Feasibility and acceptability testing of a very brief behavioural change approach to assist healthcare professionals discuss pulmonary rehabilitation with people living with chronic obstructive pulmonary disease (CHAT-2)
Chronic obstructive pulmonary disease (COPD)
Very Brief Advice for Pulmonary Rehabilitation (VBA-PR), which includes an e-learning programme and ‘ask, assess, ask’ framework for healthcare professionals to discuss a PR referral with their COPD patients. Healthcare professional participants will be recruited to this part of the study from four NHS sites. Consented participants will be sent the link to the National Centre for Smoking Cessation and Training VBA-PR e-learning platform via email. The participant will be asked to complete the 30-minute e-learning, including a short knowledge questionnaire before and after the e-learning programme. The e-learning training programme includes education for referrers about pulmonary rehab, e.g., referral criteria, what pulmonary rehab involves, benefits, local pulmonary rehab programme information and a framework to help referrers discuss pulmonary rehab with their COPD patients. It includes text-based information, videos, and patient and healthcare professional testimonials. Participants will be encouraged to use what they learned from the programme when discussing pulmonary rehab with their COPD patients for the duration of the study (the subsequent 3 months) during relevant healthcare consultations, e.g., primary care consultations and secondary and tertiary care inpatient, outpatient and home-based consultations. Intervention fidelity and receipt sub-study: This sub-study involves the assessment of intervention fidelity and intervention receipt, that is the use of the VBA-PR referral discussion framework by the healthcare professional when discussing PR with their patients. The consultation between 15 healthcare professionals and 15 COPD patients will be audio-recorded using an encrypted audio recorder to evaluate the referral discussion against pre-specified intervention components (intervention fidelity). The study team will complete a telephone questionnaire with patient participants to evaluate the referral discussion recall against pre-specified interven
Healthcare professionals: Feasibility study: 1. Any healthcare professional, e.g. doctor, nurse, physiotherapist, pharmacist, paramedic, who refers people living with COPD for pulmonary rehab 2. Able to provide informed consent Intervention fidelity and receipt sub-study: 1. Healthcare professional, e.g. doctor, nurse, physiotherapist, pharmacist, paramedic, who consented to participate in the feasibility study 2. Able to provide informed consent Acceptability sub-study: 1. Healthcare professional, e.g. doctor, nurse, physiotherapist, pharmacist, paramedic, who consented to participate in the feasibility study 2. Able to provide informed consent COPD patients: Intervention fidelity and receipt sub-study: 1. Adult aged ≥18 years with a healthcare professional confirmed diagnosis of COPD as per GOLD criteria 2. Eligible for referral to pulmonary rehab in line with national quality standards 3. Able to provide informed consent Acceptability sub-study: 1. Adult aged ≥18 years with a health professional confirmed diagnosis of COPD as per GOLD criteria, whose healthcare professional has discussed pulmonary rehab with them as part of the feasibility study 2. Able to provide informed consent
Healthcare professionals: Feasibility study and intervention fidelity and receipt sub-study: 1. Cognitive impairment that would preclude taking part in an e-learning training programme Acceptability sub- study: 1. Cognitive impairment that precludes participation in a focus group or interview COPD patients: Intervention fidelity and receipt sub-study 1. Cognitive impairment that precludes participation in a discussion about PR referral Acceptability sub-study: 1. Cognitive impairment that precludes participation in a focus group or interview