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3. Mobile Health Pulmonary Rehabilitation Compared to a Center-Based Program for Cost-Effectiveness and Effects on Exercise Capacity, Health Status, and Quality of Life in People With Chronic Obstructive Pulmonary Disease: A Protocol for a Randomized Controlled Trial

Author

Wootton, Sally L., Dale, Marita T., Alison, Jennifer A., Brown, Sarah, Rutherford, Hannah, Chan, Andrew S.L., Varnfield, Marlien, Yang, Ian A., Cunich, Michelle, Dennis, Sarah, and McKeough, Zoe J.

Subjects
Exercise -- Health aspects, Health status indicators -- Analysis, Lung diseases, Obstructive -- Diagnosis -- Care and treatment, Quality of life -- Health aspects
Abstract

Objective. The use of digital health is a novel way to improve access to comprehensive pulmonary rehabilitation for people with chronic obstructive pulmonary disease (COPD). This study aims to determine if a home-based pulmonary rehabilitation program supported by mobile health (mHealth) technology is equivalent to center-based pulmonary rehabilitation in terms of improvements in exercise capacity and health status in people with COPD. Methods. This study is a prospective, multicenter, equivalence randomized controlled trial (RCT) with intention-to-treat analysis. A hundred participants with COPD will be recruited from 5 pulmonary rehabilitation programs. Following randomization, participants will be assigned in a concealed manner to receive either home-based pulmonary rehabilitation supported by mHealth or center-based pulmonary rehabilitation. Both programs will be 8 weeks and will include progressive exercise training, disease management education, self-management support, and supervision by a physical therapist. Co-primary outcome measures will be the 6-Minute Walk Test and the COPD Assessment Test. Secondary outcome measures will include the St George's Respiratory Questionnaire, the EuroQol 5 Dimension 5 Level, the modified Medical Research Council dyspnea scale, the 1-minute sit-to-stand test, the 5 times sit-to-stand test, the Hospital Anxiety and Depression Scale, daily physical activity levels, health care utilization, and costs. Outcomes will be measured at baseline and at the end of the intervention. Participant experience will be assessed through semi-structured interviews at the end of the intervention. Utilization of health care and costs will be measured again after 12 months. Impact. This study will be the first rigorous RCT to examine the effects of a home-based pulmonary rehabilitation program supported by mHealth technology that includes comprehensive clinical outcome evaluation, assessment of daily physical activity, a health economic analysis, and qualitative analysis. If findings demonstrate that there is equivalence in clinical outcomes, that the mHealth program costs the least amount (and is thus cost-effective), and that the mHealth program is acceptable to participants, such programs should be widely implemented to improve access to pulmonary rehabilitation. Keywords: Chronic Obstructive Pulmonary Disease, Exercise, mHealth, Physical Activity, Pulmonary Rehabilitation, Quality of Life, Introduction Pulmonary rehabilitation (PR) is a core, non-pharmacological intervention in the management of chronic obstructive pulmonary disease (COPD) with strong evidence of effective-ness. (1-3 )PR traditionally consists of structured programs [...]

Published
2023
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4. Pulmonary Rehabilitation Using Minimal Equipment for People With Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-Analysis

Author

Cheng, Sonia Wing Mei, McKeough, Zoe J., McNamara, Renae J., and Alison, Jennifer A.

Subjects
Lung diseases, Obstructive -- Care and treatment -- Patient outcomes, Quality of life -- Health aspects
Abstract

Objective. Pulmonary rehabilitation programs that use minimal equipment for exercise training, rather than gymnasium equipment, would enable delivery of pulmonary rehabilitation to a greater number of people with chronic obstructive pulmonary disease (COPD). The effectiveness of minimal equipment programs in people with COPD is unclear. This systematic review and meta-analysis aimed to determine the effects of pulmonary rehabilitation using minimal equipment for aerobic and/or resistance training in people with COPD. Methods. Literature databases were searched up to September 2022 for randomized controlled trials (RCTs) comparing the effect of minimal equipment programs with usual care or with exercise equipment-based programs for exercise capacity, health-related quality of life (HRQoL), and strength. Results. Nineteen RCTs were included in the review and 14 RCTs were included in the meta-analyses, which reported low to moderate certainty of evidence. Compared with usual care, minimal equipment programs increased 6-minute walk distance (6MWD) by 85 m (95% CI = 37 to 132 m). No difference in 6MWD was observed between minimal equipment and exercise equipment-based programs (14 m, 95% CI = -27 to 56 m). Minimal equipment programs were more effective than usual care for improving HRQoL (standardized mean difference = 0.99, 95% CI = 0.31 to 1.67) and were not different from exercise equipment-based programs for improving upper limb strength (6 N, 95% CI =--2 to 13 N) or lower limb strength (20 N, 95% CI =-30 to 71 N). Conclusion. In people with COPD, pulmonary rehabilitation programs using minimal equipment elicit clinically significant improvements in 6MWD and HRQoL and are comparable with exercise equipment-based programs for improving 6MWD and strength. Impact. Pulmonary rehabilitation programs using minimal equipment may be a suitable alternative in settings where access to gymnasium equipment is limited. Delivery of pulmonary rehabilitation programs using minimal equipment may improve access to pulmonary rehabilitation worldwide, particularly in rural and remote areas and in developing countries. Keywords: Chronic Obstructive Pulmonary Disease, Equipment and Supplies, Exercise, Pulmonary Rehabilitation, Introduction Pulmonary rehabilitation is a highly effective therapeutic strategy for improving exercise capacity, health-related quality of life (HRQoL), and strength and dyspnea and for reducing hospitalizations and hospital readmissions following [...]

Published
2023
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12. Mobile Health Pulmonary Rehabilitation Compared to a Center-Based Program for Cost-Effectiveness and Effects on Exercise Capacity, Health Status, and Quality of Life in People with Chronic Obstructive Pulmonary Disease: A Protocol for a Randomized Controlled Trial

Author

Wootton, Sally L, primary, Dale, Marita T, additional, Alison, Jennifer A, additional, Brown, Sarah, additional, Rutherford, Hannah, additional, Chan, Andrew S L, additional, Varnfield, Marlien, additional, Yang, Ian A, additional, Cunich, Michelle, additional, Dennis, Sarah, additional, and McKeough, Zoe J, additional

Published
2023
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20. Increasing Walking Speed to Achieve a Pre-training Endurance Shuttle Walk Time of 5-10 min May Improve Test Responsiveness in People With Chronic Obstructive Pulmonary Disease

Author

Hill, Kylie, primary, Chao, Yan Ling, additional, Cavalheri, Vinicius, additional, Ng, L. W. Cindy, additional, Wootton, Sally L., additional, McKeough, Zoe J., additional, Jenkins, Sue C., additional, Eastwood, Peter R., additional, Hillman, David R., additional, Jenkins, Christine, additional, Cecins, Nola, additional, Spencer, Lissa M., additional, and Alison, Jennifer A., additional

Published
2021
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22. Use of supplemental oxygen during exercise testing and training for people with chronic obstructive pulmonary disease: a survey of Australian pulmonary rehabilitation programs

Author

Leung, Regina W.M., primary, Alison, Jennifer A., additional, Jenkins, Sue C., additional, Holland, Anne E., additional, Hill, Kylie, additional, Morris, Norman R., additional, Spencer, Lissa M., additional, Hill, Catherine J., additional, Lee, Annemarie L., additional, Seale, Helen E., additional, Cecins, Nola M., additional, McDonald, Christine F., additional, and McKeough, Zoe J., additional

Published
2021
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26. Exercise training in COPD with exercise-induced desaturation does improve exercise capacity, irrespective of whether supplemental oxygen or air is provided during training

Author

Alison, Jennifer A., primary, McKeough, Zoe J., additional, Leung, Regina W.M., additional, Holland, Anne E., additional, Hill, Kylie, additional, Morris, Norman R., additional, Jenkins, Sue, additional, Spencer, Lissa M., additional, Hill, Catherine J., additional, Lee, Annemarie L., additional, Seale, Helen, additional, Cecins, Nola, additional, and McDonald, Christine F., additional

Published
2019
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31. Functional exercise capacity and health-related quality of life in people with asbestos related pleural disease: an observational study

Author

Dale Marita T, McKeough Zoe J, Munoz Phillip A, Corte Peter, Bye Peter TP, and Alison Jennifer A

Subjects
6-minute walk test, Asbestos related diffuse pleural thickening, Exercise capacity, Physical activity, Quality of life, Diseases of the respiratory system, RC705-779
Abstract

Abstract Background Functional exercise capacity in people with asbestos related pleural disease (ARPD) is unknown and there are no data on health-related quality of life (HRQoL). The primary aims were to determine whether functional exercise capacity and HRQoL were reduced in people with ARPD. The secondary aim was to determine whether functional exercise capacity was related to peak exercise capacity, HRQoL, physical activity or respiratory function. Methods In participants with ARPD, exercise capacity was measured by the six-minute walk test (6MWT) and incremental cycle test (ICT); HRQoL by the St George’s Respiratory Questionnaire and physical activity by an activity monitor worn for one week. Participants also underwent lung function testing. Results 25 males completed the study with a mean (SD) age of 71 (6) years, FVC 82 (19)% predicted, FEV1/FVC 66 (11)%, TLC 80 (19)% predicted and DLCO 59 (13)% predicted. Participants had reduced exercise capacity demonstrated by six-minute walk distance (6MWD) of 76 (11)% predicted and peak work rate of 71 (21)% predicted. HRQoL was also reduced. The 6MWD correlated with peak work rate (r=0.58, p=0.002), St George’s Respiratory Questionnaire Total score (r=-0.57, p=0.003), metabolic equivalents from the activity monitor (r=0.45, p Conclusions People with ARPD have reduced exercise capacity and HRQoL. The 6MWT may be a useful surrogate measure of peak exercise capacity and physical activity levels in the absence of cardiopulmonary exercise testing and activity monitors. Trial registration ANZCTR12608000147381

Published
2013
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34. Oxygen compared to air during exercise training in COPD with exercise-induced desaturation

Author

Alison, Jennifer A., primary, McKeough, Zoe J., additional, Leung, Regina W.M., additional, Holland, Anne E., additional, Hill, Kylie, additional, Morris, Norman R., additional, Jenkins, Sue, additional, Spencer, Lissa M., additional, Hill, Catherine J., additional, Lee, Annemarie L., additional, Seale, Helen, additional, Cecins, Nola, additional, and McDonald, Christine F., additional

Published
2019
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36. Do supervised weekly exercise programs maintain functional exercise capacity and quality of life, twelve months after pulmonary rehabilitation in COPD?

Author

Alison Jennifer A, Spencer Lissa M, and McKeough Zoe J

Subjects
Diseases of the respiratory system, RC705-779
Abstract

Abstract Background Pulmonary rehabilitation programs have been shown to increase functional exercise capacity and quality of life in COPD patients. However, following the completion of pulmonary rehabilitation the benefits begin to decline unless the program is of longer duration or ongoing maintenance exercise is followed. Therefore, the aim of this study is to determine if supervised, weekly, hospital-based exercise compared to home exercise will maintain the benefits gained from an eight-week pulmonary rehabilitation program in COPD subjects to twelve months. Methods Following completion of an eight-week pulmonary rehabilitation program, COPD subjects will be recruited and randomised (using concealed allocation in numbered envelopes) into either the maintenance exercise group (supervised, weekly, hospital-based exercise) or the control group (unsupervised home exercise) and followed for twelve months. Measurements will be taken at baseline (post an eight-week pulmonary rehabilitation program), three, six and twelve months. The exercise measurements will include two six-minute walk tests, two incremental shuttle walk tests, and two endurance shuttle walk tests. Oxygen saturation, heart rate and dyspnoea will be monitored during all these tests. Quality of life will be measured using the St George's Respiratory Questionnaire and the Hospital Anxiety and Depression Scale. Participants will be excluded if they require supplemental oxygen or have neurological or musculoskeletal co-morbidities that will prevent them from exercising independently. Discussion Pulmonary rehabilitation plays an important part in the management of COPD and the results from this study will help determine if supervised, weekly, hospital-based exercise can successfully maintain functional exercise capacity and quality of life following an eight-week pulmonary rehabilitation program in COPD subjects in Australia.

Published
2007
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40. Physical activity patterns and clusters in 1001 patients with COPD

Author

Mesquita, Rafael, Spina, Gabriele, Pitta, Fabio, Donaire-Gonzalez, David, Deering, Brenda M., Patel, Mehul S., Mitchell, Katy E., Alison, Jennifer, Van Gestel, Arnoldus J.R., Zogg, Stefanie, Gagnon, Philippe, Abascal-Bolado, Beatriz, Vagaggini, Barbara, Garcia-Aymerich, Judith, Jenkins, Sue C., Romme, Elisabeth A.P.M., Kon, Samantha S.C., Albert, Paul S., Waschki, Benjamin, Shrikrishna, Dinesh, Singh, Sally J., Hopkinson, Nicholas S., Miedinger, David, Benzo, Roberto P., Maltais, François, Paggiaro, Pierluigi, McKeough, Zoe J., Polkey, Michael I., Hill, Kylie, Man, William D.C., Clarenbach, Christian F., Hernandes, Nidia A., Savi, Daniela, Wootton, Sally, Furlanetto, Karina C., Cindy Ng, Li W., Vaes, Anouk W., Jenkins, Christine, Eastwood, Peter R., Jarreta, Diana, Kirsten, Anne, Brooks, Dina, Hillman, David R., Sant'Anna, Thaís, Meijer, Kenneth, Dürr, Selina, Rutten, Erica P.A., Kohler, Malcolm, Probst, Vanessa S., Tal-Singer, Ruth, Gil, Esther Garcia, den Brinker, Albertus C., Leuppi, Jörg D., Calverley, Peter M.A., Smeenk, Frank W.J.M., Costello, Richard W., Gramm, Marco, Goldstein, Roger, Groenen, Miriam T.J., Magnussen, Helgo, Wouters, Emiel F.M., Zuwallack, Richard L., Amft, Oliver, Watz, Henrik, Spruit, Martijn A., Mesquita, Rafael, Spina, Gabriele, Pitta, Fabio, Donaire-Gonzalez, David, Deering, Brenda M., Patel, Mehul S., Mitchell, Katy E., Alison, Jennifer, Van Gestel, Arnoldus J.R., Zogg, Stefanie, Gagnon, Philippe, Abascal-Bolado, Beatriz, Vagaggini, Barbara, Garcia-Aymerich, Judith, Jenkins, Sue C., Romme, Elisabeth A.P.M., Kon, Samantha S.C., Albert, Paul S., Waschki, Benjamin, Shrikrishna, Dinesh, Singh, Sally J., Hopkinson, Nicholas S., Miedinger, David, Benzo, Roberto P., Maltais, François, Paggiaro, Pierluigi, McKeough, Zoe J., Polkey, Michael I., Hill, Kylie, Man, William D.C., Clarenbach, Christian F., Hernandes, Nidia A., Savi, Daniela, Wootton, Sally, Furlanetto, Karina C., Cindy Ng, Li W., Vaes, Anouk W., Jenkins, Christine, Eastwood, Peter R., Jarreta, Diana, Kirsten, Anne, Brooks, Dina, Hillman, David R., Sant'Anna, Thaís, Meijer, Kenneth, Dürr, Selina, Rutten, Erica P.A., Kohler, Malcolm, Probst, Vanessa S., Tal-Singer, Ruth, Gil, Esther Garcia, den Brinker, Albertus C., Leuppi, Jörg D., Calverley, Peter M.A., Smeenk, Frank W.J.M., Costello, Richard W., Gramm, Marco, Goldstein, Roger, Groenen, Miriam T.J., Magnussen, Helgo, Wouters, Emiel F.M., Zuwallack, Richard L., Amft, Oliver, Watz, Henrik, and Spruit, Martijn A.

Abstract

We described physical activity measures and hourly patterns in patients with chronic obstructive pulmonary disease (COPD) after stratification for generic and COPD-specific characteristics and, based on multiple physical activity measures, we identified clusters of patients. In total, 1001 patients with COPD (65% men; age, 67 years; forced expiratory volume in the first second [FEV1], 49% predicted) were studied cross-sectionally. Demographics, anthropometrics, lung function and clinical data were assessed. Daily physical activity measures and hourly patterns were analysed based on data from a multisensor armband. Principal component analysis (PCA) and cluster analysis were applied to physical activity measures to identify clusters. Age, body mass index (BMI), dyspnoea grade and ADO index (including age, dyspnoea and airflow obstruction) were associated with physical activity measures and hourly patterns. Five clusters were identified based on three PCA components, which accounted for 60% of variance of the data. Importantly, couch potatoes (i.e. the most inactive cluster) were characterised by higher BMI, lower FEV1, worse dyspnoea and higher ADO index compared to other clusters (p < 0.05 for all). Daily physical activity measures and hourly patterns are heterogeneous in COPD. Clusters of patients were identified solely based on physical activity data. These findings may be useful to develop interventions aiming to promote physical activity in COPD.

Published
2017

41. Physical activity patterns and clusters in 1001 patients with COPD

Author

Mesquita, Rafael, primary, Spina, Gabriele, additional, Pitta, Fabio, additional, Donaire-Gonzalez, David, additional, Deering, Brenda M, additional, Patel, Mehul S, additional, Mitchell, Katy E, additional, Alison, Jennifer, additional, van Gestel, Arnoldus JR, additional, Zogg, Stefanie, additional, Gagnon, Philippe, additional, Abascal-Bolado, Beatriz, additional, Vagaggini, Barbara, additional, Garcia-Aymerich, Judith, additional, Jenkins, Sue C, additional, Romme, Elisabeth APM, additional, Kon, Samantha SC, additional, Albert, Paul S, additional, Waschki, Benjamin, additional, Shrikrishna, Dinesh, additional, Singh, Sally J, additional, Hopkinson, Nicholas S, additional, Miedinger, David, additional, Benzo, Roberto P, additional, Maltais, François, additional, Paggiaro, Pierluigi, additional, McKeough, Zoe J, additional, Polkey, Michael I, additional, Hill, Kylie, additional, Man, William D-C, additional, Clarenbach, Christian F, additional, Hernandes, Nidia A, additional, Savi, Daniela, additional, Wootton, Sally, additional, Furlanetto, Karina C, additional, Cindy Ng, Li W, additional, Vaes, Anouk W, additional, Jenkins, Christine, additional, Eastwood, Peter R, additional, Jarreta, Diana, additional, Kirsten, Anne, additional, Brooks, Dina, additional, Hillman, David R, additional, Sant’Anna, Thaís, additional, Meijer, Kenneth, additional, Dürr, Selina, additional, Rutten, Erica PA, additional, Kohler, Malcolm, additional, Probst, Vanessa S, additional, Tal-Singer, Ruth, additional, Gil, Esther Garcia, additional, den Brinker, Albertus C, additional, Leuppi, Jörg D, additional, Calverley, Peter MA, additional, Smeenk, Frank WJM, additional, Costello, Richard W, additional, Gramm, Marco, additional, Goldstein, Roger, additional, Groenen, Miriam TJ, additional, Magnussen, Helgo, additional, Wouters, Emiel FM, additional, ZuWallack, Richard L, additional, Amft, Oliver, additional, Watz, Henrik, additional, and Spruit, Martijn A, additional

Published
2017
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42. Analysis of nocturnal actigraphic sleep measures in patients with COPD and their association with daytime physical activity

Author

Spina, Gabriele, primary, Spruit, Martijn A, additional, Alison, Jennifer, additional, Benzo, Roberto P, additional, Calverley, Peter M A, additional, Clarenbach, Christian F, additional, Costello, Richard W, additional, Donaire-Gonzalez, David, additional, Dürr, Selina, additional, Garcia-Aymerich, Judith, additional, van Gestel, Arnoldus J R, additional, Gramm, Marco, additional, Hernandes, Nidia A, additional, Hill, Kylie, additional, Hopkinson, Nicholas S, additional, Jarreta, Diana, additional, Kohler, Malcolm, additional, Kirsten, Anne M, additional, Leuppi, Jörg D, additional, Magnussen, Helgo, additional, Maltais, François, additional, Man, William D-C, additional, McKeough, Zoe J, additional, Mesquita, Rafael, additional, Miedinger, David, additional, Pitta, Fabio, additional, Singh, Sally J, additional, Smeenk, Frank W J M, additional, Tal-Singer, Ruth, additional, Vagaggini, Barbara, additional, Waschki, Benjamin, additional, Watz, Henrik, additional, Wouters, Emiel F M, additional, Zogg, Stefanie, additional, and den Brinker, Albertus C, additional

Published
2017
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47. Effects of Ongoing Feedback During a 12-Month Maintenance Walking Program on Daily Physical Activity in People with COPD.

Author

McKeough, Zoe J., Wootton, Sally L., Alison, Jennifer A., Jenkins, Christine, Hill, Kylie, Jenkins, Sue, Ng, Li Whye Cindy, Eastwood, Peter R., Spencer, Lissa M., Cecins, Nola, and Hillman, David R.

Subjects
*PHYSICAL activity, *OBSTRUCTIVE lung diseases, *CLINICAL trial registries, *PSYCHOLOGICAL feedback, *TELEPHONE calls
Abstract

This multi-centred, randomised controlled trial explored the effects of adding ongoing feedback to a 12-month unsupervised maintenance walking program, on daily physical activity (PA) in people with chronic obstructive pulmonary disease. Participants were randomised to either an intervention group (IG) or a usual care group (UCG). During the maintenance program, the IG received ongoing feedback (telephone calls, biofeedback provided via pedometer and progressive goal setting) and the UCG received no feedback. The SenseWear® Pro3 Armband was used to measure PA. Of the 86 participants {IG = 42, (mean [SD]: age 70 [7] years; FEV1 43 [16] % predicted); UCG = 44, (age 69 [9] years; FEV1 44 [15] % predicted)} included at baseline, 43 had sufficient data to be included in the final analysis. There were no between-group differences in any of the PA variables from baseline to completion of the program (all p > 0.05). Ongoing feedback was no more effective than no feedback in improving PA during a 12-month unsupervised walking program. Trial Registration: The trial was registered in the Australia and New Zealand Clinical Trials Registry (ACTRN12609000472279). [ABSTRACT FROM AUTHOR]

Published
2019
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48. Inter-rater and intra-rater reliability of the Brief-BESTest in people with chronic obstructive pulmonary disease.

Author

Leung, Regina Wai Man, Alison, Jennifer A., and McKeough, Zoe J.

Subjects
ACCIDENTAL falls, LEG physiology, LUNG physiology, STATISTICAL correlation, POSTURAL balance, FEAR, LIFE skills, LONGITUDINAL method, LUNG diseases, OBSTRUCTIVE lung diseases, RESEARCH methodology, MEDICAL rehabilitation, SCIENTIFIC observation, PHYSICAL therapists, QUESTIONNAIRES, RESEARCH evaluation, PULMONARY function tests, INTER-observer reliability, VITAL capacity (Respiration), RESEARCH methodology evaluation, DATA analysis software, DESCRIPTIVE statistics, PSYCHOLOGY
Abstract

Objective: To investigate the inter-rater and intra-rater reliability of the Brief Balance Evaluation System Test (Brief-BESTest) in people with chronic obstructive pulmonary disease and its correlation between the Brief-BESTest score and lung function, functional exercise capacity, functional lower limb strength, and fear of falling. Design: Prospective, single-group, observational study. Setting: Outpatient pulmonary rehabilitation program. Subjects: People with chronic obstructive pulmonary disease who were attending a pulmonary rehabilitation program. Intervention: Participants performed three Brief-BESTests on two separate days, assessed by two independent physiotherapists. Participants also performed a lung function test, two 6-minute walk tests, the five sit-to-stand test and completed the Fall Efficacy Scale International questionnaire. Results: Thirty participants (mean (SD) age was 72 (7), forced expiratory volume in 1 second % predicted was 47 (16%), and baseline 6-minute walk distance was 427 (90) meters) completed the study. The interclass coefficients of the inter-rater and intra-rater reliability were 0.86 and 0.96, respectively. The Brief-BESTest score was moderately correlated with the 6-minute walk distance (r = 0.49, P < 0.01) and the five sit-to-stand test time (r =−0.54, P < 0.01). No adverse events were reported after the completion of 90 tests in this study. Conclusion: The Brief-BESTest was shown to have good inter- and intra-rater reliability for measuring balance in people with chronic obstructive pulmonary disease. A moderate correlation was demonstrated between the Brief-BESTest balance score with functional exercise capacity and functional lower limb strength in this population. [ABSTRACT FROM AUTHOR]

Published
2019
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49. Satisfaction and Experience with a Supervised Home-Based Real-Time Videoconferencing Telerehabilitation Exercise Program in People with Chronic Obstructive Pulmonary Disease (COPD)

Author

Tsai, Ling Ling Y, McNamara, Renae J, Dennis, Sarah M, Moddel, Chloe, Alison, Jennifer A, McKenzie, David K, McKeough, Zoe J, Tsai, Ling Ling Y, McNamara, Renae J, Dennis, Sarah M, Moddel, Chloe, Alison, Jennifer A, McKenzie, David K, and McKeough, Zoe J

Abstract

Telerehabilitation, consisting of supervised home-based exercise training via real-time videoconferencing, is an alternative method to deliver pulmonary rehabilitation with potential to improve access. The aims were to determine the level of satisfaction and experience of an eight-week supervised home-based telerehabilitation exercise program using real-time videoconferencing in people with COPD. Quantitative measures were the Client Satisfaction Questionnaire-8 (CSQ-8) and a purpose-designed satisfaction survey. A qualitative component was conducted using semi-structured interviews. Nineteen participants (mean (SD) age 73 (8) years, forced expiratory volume in 1 second (FEV1) 60 (23) % predicted) showed a high level of satisfaction in the CSQ-8 score and 100% of participants reported a high level of satisfaction with the quality of exercise sessions delivered using real-time videoconferencing in participant satisfaction survey. Eleven participants undertook semi-structured interviews. Key themes in four areas relating to the telerehabilitation service emerged: positive virtual interaction through technology; health benefits; and satisfaction with the convenience and use of equipment. Participants were highly satisfied with the telerehabilitation exercise program delivered via videoconferencing.

Published
2016

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