None listed
Conditions
Brief summary
Patient reported outcomes (PRO) are increasingly used to measure the effectiveness of interventions for management of chronic conditions. Many of these instruments require respondents to describe the change in their health status from baseline to a follow-up assessment. This is often problematic for patients with chronic disease and poor recall of previous health status limits the usefulness and validity of these PRO measures. The aim of the study proposed here is to evaluate the utility of tablet computers as a technological tool to aid patients’ recall of previous responses when completing PRO measures. Our hypothesis is that the magnitude of the difference (responsiveness) will be greatest in those who saw the audio-visual recording. The feasibility assessment will be reported using descriptive statistics based on the NIHR (UK) feasibility and pilot studies criteria..
Interventions
This is a feasibility study of two approaches to improve recall. These approaches to improve recall will be tested in a single centre, randomised controlled trial comparing alternative methods of assessing change in patient reported outcomes. The control group are patients on the wait listed for the pulmonary rehabilitation program. Clinical staff will be assessing the patients (wait listed) and conducting the pulmonary rehabilitation (PR group)and these clinical staff are unaware of the rando
This is a feasibility study of two approaches to improve recall. These approaches to improve recall will be tested in a single centre, randomised controlled trial comparing alternative methods of assessing change in patient reported outcomes. The control group are patients on the wait listed for the pulmonary rehabilitation program. Clinical staff will be assessing the patients (wait listed) and conducting the pulmonary rehabilitation (PR group)and these clinical staff are unaware of the randomisation of patients to interventions and are not part of the research team or the study. A research assistant will be administering the questionnaires. Eligible participants will be randomised 1:1:1 assigned ratio to one of the three arms in both the pulmonary rehabilitation and wait list groups using a computer generated randomisation code. All patients will be completing patient reported insturments i.e St Georges Respiratory Questionnaire, Hospital Anxiety and Depression Scale, and European Quality of Life. In the first arm the patients will be videoed at baseline responding to the EQ5D questions and they will review their tablet computer video recording one month later when they complete the same questionnaires. In the second arm participants will complete the questionaires and they will be shown their baseline responses one month later just prior to completing the questionnaires again. In the third arm participants will complete the questionnaires at baseline and they will receive no feedback on their baseline responses when they complete the questionnaires again one month later. (1) Intervention - Tablet computer video recording: Participants will be asked about their responses to the health questionnaires they had just completed on enrolment and this will be video recorded using a table computer. The participant will be video recorded as they respond to the EQ5D questions asked by the RA. The audio-video recording will be stored on a password protected computer. Participants will be shown their audio-visual recording one month later just before they complete the health questionnaires.
Sponsors
Western Sydney University
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Educational / counselling / training
Masking
Blinded (masking used) (Subject)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Inclusion criteria 1. Must be medically diagnosed with COPD 2. Must be either wait listed for pulmonary rehabilitation or commencing pulmonary rehabilitation 3. Must have reasonable hearing with or without a hearing device 4. Must be able to read to year 7 (newspaper level) to ensure understanding of questions in questionnaires.
Exclusion criteria
Exclusion criteria 1. Must not have significant medical co-morbidities that require acute ongoing care 2. Must not have significant neurological and or cognition dysfunction such as medically diagnosed dementia
Outcome results
None listed