Chronic Obstructive Pulmonary Disease Clinical Trial
Official title:
Pulmonary Rehabilitation in COPD: the Development and Feasibility of an Education Package
The purpose of this study is to assess the feasibility and acceptability of the revised Living Well With COPD programme (LWWCOPD for Pulmonary Rehabilitation) when used to deliver the education component of pulmonary rehabilitation.
There is limited guidance on what should be included in the education component of pulmonary
rehabilitation. International guidelines for COPD and pulmonary rehabilitation suggest
numerous topics but do not provide specific information relating to the principal topics and
how these should be delivered (BTS 2001, NICE 2004, ATS/ERS 2006). Recently this research
team conducted focus groups of patients with COPD and established from their perspective the
important education topics that should be covered in pulmonary rehabilitation, along with
information on how these should be delivered (Wilson, O'Neill et al. 2008).
The Living Well with COPD (LWWCOPD) programme mostly includes these topics (Bourbeau, Julien
et al. 2003). LWWCOPD, which is based on Bandura's self-efficacy theory, has been shown to
significantly reduce healthcare utilisation and improve quality of life (Bourbeau, Julien et
al. 2003, Bandura 1986). With modification and reformatting, the LWWCOPD programme could be
delivered within the structure of pulmonary rehabilitation.
Although the LWWCOPD programme has been previously validated, it is important that the
revised version is assessed for feasibility within the context of pulmonary rehabilitation.
The practicality of delivering the programme and its acceptance by healthcare providers and
patients should be assessed. Therefore, this study will involve a process evaluation to
assess the feasibility and acceptability of using the revised LWWCOPD programme (LWWCOPD for
Pulmonary Rehabilitation) to deliver the education component of pulmonary rehabilitation in
Northern Ireland.
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