressing this critical need.

The investigators propose a randomized clinical trial to test putative treatment mechanisms through which the Coping Skills Training program administered to patients with COPD and their family caregivers improves outcomes. Outpatients with COPD who screen positive for psychological distress will be randomized in a 2:1 ratio to participate in a 12-week program with a caregiver, either a Coping Skills Training program (i.e., weekly 30-minute protocolized sessions delivered by a behavioral health specialist) or COPD Education program (i.e., weekly 10-minute sessions without coping skills).

Conditions
COPD
Being tested
Coping Skills Training, COPD Education
Keywords
Pulmonary Disease, Coping Skills, Psychological Distress, Mixed Methods
Medical subject headings
Pulmonary Disease, Chronic Obstructive, Lung Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Coping Skills TrainingBehavioural

    The Coping Skills Training arm will consist of 12 weekly 30-minute sessions via videoconferencing or phone. A trained research staff member will deliver sessions that focus on building coping skills for patients with COPD, such as progressive relaxation training, pleasant activity scheduling, and building communication skills. Caregivers will also participate, learning how to support the patient in using these skills. Participants will complete assignments between sessions to reinforce their learning. Additionally, participants will receive a Coping Skills Training workbook.

  • COPD EducationBehavioural

    The COPD Education arm will consist of 12 weekly 10-minute sessions via videoconferencing or phone. A trained research staff member will provide scripted general support and encouragement without using specific psychoeducational techniques. Caregivers will also participate. Additionally, participants will receive a COPD Education workbook with material from The COPD Foundation, which is also available on the Foundation's website. This program augments usual care, providing an attention control for comparison.

Study groups in NCT06600126
Study groupRoleWhat they receive
Coping Skills TrainingExperimentalNot described
Receives: Behavioral: Coping Skills Training
COPD EducationExperimentalNot described
Receives: Behavioral: COPD Education

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Patient Psychological Distress

    Patient psychological distress will be measured using the Patient Health Questionnaire-9 (PHQ-9). The PHQ-9 consists of 9 items, with total scores ranging from 0 to 27. Higher scores indicate greater distress.

    Measured: Baseline, 14 weeks

Secondary outcomes (13)
  1. Patient Psychological Distress (Secondary Outcome)

    Patient psychological distress will be measured as a secondary outcome using the Patient Health Questionnaire-9 (PHQ-9) after 7 weeks and 14 weeks. As described above, the PHQ-9 consists of 9 items, with total scores ranging from 0 to 27. Higher scores indicate greater distress.

    Measured: Baseline, 7 weeks, 26 weeks

  2. Patient Anxiety

    Patient anxiety will be measured using the Generalized Anxiety Disorder-7 (GAD-7). The GAD-7 consists of 7 items, with total scores ranging from 0 to 21. Higher scores indicate greater anxiety.

    Measured: Baseline, 7 weeks, 14 weeks, 26 weeks

  3. Health-Related Quality of Life (St. George's Respiratory Questionnaire for COPD patients)

    Health-related quality of life will be measured using the St. George's Respiratory Questionnaire for COPD patients (SGRQ-C). The SGRQ-C consists of 40 items, with total scores ranging from 0 to 100. Higher scores indicate greater limitations and poorer health-related quality of life.

    Measured: Baseline, 7 weeks, 14 weeks, 26 weeks

  4. Health-Related Quality of Life (mMRC Dyspnoea Scale)

    Health-related quality of life will also be measured using the Modified Medical Research Council (mMRC) Dyspnoea Scale. The mMRC consists of 1 item, with a 5-point scale from 0 to 4. Higher scores indicate poorer health-related quality of life.

    Measured: Baseline, 7 weeks, 14 weeks, 26 weeks

  5. Health-Related Quality of Life (COPD Assessment Test™)

    Health-related quality of life will also be measured using the COPD Assessment Test™ (CAT™). The CAT consists of 8 items, with total scores ranging from 0 to 40. Higher scores indicate poorer health-related quality of life.

    Measured: Baseline, 7 weeks, 14 weeks, 26 weeks

  6. Time to COPD-Related Hospitalization

    Time to COPD-related hospitalization will be assessed by reviewing electronic health records for hospitalizations occurring within the 12-month period following enrollment. Hospitalizations will be identified as COPD-related if the condition is listed as a primary or secondary diagnosis, or if the records indicate that COPD was an active or contributory condition. Time to COPD hospitalization will be measured in days from the trial enrollment date.

    Measured: 12 months following enrollment

  7. All-Cause Mortality

    All-cause mortality will be tracked through electronic health record reviews. Additional data will be gathered from caregivers and confirmed through Internet obituary searches, if necessary, to ensure accurate capture of deaths not recorded in medical records.

    Measured: 12 months following enrollment

  8. Caregiver Burden

    Caregiver burden will be measured using the Zarit Caregiver Burden Inventory (ZBI). The ZBI consists of 22 items, with total scores ranging from 0 to 88. Higher scores indicate greater burden.

    Measured: Baseline, 7 weeks, 14 weeks, 26 weeks

  9. Family Relationship Quality

    Family relationship quality will be measured using the Family Emotional Involvement and Criticism Scale (FEICS). The FEICS consists of 14 items with 2 subscales (perceived criticism and emotional involvement), each with total scores ranging from 0 to 28. Higher scores indicate more expressed emotion in family relationships.

    Measured: Baseline, 5 weeks, 12 weeks, 24 weeks

  10. Self-Efficacy

    Self-efficacy will be measured among patients and caregivers using the General Self-Efficacy Scale (GSE). The GSE consists of 10 items, with total scores ranging from 10 to 40. Higher scores indicate greater self-efficacy.

    Measured: Baseline, 5 weeks, 12 weeks, 24 weeks

  11. Patient Loneliness

    Patient-reported loneliness will be measured using the UCLA Loneliness Scale. The UCLA Loneliness Scale consists of 20 items, with total scores ranging from 20 to 80. Lower scores indicate greater feelings of loneliness.

    Measured: Baseline, 5 weeks, 12 weeks, and 24 weeks following enrollment

  12. Caregivers' Psychological Distress

    Caregivers' psychological distress will be measured using the PHQ-9. As described above, the PHQ-9 consists of 9 items, with total scores ranging from 0 to 27. Higher scores indicate greater distress.

    Measured: Baseline, 5 weeks, 12 weeks, 24 weeks

  13. Caregiver Anxiety

    Caregivers' anxiety will be measured using the Generalized Anxiety Disorder-7 (GAD-7). As described above, the GAD-7 consists of 7 items, with total scores ranging from 0 to 21. Higher scores indicate greater anxiety.

    Measured: Baseline, 5 weeks, 12 weeks, 24 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Sep 2024
  2. Study start30 Sep 2024
  3. Primary completion1 Jun 2027 (estimated)
  4. Study completion5 Mar 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
750 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06600126
Sponsor's protocol ID
852619
Other IDs
R01NR020819
Acronym
SERENE
Status last verified
Jan 2026
First submitted
6 Sep 2024
Last updated
30 Jan 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Three datasets will be generated: (1) survey data from participants (patients and caregivers), (2) electronic health record data from patient participants, and (3) interview data from patients, caregivers, and clinicians. These datasets will be shared through the Inter-university Consortium for Political and Social Research (ICPSR) data repository. The shared data will be de-identified according to ICPSR's de-identification standards.

Publications

  • Hart JL, Carter D, Hinton C, Grilli J, Brown LA, Brier N, Lu Y, Whitman C, Harhay MO, Sims M, Alvarez C, Miller-Matero LR, O'Hayer CV. Supporting Evidence-based Responses to Emotional Needs in Emphysema (SERENE): protocol for a randomized, open-label mechanistic trial comparing Coping Skills Training and disease-specific education for depressive symptoms conducted in United States health systems. Trials. 2026 Feb 25;27(1):262. doi: 10.1186/s13063-025-09210-0.

    PubMed 41742282

Questions about this trial

What is this clinical trial studying?

A study testing Coping Skills Training and COPD Education in people with COPD, run by University of Pennsylvania at 2 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 30 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Joanna Hart, MD, MSHP (267-271-0665, Joanna.Hart@pennmedicine.upenn.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Patient Psychological Distress (time frame: Baseline, 14 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06600126, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Jan 2026; AzTrials last refreshed its copy on 4 Nov 2026.

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