Clinical trial NCT01226836: Pulmonary Rehabilitation in Chronic Obstructive Pulmonary Disease (COPD): the Development and Feasibility of an Education Package
Official title: Pulmonary Rehabilitation in COPD: the Development and Feasibility of an Education Package
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Chronic Obstructive Pulmonary Disease
Keywords: Pulmonary Rehabilitation
Lead sponsor: University of Ulster
Sponsor class: OTHER
Collaborators: name: McGill University Health Centre/Research Institute of the McGill University Health Centre
name: Belfast Health and Social Care Trust
name: South Eastern Health and Social Care Trust
name: Western Health and Social Care Trust
First posted: 2010-10-22
Enrollment: 53
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: The purpose of this study is to assess the feasibility and acceptability of the revised Living Well With COPD programme (LWWCOPD for Pulmonary Rehabilitation) when used to deliver the education component of pulmonary rehabilitation.

Detailed description: There is limited guidance on what should be included in the education component of pulmonary rehabilitation. International guidelines for COPD and pulmonary rehabilitation suggest numerous topics but do not provide specific information relating to the principal topics and how these should be delivered (BTS 2001, NICE 2004, ATS/ERS 2006). Recently this research team conducted focus groups of patients with COPD and established from their perspective the important education topics that should be covered in pulmonary rehabilitation, along with information on how these should be delivered (Wilson, O'Neill et al. 2008).

The Living Well with COPD (LWWCOPD) programme mostly includes these topics (Bourbeau, Julien et al. 2003). LWWCOPD, which is based on Bandura's self-efficacy theory, has been shown to significantly reduce healthcare utilisation and improve quality of life (Bourbeau, Julien et al. 2003, Bandura 1986). With modification and reformatting, the LWWCOPD programme could be delivered within the structure of pulmonary rehabilitation.

Although the LWWCOPD programme has been previously validated, it is important that the revised version is assessed for feasibility within the context of pulmonary rehabilitation. The practicality of delivering the programme and its acceptance by healthcare providers and patients should be assessed. Therefore, this study will involve a process evaluation to assess the feasibility and acceptability of using the revised LWWCOPD programme (LWWCOPD for Pulmonary Rehabilitation) to deliver the education component of pulmonary rehabilitation in Northern Ireland.

Eligibility criteria: Inclusion Criteria:

Participants

* Clinical diagnosis of COPD.
* Good understanding of written English in order to be able to provide accurate feedback on the patient information booklet and material used to facilitate the education sessions (as reported by the individual patient).
* Eligible for pulmonary rehabilitation Health Professionals
* Involved in the delivery of education sessions during pulmonary rehabilitation

Exclusion Criteria:

Participants

* Unable to safely partake in pulmonary rehabilitation (e.g. unstable angina, some musculoskeletal conditions).
* Unable to comprehend or follow instructions (e.g. dementia).

Primary outcomes:
measure: Understanding your COPD questionaire
timeFrame: 6 weeks
Secondary outcomes:
measure: The Bristol COPD Knowledge Questionnaire (BCKQ)
timeFrame: 6 weeks
measure: Global questions
timeFrame: 6 weeks
measure: Qualitative data collection (patients' perspective)
timeFrame: 6 weeks
measure: Qualitative data collection (health professional's perspective)
timeFrame: 6 weeks
Other outcomes:
Locations:
city: Belfast
country: United Kingdom
facility: Belfast Health and Social Care Trust
state: Co ANtrim
city: Belfast
country: United Kingdom
facility: Southern Eastern Health and Social Care Trust
city: Derry
country: United Kingdom
facility: Western Health and Social Care Trust
Study officials:
affiliation: University of Ulster
name: Brenda O'Neill, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Wilson JS, O'Neill B, Reilly J, MacMahon J, Bradley JM. Education in pulmonary rehabilitation: the patient's perspective. Arch Phys Med Rehabil. 2007 Dec;88(12):1704-9. doi: 10.1016/j.apmr.2007.07.040.
citation: Cosgrove D, Macmahon J, Bourbeau J, Bradley JM, O'Neill B. Facilitating education in pulmonary rehabilitation using the living well with COPD programme for pulmonary rehabilitation: a process evaluation. BMC Pulm Med. 2013 Aug 5;13:50. doi: 10.1186/1471-2466-13-50.