COPD Quality of Life Study
Research type
Research Study
Full title
Assessing patient value from complex interventions in long-term conditions: a ‘proof of concept’ study
IRAS ID
220819
Contact name
Peter Bower
Contact email
Sponsor organisation
University of Manchester
Duration of Study in the UK
0 years, 8 months, 22 days
Research summary
Health and social care services have to help large numbers of older people, who often have a number of long-term conditions and many social care needs. These patients may receive many services, some of which are ‘clinical’ (such as medical care and medications) and some of which are ‘non-clinical’ (such as social care or housing).
We need to be able to accurately measure how patients value combinations of clinical and non-clinical interventions, so we can work out which interventions add value to patients and which do not.
Health professionals use symptom measures to assess the success from a clinical intervention, but non-clinical interventions often have no effect on symptoms, so it is difficult to measure the value patients get from such interventions.
The ‘needs-based approach’ to patient value is based on the theory that health and social care problems limits a patient’s ability to fulfil their human needs . A need (such as maintaining hygiene) can be restored by clinical treatment that improves symptoms, or by social services which do not.This approach detects the value that patients get from both types of intervention by assessing change in terms that is meaningful to the patient.
‘Needs-based’ measures are regularly used in clinical trials testing new medications. They could help people who commission health and social services by showing them what sorts of services are most valued by patients.In this study, we will recruit people with chronic obstructive pulmonary disease (COPD) who use a range of services. We will measure the value that they get from different services using a ‘needs based’ approach. The information will be useful for the development of new models of care within Greater Manchester.
REC name
East Midlands - Nottingham 2 Research Ethics Committee
REC reference
17/EM/0123
Date of REC Opinion
27 Apr 2017
REC opinion
Further Information Favourable Opinion