Chronic obstructive pulmonary disease Respiratory Chronic Obstructive Pulmonary Disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Cases: 1. Above 35 years old 2. Male and female 3. Clinical Diagnosis of COPD 4. MRC dyspnoea score of 1-2 5. Self enrolled onto and able to complete a community based pulmonary rehabilitation programme within 6 month time period (Jan - June 2017) Control: 1. Above 35 years old 2. Male and Female 3. Clinical Diagnosis of COPD 4. MRC dyspnoea score of 1-2 5. Self enrolled onto but not able to start a community based pulmonary rehabilitation programme within the 6 month time period (Jan - June 2017)
Exclusion criteria
Exclusion criteria: 1. Those unwilling or unable to provide written consent. 2. Resident in an area not covered by the Hywel Dda University Health Board EPP team. 3. Those unable or unwilling to attend at least 5 of the planned 7 ‘COPD +’ sessions (Group A only). 4. MRC dyspnoea score 3-5
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| COPD self management is assessed through review of the primary and secondary care databases by the researcher to assess the number of health care professional face to face contacts, telephone contacts and admissions to hospital during the 6 months pre / post attending a community based pulmonary rehabilitation programme. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Participants and Control group: Exercise tolerance of the Intervention group compared to the Controls is assessed using data observed during incremental walk tests at Day 1, Week 9 and 6 Months 2. Participants and Control group: General Health of the Intervention Group compared to the Control group is assessed using the validated, self completed, EQ5D questionnaire at Day 1, Week 9 and 6 Months 3. Participants and Control group: COPD symptom control of the Intervention Group compared to the Control group is assessed using the validated, self completed, COPD Assessment Test (CAT) questionnaire at Day 1, Week 9 and 6 Months 4. For participants only: The cost effectiveness of the community based pulmonary rehabilitation programme will be assessed using statistical analysis via SPSS version 22.2 (Chicago, Illinois) based upon changes in EQ5D, healthcare contacts and deaths within the 12 month research period (6 months pre course and 6 months post course) 5. For participants only, completion rates for the community based pulmonary rehabilitation programme and reasons for non completion will be assessed using the attendance register for the participants course at the 9 week assessment 6. For participants only, reasons for non completion of the community based pulmonary rehabilitation programme will be assessed by telephone interview with the participant by the research team at the 9 week assessment | — |
Countries
United Kingdom