INSPIRE Version 1
Research type
Research Study
Full title
Developing and Optimising a Peer Support Intervention to Improve Pulmonary Rehabilitation Uptake for People with Chronic Obstructive Pulmonary Disease: INSPIRE
IRAS ID
306555
Contact name
S J Pilsworth
Contact email
Sponsor organisation
Liverpool Heart and Chest Hospital
Duration of Study in the UK
2 years, 11 months, 31 days
Research summary
Chronic obstructive pulmonary disease (COPD) is a prevalent and progressive respiratory condition, it is a leading cause of morbidity and mortality worldwide. COPD has significant global economic burden, with costs increasing as disease severity increases.
Due to the nature of COPD, treatments are aimed at symptom management and improving quality of life. One of the most cost effective and impactful treatments in the management of COPD is pulmonary rehabilitation (PR). PR is a multidisciplinary delivered intervention comprising of exercise and self-management support and education (including medication, exacerbation advice, breathing techniques and psychological support). There is a wealth of research into the effectiveness of PR, but despite this uptake remains poor. Current research within PR focuses on barriers and facilitators to attendance with no alignment to uptake or behavioural change theory, so little is known about which behaviours are potentially modifiable to increase uptake.
Peer interventions have been used for many years to improve self-management of long-term conditions as peers can support patients to make better healthcare decisions. Peer interventions utilised in healthcare are frequently not aligned to behaviour change theory and interventions are not co-designed with patients or clinicians, resulting in poor translation into clinical practice. Peers have not been widely utilised to support patients with a diagnosis of COPD and there have been no studies to investigate the role peers could play in improving PR uptake.
This proposed study will comprise of three phases:
• Phase One – to explore patient and clinician behavioural barriers/facilitators to PR uptake and beliefs around peer interventions and effective ways to deliver peer interventions.
• Phase Two – to align the qualitative data in Phase One to a contemporary behaviour change model, using a Delphi method decide on the target behaviours and then develop a peer intervention.
• Phase Three – to test acceptability and outcomes of the peer intervention developed in Phase Two.REC name
London - London Bridge Research Ethics Committee
REC reference
22/PR/1304
Date of REC Opinion
5 Oct 2022
REC opinion
Favourable Opinion