Chronic Obstructive Pulmonary Disease Clinical Trial
Official title:
A Pilot Study to Assess the Feasibility and Efficacy of a Social Identity Theory Based Intervention to Improve the Quality of Life of Patients Attending Pulmonary Rehabilitation.
The main aim of pulmonary rehabilitation is to improve the quality of life of patients that have been diagnosed with chronic lung disease. The challenge for pulmonary rehabilitation is that many patients do not complete their agreed or prescribed training targets which may be related to the way pulmonary rehabilitation is delivered. There is a belief among doctors and other healthcare professionals delivering pulmonary rehabilitation care that patients who are working together as part of a group may better accomplish their agreed training targets (intervention). The intervention aims to encourage members of the group to interact and support each other during the rehabilitation sessions in order to attain agreed pulmonary rehabilitation goals
Previous research indicates that self-management interventions vary, comprising of patient
education, action planning, goal setting, cognitive behavioural therapy and motivational
interviewing. The delivery of these interventions was largely conducted through individual
sessions either face-to-face or telephone conversations, or through the individual
distribution of booklet information. As such, research has heavily focused on
individual-focused self-management interventions in order to facilitate QoL in COPD
patients. It is not surprising that interventions have largely taken an individualistic
approach given that sufferers of COPD are diagnosed and treated as individuals (e.g., in
hospital, or when visiting the doctor). However, at times COPD management is delivered in
groups (e.g., exercise/ education rehabilitation sessions). Indeed, the group-management of
COPD treatment for improving the QoL of COPD patients has largely remained unexplored.
Therefore, a significant limitation of self-management approaches used to-date concerns the
lack of consideration given to group-management interventions. The proposed study therefore
aims to address this limitation by investigating the a group-based psychological
intervention.
Participants will be assigned to one of two groups: 1) the control group containing standard
care; and 2) the intervention group containing standard care plus the intervention.
Participants will attend weekly rehabilitation classes for 8 weeks, regardless of the
rehabilitation group assigned. In addition, participants will complete a quality of life
questionnaire that will ask questions about subjective feelings. The questionnaire will take
about 20 minutes to complete. The questionnaire will be completed at the start of the 8-week
rehabilitation programme, at the mid-point, and at the end of the rehabilitation programme.
In the intervention arm of the study participants will take part in three focus group
discussions. The focus group discussions will be with members of the research team and the
rest of your rehabilitation group. The first two sessions help participants plan strategies
in order to get the most benefit from the rehabilitation programme. The third session will
entail some reflection regarding how well participants thought the programme had addressed
their rehabilitation needs. Finally, all participants will complete the quality of life
questionnaire again at 3 months after completing the 8-week rehabilitation programme by
return stamp-addressed envelope.
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