About this Medicine article

The Effects of a Video Intervention on Posthospitalization Pulmonary Rehabilitation Uptake. A Randomized Controlled Trial by Ruth E. Barker; Sarah E. Jones; Winston Banya; Sharon Fleming; Samantha S. C. Kon; Stuart F. Clarke; Claire M. Nolan; Suhani Patel; Jessica A. Walsh; Matthew Maddocks; Morag Farquhar; Derek Bell; Jadwiga A. Wedzicha; William D.-C. Man is a Medicine article available to read on EtoBox.

**Rationale:** Pulmonary rehabilitation (PR) after hospitalizations for exacerbations of chronic obstructive pulmonary disease (COPD) improves exercise capacity and health-related quality of life and reduces readmissions. However, posthospitalization PR uptake is low. To date, no trials of interventions to increase uptake have been conducted. **Objectives:** To study the effect of a codesigned education video as an adjunct to usual care on posthospitalization PR uptake. **Methods:** The present study was 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 PR information leaflet) or usual care plus the codesigned education video delivered via a handheld tablet device at discharge. Randomization used minimization to balance age, sex, FEV~1~ % predicted, frailty, transport availability, and previous PR experience. **Measurements and Main Results:** The primary outcome was PR uptake within 28 days of hospital discharge. A total of 200 patients were recruited, and 196

Author

Ruth E. Barker; Sarah E. Jones; Winston Banya; Sharon Fleming; Samantha S. C. Kon; Stuart F. Clarke; Claire M. Nolan; Suhani Patel; Jessica A. Walsh; Matthew Maddocks; Morag Farquhar; Derek Bell; Jadwiga A. Wedzicha; William D.-C. Man

Publisher

American Thoracic Society

Published

2020

Language

EN

Field

Medicine (Health Sciences)