None listed
Conditions
Brief summary
Pulmonary Rehabilitation is recommended as a cost effective way of improving exercise capacity and quality of life for people with chronic obstructive pulmonary disease. In spite of the strong evidence for the effectiveness of pulmonary rehabilitation, many people are not referred and if they are referred they do not attend. We have developed and tested a series of three short patient education videos that address known barriers to patients attending pulmonary rehabilitation. These videos were piloted at Liverpool Hospital and we have subsequently been awarded funding from the Agency for Clinical Innovation to test their effectiveness. The aim of this multi-centre randomised controlled trial is to determine whether the use of the short videos delivered to people with chronic respiratory disease during a hospital admission increases the uptake of pulmonary rehabilitation.
Interventions
3 patient educational videos, informed by behaviour change theory, will be utilised for the intervention. They have a total duration of 12 minutes, and address known barriers to patients attending pulmonary rehabilitation such as lack of understanding about the potential benefits and beliefs about the consequences of attending. The videos feature a respiratory physician, physiotherapist, clinical nurse consultant and a consumer.
Video one involves a respiratory physician discussing the benefit
3 patient educational videos, informed by behaviour change theory, will be utilised for the intervention. They have a total duration of 12 minutes, and address known barriers to patients attending pulmonary rehabilitation such as lack of understanding about the potential benefits and beliefs about the consequences of attending. The videos feature a respiratory physician, physiotherapist, clinical nurse consultant and a consumer. Video one involves a respiratory physician discussing the benefits of pulmonary rehabilitation and the patients that are suitable to attend. It also includes a physiotherapist discussing what is involved in an initial assessment. Video two involves a respiratory physician discussing the expected outcomes of attending a pulmonary rehabilitation program, a physiotherapist discussing the exercise prescription and a clinical nurse consultant discussing the importance of taking medications as prescribed. Video three involves a patient discussing her pulmonary rehabilitation experience. The videos were designed specifically for this study. This is a pragmatic study - patients will not be supervised whilst watching the videos, nor will there be any video analytics to measure the viewing time. We have chosen this approach because it reflects how the videos are likely to be used in clinical practice if they're shown to be effective. Materials involved in the intervention are laptops/iPads/desktop computers depending on the availability at the individual site. All patients who meet the inclusion criteria at the participating hospitals will be randomised using a computer generated randomisation list with permuted blocks of four. Concealed allocation will be achieved using sequentially numbered opaque envelopes stored on each ward. As participants are recruited the next envelope will be opened and the patient will be allocated to either the intervention or control group accordingly. A study register detailing the participant's name, medical record number, group allocation and whether a referral to pulmonary rehabilitation was made will be kept in a secure file on each ward. The intervention will be delivered by the physiotherapist working on the ward, and will be provided individually at the patients bedspace. Each video will only be viewed once by each patient. The videos will be viewed prior to them agreeing to attend pulmonary rehabilitation.
Sponsors
Liverpool Hospital
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Educational / counselling / training
Masking
Blinded (masking used) (Investigator)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Patients admitted to the participating ward with a respiratory cause for admission, who meet the criteria for referral to pulmonary rehabilitation. This includes patients with a diagnosis of chronic obstructive pulmonary disease, interstitial lung disease, chronic asthma and pulmonary hypertension.
Exclusion criteria
Patients currently participating in a pulmonary rehabilitation program. Patients unable to understand basic spoken English. Severe cognitive impairment. Contraindications to exercise such as unstable cardiovascular disease
Outcome results
None listed