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Barker, Ruth E., Jones, Sarah E., Banya, Winston, Fleming, Sharon, Kon, Samantha S. C., Clarke, Stuart F., Nolan, Claire M., Patel, Suhani, Walsh, Jessica A., Maddocks, Matthew, Farquhar, Morag 
ORCID: https://orcid.org/0000-0001-7991-7679, Bell, Derek, Wedzicha, Jadwiga A. and Man, William D.-C.
(2020)
The effects of a video intervention on posthospitalization pulmonary rehabilitation uptake.
American Journal of Respiratory and Critical Care Medicine, 201 (12).
pp. 1517-1524.
ISSN 1073-449X
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Abstract
Rationale: Pulmonary rehabilitation (PR) after hospitalizations for exacerbations of chronic obstructive pulmonary disease (COPD) improves exercise capacity and health-related quality of life and reduces readmissions. However, posthospitalization PR uptake is low. To date, no trials of interventions to increase uptake have been conducted.Objectives: To study the effect of a codesigned education video as an adjunct to usual care on posthospitalization PR uptake.Methods: The present study was an assessor- and statistician-blinded randomized controlled trial with nested, qualitative interviews of participants in the intervention group. Participants hospitalized with COPD exacerbations were assigned 1:1 to receive either usual care (COPD discharge bundle including PR information leaflet) or usual care plus the codesigned education video delivered via a handheld tablet device at discharge. Randomization used minimization to balance age, sex, FEV1 % predicted, frailty, transport availability, and previous PR experience.Measurements and Main Results: The primary outcome was PR uptake within 28 days of hospital discharge. A total of 200 patients were recruited, and 196 were randomized (51% female, median FEV1% predicted, 36 [interquartile range, 27-48]). PR uptake was 41% and 34% in the usual care and intervention groups, respectively (P = 0.37), with no differences in secondary (PR referral and completion) or safety (readmissions and death) endpoints. A total of 6 of the 15 participants interviewed could not recall receiving the video.Conclusions: A codesigned education video delivered at hospital discharge did not improve posthospitalization PR uptake, referral, or completion.
| Item Type: | Article |
|---|---|
| Additional Information: | This article has an online supplement, which is accessible from this issue’s table of contents at www.atsjournals.org. |
| Uncontrolled Keywords: | chronic obstructive pulmonary disease,hospitalization,rehabilitation,pulmonary and respiratory medicine,critical care and intensive care medicine ,/dk/atira/pure/subjectarea/asjc/2700/2740 |
| Faculty \ School: | Faculty of Medicine and Health Sciences > School of Health Sciences |
| UEA Research Groups: | Faculty of Medicine and Health Sciences > Research Groups > Health Promotion Faculty of Medicine and Health Sciences > Research Centres > Norwich Institute for Healthy Aging Faculty of Medicine and Health Sciences > Research Centres > Lifespan Health |
| Related URLs: | |
| Depositing User: | LivePure Connector |
| Date Deposited: | 14 Mar 2020 10:24 |
| Last Modified: | 19 Oct 2023 02:39 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/74494 |
| DOI: | 10.1164/rccm.201909-1878OC |
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