What is the challenge your project is going to address and how does it connect to your chosen theme?
Chronic Obstructive Pulmonary Disease (COPD) is a leading cause of death and disability in the UK. Pulmonary Rehabilitation (PR) is an NHS-delivered outpatient service which teaches people with COPD to self-manage their condition. It is delivered over six weeks in a group setting, and includes physical exercise and education about managing the consequences of COPD. PR is effective at reducing symptoms and improving quality of life, and is cost-effective. However many people who could benefit from the service are not referred, do not attend, or do not complete the course. Two contributing factors to this are lack of knowledge / perceived benefit among people with COPD, and healthcare professionals (HCPs) under-referring due to inadequate knowledge about PR.
The current project fits within the outpatient service redesign theme as it will investigate use of an information video to increase referrals into PR, reduce failed attendances, and increase the proportion of patients who complete PR
What does your project aim to achieve?
We will investigate whether a 2-minute video (created by PR staff and COPD patients) could be used to increase knowledge of PR for patients and HCPs, and increase referral to, uptake of and completion of PR. Service evaluation of a 7-minute version showed that it was well-liked and could increase PR referrals in the region, although a shorter version could be used more flexibly.
– Monitor PR referral rates before and after introducing the 2-minute video
– Determine whether showing the video during PR assessment increases PR completion
– Explore HCPs’ and patients’ views towards the video and considerations around its use in practice
We will show whether a low-cost digital intervention could improve referral to and completion of PR, and thus lead to more people with COPD learning self-management skills and benefiting from improved health and quality of life. The results will be applicable to COPD patients and PR programmes across the UK
How will the project be delivered?
The 2-min video will be promoted through NHS networks. A video link will be included in PR referral letters, and the video will be shown to all patients attending PR assessment. Monthly referral rates and completion rates for Sheffield’s PR service will be monitored before and after introducing the video. Qualitative interviews will be conducted with members of the PR team and referring HCPs in the region, to explore views towards the videos and service-level implications of using the videos (e.g. waiting lists).
The project will be overseen by Dr. Steven Ariss, a Q Community member who is experienced in evaluation of complex health interventions. Claire Bentley is an experienced healthcare researcher responsible for data collection, analysis, and delivery of the project. Cath O’Connor is a respiratory physiotherapist who works with the PR team in Sheffield. The video was co-designed with Sheffield’s Breathe Easy support group, and we will continue to work with them during the project.
What and how is your project going to share learning throughout?
The results will be shared with the Q Community, both online and through networking events. Findings will be shared with Sheffield’s PR team, NHS Sheffield contacts, and other PR services. We will also link with Matthew Halkes, a Q member involved in evaluating NHS healthcare videos.
Findings will be shared with the Breathe Easy support network. The results will be written up in an academic journal article, and presented at relevant conferences/events. Sheffield’s clinical commissioning team funded development of the video, and are keen to learn from and act on the findings of any research. We will seek to make the video available to other PR services, and the findings may inform bids for roll-out and evaluation across the UK.
The results of the project are applicable to people with COPD and to PR services across the UK. The video could lead to increased use of a highly effective outpatient service, and thus lead to better health and quality of life for people with COPD across the UK
How you can contribute
- All comments and contributions are welcome
- Any information about similar interventions
|29 Feb 2020||Project set up: Ethics, Evaluation registration, Briefings|
|31 Mar 2020||Project set-up:Approvals in place, Briefings with PR team|
|30 Apr 2020||2-min video launched|
|30 Apr 2020||Recruitment for HCPs, PR staff and patients|
|30 Apr 2020||Video linked in referral letters throughout project|
|30 Apr 2020||Video shown at assessment throughout remaining project|
|31 May 2020||Conduct workshops / interviews|
|31 May 2020||Recruitment for HCPs, PR staff and patients|
|30 Jun 2020||Conduct workshops / interviews|
|31 Jul 2020||Analyse data from workshops / interviews|
|31 Aug 2020||Analysis of results|
|31 Aug 2020||Extract referral and PR completion data|
|30 Sep 2020||Analysis/write up of results|
|30 Sep 2020||Dissemination of findings|
|31 Oct 2020||Dissemination of findings|