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Title: Implementation of offering choice of pulmonary rehabilitation location to people with COPD: a protocol for the process evaluation of a cluster randomised controlled trial.
Austin Authors: Cox, Narelle S ;Holland, Anne E ;Jones, Arwel W;McDonald, Christine F ;O'Halloran, Paul;Mahal, Ajay;Hepworth, Graham;Lannin, Natasha A
Affiliation: Respiratory Research@Alfred, Department of Immunology and Pathology, Central Clinical School, Monash University, Level 6, The Alfred Centre, 99 Commercial Road, Melbourne, VIC, 3004, Australia.
Institute for Breathing and Sleep
School of Psychology and Public Health, La Trobe University, Melbourne, Australia.
The Nossal Global Institute for Global Health, University of Melbourne, Melbourne, Australia.
Statistical Consulting Centre, University of Melbourne, Melbourne, Australia.
Department of Neuroscience, Central Clinical School, Monash University, Melbourne, Australia.
Respiratory and Sleep Medicine
Issue Date: 8-Mar-2023 2023
Publication information: Trials 2023; 24(1)
Abstract: Pulmonary rehabilitation (PR) is a core component of management people with chronic obstructive pulmonary disease (COPD); yet, people with COPD face significant barriers to attending centre-based PR programs. The emergence of new models of PR, remotely delivered directly into people's homes, has the potential to improve rehabilitation access and completion by providing patients with a choice of rehabilitation location (centre or home). However, offering patients a choice of rehabilitation model is not usual practice. We are undertaking a 14-site cluster randomised controlled trial to determine whether offering choice of PR location improves rehabilitation completion rates resulting in reduced all-cause unplanned hospitalisation over 12¬†months. The aim of this paper is to describe the protocol for the process evaluation of the HomeBase2 trial. A mixed methods process evaluation, to be undertaken in real time, has been developed in accordance with UK Medical Research Council (MRC) recommendations on process evaluation of complex interventions. This protocol describes the intended use of two theoretical frameworks (RE-AIM framework (Reach; Effectiveness; Adoption; Implementation; Maintenance) and Theoretical Domains Framework (TDF)) to synthesise findings and interpret data from a combination of qualitative (semi-structured interviews) and quantitative (questionnaires, clinical outcome data, intervention fidelity) methodologies. Data will be collected at an intervention, patient and clinician level. Qualitative and quantitative data will be used to derive context-specific potential and actual barriers and facilitators to offering patients choice of rehabilitation location. Acceptability and sustainability of the intervention will be evaluated for future scale-up. The process evaluation described here will appraise the clinical implementation of offering a choice of rehabilitation program location for people with COPD. It will identify and evaluate key factors for future scale-up and sustainability and scale-up of offering choice of pulmonary rehabilitation program model for people. NCT04217330 Registration date: January 3 2020.
DOI: 10.1186/s13063-023-07179-2
ORCID: 0000-0002-6977-1028
Journal: Trials
Start page: 173
PubMed URL: 36890526
ISSN: 1745-6215
Type: Journal Article
Subjects: Chronic obstructive pulmonary disease
Process evaluation
Pulmonary rehabilitation
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