Moving to Better Health: Bristol (MBH) is a project that aims to help people living with Chronic Obstructive Pulmonary Disease (COPD) to improve the self-management of their condition by supporting them to understand and improve their everyday physical activity in the context of health. It is part of our wider Future Challenges Programme.
Bristol Community Health (BCH) is working with innovator KiActiv® on the Moving to Better Health: Bristol project. They will use the KiActiv® Health technology to support some of BCH’s COPD patients to increase physical activity within their everyday lives.
How the programme works
BCH annually receive around 1000 – 1200 referrals of patients with COPD. (For reference: from April 2020 the contracted organisation will change to Sirona Health and Care). The ‘gold standard’ activity-based intervention is a gym based six-week pulmonary rehabilitation course (PR). This is a supervised programme of exercise training, health education and breathing techniques. However for reasons that often centre around logistics or self-esteem issues, only around 350 patients annually complete a course of PR.
This project offers a personalised and guided online intervention that empowers participants to increase physical activity within their everyday lives. The KiActiv® Health service is available 24/7, requires no visits to clinics or gyms, and provides an accessible option for those that choose not to take up PR, or that are unable to complete the full course, who previously would have no continuing support.
KiActiv® Health incorporates clinically proven behaviour change technology in an interactive personalised dashboard that uses data from an accurate activity tracker and dedicated mentor support. It is focused on everyday physical activity, promoting opportunities to be active across all ~112 waking hours a week, rather than 1-2 hours of an exercise intervention, with no barriers to age or mobility.
During the 12 weeks participants are supported by phone calls with a trained KiActiv® mentor at key times in the programme. The calls help participants build an understanding of the value of their daily activities and the confidence to plan, monitor and improve, without compulsion or prescription. At the end of the 12 weeks the participants will have continued access to their personal dashboard and activity monitor to enable them to continue their self-management and the changes to their daily routines. KiActiv® has already been commissioned in Gloucestershire to support those with type 2 diabetes and other long term conditions.
Building an evidence base
Moving to Better Health: Bristol is one of two projects being piloted under the theme of ‘Keeping Healthy at Home’ which forms part of the Future Challenges Programme. Through this Future Challenges programme, we work closely with innovators and local partners including clinicians, commissioners and the chosen trial sites to pilot their innovations and evaluate them in a real-world setting, building evidence to support possible future commissioning decisions and opportunities. We will be working with the South West Academic Health Science Network to independently evaluate this project.