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@article{Barker:2020:10.1164/rccm.201909-1878OC,
author = {Barker, RE and Jones, SE and Banya, W and Fleming, S and Kon, SSC and Clarke, SF and Nolan, CM and Patel, S and Walsh, JA and Maddocks, M and Farquhar, M and Bell, D and Wedzicha, JA and Man, WD-C},
doi = {10.1164/rccm.201909-1878OC},
journal = {American Journal of Respiratory and Critical Care Medicine},
pages = {1517--1524},
title = {The effects of a video intervention on post-hospitalization pulmonary rehabilitation uptake: a randomized controlled trial.},
url = {http://dx.doi.org/10.1164/rccm.201909-1878OC},
volume = {201},
year = {2020}
}

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TY  - JOUR
AB  - RATIONALE: Pulmonary rehabilitation following hospitalizations for exacerbations of chronic obstructive pulmonary disease (COPD) improves exercise capacity and health-related quality of life, and reduces readmissions. However, post-hospitalization pulmonary rehabilitation uptake is low. To date, no trials of interventions to increase uptake have been conducted. OBJECTIVE: Effect of a co-designed education video as an adjunct to usual care on post-hospitalization pulmonary rehabilitation uptake. METHODS: An assessor- and statistician-blinded randomized controlled trial with nested qualitative interviews of participants in the intervention group. Participants hospitalized with COPD exacerbations were assigned 1:1 to receive either usual care (COPD discharge bundle including pulmonary rehabilitation information leaflet) or usual care plus the co-designed education video delivered via a handheld tablet device at discharge. Randomization used minimization to balance age, sex, forced expiratory volume in 1 second (FEV1) % predicted, frailty, transport availability and previous pulmonary rehabilitation experience. MEASUREMENTS AND MAIN RESULTS: The primary outcome was pulmonary rehabilitation uptake within 28 days of hospital discharge. 200 patients were recruited with 196 randomized (51% female, median (interquartile range) FEV1 % predicted 36(27, 48)). Pulmonary rehabilitation uptake was 41% and 34% in the usual care and intervention groups respectively (p=0.37), with no differences in secondary (pulmonary rehabilitation referral and completion) or safety (readmissions and death) endpoints. Six of the fifteen participants interviewed could not recall receiving the video. CONCLUSION: A co-designed education video delivered at hospital discharge did not improve post-hospitalization pulmonary rehabilitation uptake, referral or completion. This article is open access and distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License 4.0
AU  - Barker,RE
AU  - Jones,SE
AU  - Banya,W
AU  - Fleming,S
AU  - Kon,SSC
AU  - Clarke,SF
AU  - Nolan,CM
AU  - Patel,S
AU  - Walsh,JA
AU  - Maddocks,M
AU  - Farquhar,M
AU  - Bell,D
AU  - Wedzicha,JA
AU  - Man,WD-C
DO  - 10.1164/rccm.201909-1878OC
EP  - 1524
PY  - 2020///
SN  - 1073-449X
SP  - 1517
TI  - The effects of a video intervention on post-hospitalization pulmonary rehabilitation uptake: a randomized controlled trial.
T2  - American Journal of Respiratory and Critical Care Medicine
UR  - http://dx.doi.org/10.1164/rccm.201909-1878OC
UR  - https://www.ncbi.nlm.nih.gov/pubmed/32182098
UR  - https://www.atsjournals.org/doi/10.1164/rccm.201909-1878OC
UR  - http://hdl.handle.net/10044/1/79108
VL  - 201
ER  -

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