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Community-based exercise training for people with chronic respiratory and chronic cardiac disease: a mixed-methods evaluation.
- Source :
-
International journal of chronic obstructive pulmonary disease [Int J Chron Obstruct Pulmon Dis] 2016 Nov 16; Vol. 11, pp. 2839-2850. Date of Electronic Publication: 2016 Nov 16 (Print Publication: 2016). - Publication Year :
- 2016
-
Abstract
- Background: Poor uptake and adherence are problematic for hospital-based pulmonary and heart failure rehabilitation programs, often because of access difficulties. The aims of this mixed-methods study were to determine the feasibility of a supervised exercise training program in a community gymnasium in people with chronic respiratory and chronic cardiac disease, to explore the experiences of participants and physiotherapists and to determine if a community venue improved access and adherence to rehabilitation.<br />Methods: Adults with chronic respiratory and/or chronic cardiac disease referred to a hospital-based pulmonary and heart failure rehabilitation program were screened to determine their suitability to exercise in a community venue. Eligible patients were offered the opportunity to attend supervised exercise training for 8 weeks in a community gymnasium. Semi-structured interviews were conducted with participants and physiotherapists at the completion of the program.<br />Results: Thirty-one people with chronic respiratory and chronic cardiac disease (34% males, mean [standard deviation] age 72 [10] years) commenced the community-based exercise training program. Twenty-two (71%) completed the program. All participants who completed the program, and the physiotherapists delivering the program, were highly satisfied, with reports of the community venue being well-equipped, convenient, and easily accessible. Using a community gymnasium promoted a sense of normality and instilled confidence in some to continue exercising at a similar venue post rehabilitation. However, factors such as cost and lack of motivation continue to be barriers.<br />Conclusion: The convenience and accessibility of a community venue for rehabilitation contributed to high levels of satisfaction and a positive experience for people with chronic respiratory and chronic cardiac disease and physiotherapists.<br />Competing Interests: The authors report no conflicts of interest in this work.
- Subjects :
- Aged
Aged, 80 and over
Attitude of Health Personnel
Feasibility Studies
Female
Health Knowledge, Attitudes, Practice
Health Services Accessibility
Heart Diseases diagnosis
Heart Diseases physiopathology
Heart Diseases psychology
Humans
Male
Middle Aged
Motivation
New South Wales
Patient Compliance
Patient Satisfaction
Physical Therapists psychology
Pulmonary Disease, Chronic Obstructive diagnosis
Pulmonary Disease, Chronic Obstructive physiopathology
Pulmonary Disease, Chronic Obstructive psychology
Time Factors
Treatment Outcome
Cardiac Rehabilitation methods
Community Health Services
Exercise Therapy
Heart Diseases rehabilitation
Lung physiopathology
Pulmonary Disease, Chronic Obstructive therapy
Respiratory Therapy methods
Subjects
Details
- Language :
- English
- ISSN :
- 1178-2005
- Volume :
- 11
- Database :
- MEDLINE
- Journal :
- International journal of chronic obstructive pulmonary disease
- Publication Type :
- Academic Journal
- Accession number :
- 27895476
- Full Text :
- https://doi.org/10.2147/COPD.S118724