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UBC Theses and Dissertations

Beyond dissemination : a knowledge translation study to implement and evaluate a tool to support safe and effective activity in aecopd (AECOPD-Mob) Ben-Ari, Ori


Background: Acute exacerbations of COPD (AECOPD) are episodes of acute deterioration in airway function and respiratory symptoms. Physical activity and exercise are important components in the recovery of patients from exacerbation. AECOPD-Mob is an evidence-based clinical decision-making tool on best practice for safe and effective exercise for hospitalized AECOPD patients. In our lab, we developed four formats of the tool (the original paper version, a Learner module, a Smartphone app and a traditional Inservice) and evaluated their usability by physical therapists (PTs) and registered nurses (RNs) working in acute care hospitals. Methods: In this study, we have examined the insights of 17 PTs and 3 RNs about the usability and intended use of the AECOPD-Mob formats. The participants were provided with access to the four AECOPD-Mob formats, completed an Evidence-Based-Practice (EBP) Barriers Questionnaire, the Post Study System Usability Questionnaire (PSSUQ) and participated in focus groups to share their thoughts and experiences. Results: We have found that the health care providers (HCPs), PTs and RNs, were satisfied with the usability learner module but were less satisfied with the usability of the Smartphone app. In addition, we originated four key themes from the focus groups: ‘HCPs’ knowledge gaps’, ‘HCPs preferences’, ’Tool quality and usability’ and ‘Improvement suggestions’ and found that the overall preferred version the AECOPD-Mob tool was the original paper version. The learner module and the Inservice were seen as interchangeable and provided necessary information, while the learner module had the benefit of being accessible at any time and, the Inservice had the benefit of better enabled discussion amongst colleagues. The app was considered challenging to use at the bedside, but the content was very favorable. Interestingly, we have found that RNs had a preference for more concise information, while PTs where looking for more broad information in the formats which give more of an overview. Conclusion: We found that PTs and RNs found the AECOPD-Mob paper version to be the easiest and most versatile format. There were concerns about using an App in a hospital setting. Future research should investigate the impact of AECOPD-Mob on patient outcomes.

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