Do Educational Digital Films Enhance Patient COPD Outcomes?

Study Overview
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Brief Summary
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This study aims to assess the efficacy of Pocket Medic to promote self-management and pulmonary rehabilitation adherence in COPD patients.

Detailed Description
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Chronic Obstructive Pulmonary Disease (COPD) refers to a group of lung conditions characterized by airways inflammation, small airways obstruction and progressive loss of lung function. There are 900,000 people diagnosed with COPD in England and Wales but allowing for under-diagnosis, the true prevalence could be 1.5 million. Sufferers are extensive health care users; where COPD is the second most common cause of emergency hospital admission in the United Kingdom with direct National Health Service costs over £800 million per year. Pulmonary Rehabilitation programs (PRPs) aim to provide education and support for patients whilst improving clinical outcomes, however, attendance to these programs can be low. This study aims to trial a series of digital films aimed at educating patients about their condition from the comfort of their own home. Approximately 80 patients eligible for PR will be allocated to an experimental condition to receive a series of 10 digital films alongside their standard 7-week PR, solely to receive 10 digital films, or to a control condition in the form of standard PR (no digital films). Outcome measures such as PR attendance, hospital admissions, quality of life (QoL), disease knowledge, psychological need satisfaction and motivation will be measured pre and post. Analysis of this data between the experimental and control conditions pre-post intervention will provide useful information regarding the efficacy of digital film prescriptions as an adjunct to usual PR, or on its own, and the role this may play is encouraging PR attendance.

Official Title
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Do Patients With Chronic Obstructive Pulmonary Disease Engaging With Educational Films in Addition to Pulmonary Rehabilitation Gain Health-related Improvements?

Conditions
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Chronic Obstructive Pulmonary Disease

Intervention / Treatment
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* Behavioral: Pocket Medic
* Behavioral: Pulmonary Rehabilitation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Eligible for pulmonary rehabilitation in Hywel Dda University Health Board. Exclusion Criteria: Unwilling or unable to give informed consent life expectancy of less than 6 months unstable cardiovascular disease, dementia, cancers other than non-melanoma skins cancer any condition that precludes patients using laptops or mobile phones (e.g. blind, deaf)

Ages Eligible for Study
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Minimum Age: 50 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention<br> | Behavioral: Pocket Medic<br>* 10 short digital films utilising self-determination theory aiming to increase patient self-management<br>Behavioral: Pulmonary Rehabilitation<br>* PR follows National Institute for Clinical Excellence guidelines delivering 14 sessions over 7 weeks utilising a multidisciplinary approach<br>|
| Active Comparator: Control<br> | Behavioral: Pulmonary Rehabilitation<br>* PR follows National Institute for Clinical Excellence guidelines delivering 14 sessions over 7 weeks utilising a multidisciplinary approach<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient engagement | The level at which patients in the intervention arm watch the digital films | 10 weeks | 
| Patient Adherence | The level at which patients attend pulmonary rehabilitation sessions | 10 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Disease Knowledge | Scores on Bristol COPD Knowledge Questionnaire | 10 weeks and 6 months | 
| Service Utilization | Number of General Practioner visits and hospitalizations | Baseline and 6 months | 
| Psychological self-management | Patient scores on self-determination theory questionnaires modified to be relevant to COPD | 10 weeks and 6 months | 
| Understanding COPD self-management | Scores on the Understanding COPD self-management questionnaire | 10 weeks and 6 months |