Evidence map›Paper›PMID 36890526›Full record

ArticleTrials2023

Implementation of offering choice of pulmonary rehabilitation location to people with COPD: a protocol for the process evaluation of a cluster randomised controlled trial.

Narelle S Cox, Anne E Holland, Arwel W Jones, Christine F McDonald, Paul O'Halloran, Ajay Mahal, Graham Hepworth, Natasha A Lannin

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Trials, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04217330 (HomeBase2), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.2field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04217330 naactive not recruitingnot on this map

HomeBase2: An Implementation Trial to Improve Access to Pulmonary Rehabilitation in People With Chronic Obstructive Pulmonary Disease

TypeinterventionalSponsorMonash UniversityRan2021 to 2026Enrolled490ConditionsChronic Obstructive Pulmonary DiseaseArmsChoice of home-based or centre-based pulmonary rehabilitation, Centre-based pulmonary rehabilitation
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Trial
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

Narelle S CoxRespiratory Research@Alfred, Department of Immunology and Pathology, Central Clinical School, Monash University, Level 6, The Alfred Centre, 99 Commercial Road, Melbourne, VIC, 3004, Australia. narelle.cox@monash.edu.ORCID http://orcid.org/0000-0002-6977-1028
Anne E HollandRespiratory Research@Alfred, Department of Immunology and Pathology, Central Clinical School, Monash University, Level 6, The Alfred Centre, 99 Commercial Road, Melbourne, VIC, 3004, Australia.
Arwel W JonesRespiratory Research@Alfred, Department of Immunology and Pathology, Central Clinical School, Monash University, Level 6, The Alfred Centre, 99 Commercial Road, Melbourne, VIC, 3004, Australia.
Christine F McDonaldInstitute for Breathing and Sleep, Melbourne, Australia.
Paul O'HalloranSchool of Psychology and Public Health, La Trobe University, Melbourne, Australia.
Ajay MahalThe Nossal Global Institute for Global Health, University of Melbourne, Melbourne, Australia.
Graham HepworthStatistical Consulting Centre, University of Melbourne, Melbourne, Australia.
Natasha A LanninDepartment of Neuroscience, Central Clinical School, Monash University, Melbourne, Australia.
The University of Melbourne · AUThe Alfred Hospital · AUAlfred Health · AULa Trobe University · AUMonash Alfred Psychiatry Research centre · AU

Funding

Australian Medical Research Future Fund (MRFF) 1176491
6 · The paper itself

Abstract

backgroundPulmonary 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.

methodsA 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. DISCUSSION: 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.

trial registrationClinicalTrials.gov NCT04217330 Registration date: January 3 2020.

Indexed as

Pulmonary Disease, Chronic ObstructiveQuality of LifeHumansRandomized Controlled Trials as TopicSurveys and QuestionnairesChronic obstructive pulmonary diseaseImplementationProcess evaluationPulmonary rehabilitationTelerehabilitation

Identifiers

PMID36890526
PMCPMC9994770
OpenAlexW4323542935

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.