Chronic Obstructive Pulmonary Disease (COPD) Respiratory Other chronic obstrucitve pulmonary disease
Conditions
Interventions
Patients will be randomised to one two groups:
1. Telehealth supported COPD Service:
1.1. Three home visits with COPD specialist clinicians (nurse or physiotherapist)
1.1.1. within 24 hours of hospita
Sponsors
Barnsley Health and Social Care Research Alliance (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Open to male and female adult participants (> age 16) 2. Being discharged from the local NHS Foundation Trust and diagnosed with COPD 3. Between 1 and 3 previous admissions (including the current admission) in the previous 12 months according to the hospital discharge abstract from the current date of discharge where COPD is the primary or secondary documented reason for hospitalisation 4. Patient opts to be included in the caseload of the Community COPD Service 5. Willing to use Tele-health technology as part of their discharge plan 6. Able to communicate in English and read English (a requirement of the technology) 7. Have a telephone landline and a viable telecommunications network with no more than three internal telephone extensions
Exclusion criteria
Exclusion criteria: 1. Prior/current involvement in another tele-health initiative 2. Cognitive impairment to the extent that it impedes ability to participate 3. Other significant impairments which will restrict ability to participate 4. No telephone landline 5. Unwilling to use Tele-health technology 6. Existence of co-morbidities which require on-going intervention from other community nursing services 7. More than three hospital admissions within twelve months of the date of discharge for which COPD is the primary diagnosis 8. Patient unable or unwilling to provide written or oral informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. The health service primary outcome will be the proportion of patients who are admitted to hospital with COPD as their primary or secondary cause of admission either during or six months following discharge from the Tele-health supported or standard Community COPD Service. This will be assessed through analysis of patient-completed self-reporting diaries and hospital either during or six months following the Tele-health supported or standard Community COPD Service and analysis of hospital admission/visit data 2. The patient-centred primary outcome will be the patients? St. Georges Respiratory Questionnaire score upon admission to either the Tele-health supported or standard Community COPD Service, eight weeks later on discharge and six months later. This scale is a validated and widely-used instrument which measures health impairment in patients with COPD on a scale of 0 to 100 (greatest impairment). This scale is responsive to change with a minimum important difference (MID) of 4 | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Proportion of patients requiring unscheduled health care support to manage their COPD (including A&E, GP or community nurse visits) either during or six months following the standard Community COPD Service to be collected through patient-completed self-reporting diaries for the standard service and using the technology for the Tele-health supported service; and analysis of hospital, GP and community nursing visit data 2. Cost effectiveness of intervention 3. Improved self-management of their COPD by the patient to be assessed through analysis of the St. Georges Respiratory Questionnaire and a self-completed bespoke patient satisfaction questionnaire 4. Satisfaction with technology as part of their Tele-health supported Community COPD Service to be assessed through analysis of a self-completed bespoke patient satisfaction questionnaire | — |
Countries
United Kingdom
Outcome results
None listed