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Improving uptake and completion of pulmonary rehabilitation in COPD with lay health workers: feasibility of a clinical trial
by
Lewin, Simon
, Wright, Alison J
, Gilworth, Gill
, Hogg, Lauren
, Tuffnell, Rachel
, Hart, Nicholas
, Singh, Sally
, Taylor, Stephanie JC
, Hopkinson, Nicholas S
, White, Patrick
in
Adult
/ Aged
/ Aged, 80 and over
/ Attitude of Health Personnel
/ Chronic obstructive pulmonary disease
/ Chronic Obstructive Pulmonary Disease (COPD)
/ Clinical Competence
/ Community Health Workers - education
/ completion
/ Confidentiality
/ Consent
/ Exercise
/ Feasibility Studies
/ Female
/ Health Knowledge, Attitudes, Practice
/ Humans
/ Inservice Training - methods
/ Intervention
/ intervention fidelity
/ Interviews
/ lay health workers
/ London
/ Lung - physiopathology
/ Male
/ Maternal & child health
/ Middle Aged
/ Original Research
/ Participation
/ Patient Satisfaction
/ Patients
/ Professional-Patient Relations
/ Proof of Concept Study
/ Pulmonary Disease, Chronic Obstructive - diagnosis
/ Pulmonary Disease, Chronic Obstructive - physiopathology
/ Pulmonary Disease, Chronic Obstructive - rehabilitation
/ Pulmonary rehabilitation
/ Questionnaires
/ recruitment
/ Rehabilitation
/ retention
/ Smartphones
/ Society
/ Systematic review
/ Teams
/ Time Factors
/ Treatment Outcome
/ uptake
/ Volunteers
/ Workers
2019
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Improving uptake and completion of pulmonary rehabilitation in COPD with lay health workers: feasibility of a clinical trial
by
Lewin, Simon
, Wright, Alison J
, Gilworth, Gill
, Hogg, Lauren
, Tuffnell, Rachel
, Hart, Nicholas
, Singh, Sally
, Taylor, Stephanie JC
, Hopkinson, Nicholas S
, White, Patrick
in
Adult
/ Aged
/ Aged, 80 and over
/ Attitude of Health Personnel
/ Chronic obstructive pulmonary disease
/ Chronic Obstructive Pulmonary Disease (COPD)
/ Clinical Competence
/ Community Health Workers - education
/ completion
/ Confidentiality
/ Consent
/ Exercise
/ Feasibility Studies
/ Female
/ Health Knowledge, Attitudes, Practice
/ Humans
/ Inservice Training - methods
/ Intervention
/ intervention fidelity
/ Interviews
/ lay health workers
/ London
/ Lung - physiopathology
/ Male
/ Maternal & child health
/ Middle Aged
/ Original Research
/ Participation
/ Patient Satisfaction
/ Patients
/ Professional-Patient Relations
/ Proof of Concept Study
/ Pulmonary Disease, Chronic Obstructive - diagnosis
/ Pulmonary Disease, Chronic Obstructive - physiopathology
/ Pulmonary Disease, Chronic Obstructive - rehabilitation
/ Pulmonary rehabilitation
/ Questionnaires
/ recruitment
/ Rehabilitation
/ retention
/ Smartphones
/ Society
/ Systematic review
/ Teams
/ Time Factors
/ Treatment Outcome
/ uptake
/ Volunteers
/ Workers
2019
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Improving uptake and completion of pulmonary rehabilitation in COPD with lay health workers: feasibility of a clinical trial
by
Lewin, Simon
, Wright, Alison J
, Gilworth, Gill
, Hogg, Lauren
, Tuffnell, Rachel
, Hart, Nicholas
, Singh, Sally
, Taylor, Stephanie JC
, Hopkinson, Nicholas S
, White, Patrick
in
Adult
/ Aged
/ Aged, 80 and over
/ Attitude of Health Personnel
/ Chronic obstructive pulmonary disease
/ Chronic Obstructive Pulmonary Disease (COPD)
/ Clinical Competence
/ Community Health Workers - education
/ completion
/ Confidentiality
/ Consent
/ Exercise
/ Feasibility Studies
/ Female
/ Health Knowledge, Attitudes, Practice
/ Humans
/ Inservice Training - methods
/ Intervention
/ intervention fidelity
/ Interviews
/ lay health workers
/ London
/ Lung - physiopathology
/ Male
/ Maternal & child health
/ Middle Aged
/ Original Research
/ Participation
/ Patient Satisfaction
/ Patients
/ Professional-Patient Relations
/ Proof of Concept Study
/ Pulmonary Disease, Chronic Obstructive - diagnosis
/ Pulmonary Disease, Chronic Obstructive - physiopathology
/ Pulmonary Disease, Chronic Obstructive - rehabilitation
/ Pulmonary rehabilitation
/ Questionnaires
/ recruitment
/ Rehabilitation
/ retention
/ Smartphones
/ Society
/ Systematic review
/ Teams
/ Time Factors
/ Treatment Outcome
/ uptake
/ Volunteers
/ Workers
2019
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Improving uptake and completion of pulmonary rehabilitation in COPD with lay health workers: feasibility of a clinical trial
Journal Article
Improving uptake and completion of pulmonary rehabilitation in COPD with lay health workers: feasibility of a clinical trial
2019
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Overview
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.
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.
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.
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.
Publisher
Dove Medical Press Ltd,Dove Press,Dove Medical Press
Subject
/ Aged
/ Attitude of Health Personnel
/ Chronic obstructive pulmonary disease
/ Chronic Obstructive Pulmonary Disease (COPD)
/ Community Health Workers - education
/ Consent
/ Exercise
/ Female
/ Health Knowledge, Attitudes, Practice
/ Humans
/ Inservice Training - methods
/ London
/ Male
/ Patients
/ Professional-Patient Relations
/ Pulmonary Disease, Chronic Obstructive - diagnosis
/ Pulmonary Disease, Chronic Obstructive - physiopathology
/ Pulmonary Disease, Chronic Obstructive - rehabilitation
/ Society
/ Teams
/ uptake
/ Workers
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