Please use this identifier to cite or link to this item: http://hdl.handle.net/2381/44523
Title: Improving uptake and completion of pulmonary rehabilitation in COPD with lay health workers: feasibility of a clinical trial.
Authors: White, P
Gilworth, G
Lewin, S
Hogg, L
Tuffnell, R
Taylor, SJC
Hopkinson, NS
Hart, N
Singh, SJ
Wright, AJ
First Published: 12-Mar-2019
Publisher: Dove Medical Press
Citation: International Journal of Chronic Obstructive Pulmonary Disease, 2019, 14, pp. 631-643
Abstract: Purpose: This study was designed to evaluate the feasibility of a cluster randomized controlled trial to test the efficacy of lay health workers (LHWs) in improving the uptake and completion of pulmonary rehabilitation (PR) in the treatment of COPD. Materials and methods: LHWs, trained in confidentiality, role boundaries, and behavior change techniques, supported patients newly referred for PR. Interactions between LHWs and participants were recorded with smartphones. Outcomes were recruitment and retention rates of LHWs, questionnaire and interview-evaluated acceptability and analysis of intervention fidelity. Results: Forty (36%) of 110 PR-experienced COPD patients applied to become LHWs. Twenty (18%) were selected for training. Twelve (11%) supported patients. Sixty-six COPD patients referred for PR received the intervention (5.5 participants per LHW). Ten LHWs were retained to the end of the study. Seventy-three percent of supported patients were satisfied or very satisfied with the intervention. LHWs delivered the intervention with appropriate style and variable fidelity. LHWs would welcome more intensive training. Based on this proof of concept, a cluster randomized controlled trial of an LHW intervention to improve uptake and completion of PR is feasible. Conclusion: PR-experienced COPD patients can be recruited, trained, and retained as LHWs to support participation in PR, and can deliver the intervention. Participant COPD patients found the intervention acceptable. A cluster randomized controlled clinical trial is feasible.
DOI Link: 10.2147/COPD.S188731
eISSN: 1178-2005
Links: https://www.dovepress.com/improving-uptake-and-completion-of-pulmonary-rehabilitation-in-copd-wi-peer-reviewed-article-COPD
http://hdl.handle.net/2381/44523
Version: Publisher Version
Status: Peer-reviewed
Type: Journal Article
Rights: Copyright © the authors, 2018. This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Appears in Collections:Published Articles, Dept. of Infection, Immunity and Inflammation

Files in This Item:
File Description SizeFormat 
Improving uptake and completion of pulmonary rehabilitation in COPD with lay health workers: feasibility of a clinical trial.pdfPublished (publisher PDF)313.76 kBAdobe PDFView/Open


Items in LRA are protected by copyright, with all rights reserved, unless otherwise indicated.