Do Educational Digital Films Enhance Patient COPD Outcomes?

Not Applicable

Completed

• Conditions: Chronic Obstructive Pulmonary Disease
• Interventions: Behavioral: Pocket Medic; Behavioral: Pulmonary Rehabilitation

• Registration Number: NCT03263754
• Lead Sponsor: Aberystwyth University

Brief Summary

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

Detailed Description

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.

Study Timeline

• Study Start: 2016-09-01
• Study First Submitted: 2017-08-24
• Study First Submitted QC: 2017-08-25
• Study First Posted: 2017-08-28
• Primary Completion: 2018-07
• Study Completion: 2018-07
• Status Verified: 2019-01
• Last Update Submitted: 2019-01-10
• Last Update Posted: 2019-01-11

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 55

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)

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intervention	Pocket Medic	-
Intervention	Pulmonary Rehabilitation	-
Control	Pulmonary Rehabilitation	-

Primary Outcome Measures

Name	Time	Method
Patient Adherence	10 weeks	The level at which patients attend pulmonary rehabilitation sessions
Patient engagement	10 weeks	The level at which patients in the intervention arm watch the digital films

Secondary Outcome Measures

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

Trial Locations

Locations (2)

Glangwilli Hospital; 🇬🇧 Carmarthen, Carmarthenshire, United Kingdom

Prince Phillip Hospital; 🇬🇧 Llanelli, Carmarthenshire, United Kingdom