{
  "abstract": "Background The train-the-trainer model is cost-effective and sustainable within healthcare settings but has limited evidence in pulmonary rehabilitation (PR). PR is the most effective treatment for chronic obstructive pulmonary disease (COPD), but its impact is limited by low uptake and completion.Objective To design, evaluate, and refine a train-the-trainer programme for PR-staff on how to establish and manage a lay health worker (PR-buddy) service. This service aims to support the uptake and completion of PR by newly referred patients with COPD.Methods A multidisciplinary team developed the training for PR-staff, to prepare them to recruit and train volunteer PR-buddies and manage a PR-buddy service. People with COPD who had successfully completed PR were invited to volunteer as PR-buddies. Semi-structured interviews with PR-staff from three pilot sites were conducted online to understand their views and experiences of receiving training and setting up the service. Interviews were completed by a team member (RD) who was not involved in training development or delivery. Reflexive thematic analysis of verbatim transcripts was conducted. Results were used to refine the training.Results A 2.5-day training for PR-staff was developed, with self-directed, remote live and in-person components. It included recruitment and training of PR-buddies in communication skills, role boundaries, confidentiality, and selected behaviour change techniques. Training materials were slide decks, videos, manuals for staff and manuals for delivering training to PR-buddies. Twelve PR-staff from three trial PR services completed the initial training, and six of them participated in the interviews. Training was perceived positively by PR-staff. They found the training materials easy to use and helpful in guiding the PR-buddy training ( figure 1). PR-staff reported workload challenges in the recruiting and training of PR-buddies but usually found ways to mitigate the impact of those pressures. Findings were used to modify the training given to clinicians: providing a link person from the research team for support and expanding geographical location options for in person PR-staff training.Abstract P36 Figure 1Conclusions Using the train-the-trainer model in implementing a lay health worker intervention for improving uptake and completion of PR is acceptable and should be deliverable at scale.",
  "authors": [
    {
      "affiliations": [
        "Kings College London, London, UK"
      ],
      "name": "A Spinou"
    },
    {
      "affiliations": [
        "Kings College London, London, UK"
      ],
      "name": "R Daryanani"
    },
    {
      "affiliations": [
        "University of Leeds, Leeds, UK"
      ],
      "name": "G Gilworth"
    },
    {
      "affiliations": [
        "Kings College London, London, UK"
      ],
      "name": "E Godfrey"
    },
    {
      "affiliations": [
        "Kings College London, London, UK"
      ],
      "name": "K Harris"
    },
    {
      "affiliations": [
        "Kings College London, London, UK"
      ],
      "name": "N King"
    },
    {
      "affiliations": [
        "University of Leeds, Leeds, UK"
      ],
      "name": "J Kawalek"
    },
    {
      "affiliations": [
        "Kings College London, London, UK"
      ],
      "name": "T Morgan"
    },
    {
      "affiliations": [
        "Norwegian University of Science and Technology, Alesund, Norway"
      ],
      "name": "SA Lewin"
    },
    {
      "affiliations": [
        "Kings College London, London, UK"
      ],
      "name": "P White"
    }
  ],
  "title": "P36 Improving the uptake and completion of pulmonary rehabilitation (PR): development and evaluation of a train-the-trainer programme to establish a lay health worker service",
  "uid": "951a3b96-988f-5a01-a9e6-915f516b89fb"
}