Process evaluation of a maintenance pulmonary rehabilitation trial for people with chronic obstructive pulmonary disease.
Derrick LopezSusan JenkinsNola CecinsCecily StrangeJoanne CockramAnna CollinsHolly LandersBarbara NattabiPublished in: Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals (2024)
The ComEx3 RCT was implemented as planned largely due to commitment by the research team and the desire by patients to improve their quality of life by attending a PR program that they are familiar with. Successful implementation of PR RCTs requires good organisational skills, clear and consistent trial documentation, broad understanding of participant needs while being conscious of challenges experienced by people with COPD, and dedication by everyone involved in the RCT. SO WHAT?: This article shows the importance of running a process evaluation alongside an RCT. Although this RCT did not progress to completion, this process evaluation which was guided by a robust framework, will provide guidance for future interventions in this area.
Keyphrases
- chronic obstructive pulmonary disease
- end stage renal disease
- quality improvement
- study protocol
- phase iii
- lung function
- clinical trial
- ejection fraction
- primary care
- newly diagnosed
- healthcare
- chronic kidney disease
- phase ii
- peritoneal dialysis
- palliative care
- pulmonary hypertension
- prognostic factors
- randomized controlled trial
- electronic health record
- high intensity
- patient reported
- cell fate