Making Waves Final Report: Evaluation of the Making Waves:RIPPLE2 Spread Project

Louise Sewell, Alan Taylor, Joy Monkhouse, Amir Khan, Victoria Fessey, Michelle Kerslake, Vicky Lord, Sean Lowton-Smith

Research output: Book/ReportCommissioned reportpeer-review


Evaluation of the Making Waves project - Abstract
Preliminary outcomes from an asset based community development approach to improve mental well-being in people with COPD: is there a ‘RIPPLE’ effect?

Sewell L 1, Taylor A1, 2, Steils N2, Monkhouse J 3 , Shally F 4 , Dodd P , 4, 5, 6 , Gelder C4,5, 6

1 Faculty of Health and Life Sciences, Coventry University, UK
2 Centre for Communities and Social Justice, Coventry University, UK
3 School of Art and Design, Coventry University, UK
4 Coventry Community COPD Team, University Hospitals of Coventry and Warwickshire NHS Trust, UK
5 West Midlands Respiratory Improvement Programme, UK
6 South East Staffordshire and Seisdon Peninsula CCG, UK

Introduction: The RIPPLE (Respiratory Innovation Promoting Positive Life Experiences) clinic is a once-weekly activity and self-management session where participants have access to clinicians; engage in social activities and receive peer-support. Many people with Chronic Obstructive Pulmonary Disease (COPD) experience anxiety and depression. The symptoms of COPD often lead to social isolation which compounds these problems and inhibits engagement with pulmonary rehabilitation and self-management programmes. Asset Based Community Development (ABCD) seeks to improve health and well-being by building on community resources and individual strengths. An ‘open-space’ event involving people with COPD, carers, voluntary organisations and the NHS led to the creation of an innovative hybrid community clinic/peer-support group.
Objective: This study aims to evaluate this ABCD approach in improving the emotional well-being of people with COPD living in a Marmot city.
Methods: This is a prospective observational study of a piloted ABCD approach, funded by The Health Foundation. Levels of positive mental health and well-being were measured by the Warwick Edinburgh Mental Well-Being Scale (WEMWBS) at entry to the project (T1) and after 3 months involvement with the project (T2). WEMWBS scores range from 14 to 70. Baseline MRC breathlessness scores and socio-demographic data were also recorded. Mean differences in T1 and T2 WEMWBS scores were compared using a paired Student’s t-test.
Results: 33 participants consented to the evaluation. All participants attended at least one session of the RIPPLE clinic. Participants were (mean (SD)) 69.19 (8.43) years old and the median MRC scale score (IQR) was 4(1). The mean (SD) baseline WEMWBS score for all participants (n=33) was 40.97 (13.83). Paired T1 and T2 WEMWBS data was available from 20 participants. The mean (SD) T1 WEMWBS score was 38.90 (14.06) and this increased to 44.70 (8.49) at T2 (p=0.030).
Conclusions: Baseline WEMWBS scores were lower than in comparable long-term conditions. This highlights the importance of psychosocial factors in COPD. Statistically significant improvements were observed in levels of positive mental health and well-being in participants involved in the RIPPLE project at the 3 month time-point. This pilot study has shown encouraging results which need to be verified in larger studies.
Original languageEnglish
Number of pages50
Publication statusSubmitted - 30 Apr 2018


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