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Enhance Access to Pulmonary Rehabilitation with a Structured and Personalized Home-Based Program—reabilitAR: Protocol for Real-World Setting
- Source :
- Repositório Científico de Acesso Aberto de Portugal, Repositório Científico de Acesso Aberto de Portugal (RCAAP), instacron:RCAAP, International Journal of Environmental Research and Public Health, Vol 18, Iss 6132, p 6132 (2021), International Journal of Environmental Research and Public Health
- Publication Year :
- 2021
- Publisher :
- MDPI AG, 2021.
-
Abstract
- © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).<br />Home-based models represent one of the solutions to respond to the poor accessibility of pulmonary rehabilitation (PR) services in patients with chronic respiratory disease (CRD). The main goal of this protocol is to present the implementation of the first nationwide home-based PR program—reabilitAR—in Portugal and the strategies to assess its benefits in patients with CRD. The program consists of 2 phases: a 12-week intensive phase and a 40-week maintenance phase (total: 52 weeks, 1 year). The intervention in both phases is composed of presential home visits and phone-call follow ups, including exercise training and the self-management educational program Living Well with COPD. Dyspnea, impact of the disease, emotional status, and level of dyspnea during activities of daily living are used as patient-reported outcomes measures. A one-minute sit-to-stand test is used as a functional outcome, and the number of steps as a measure of physical activity. To ensure safety, fall risk and the cognitive function are assessed. Data are collected at baseline, at 12 weeks, at 26 weeks and at 52 weeks. This is the first nationwide protocol on enhancing access to PR, providing appropriate responses to CRD patients’ needs through a structured and personalized home-based program in Portugal.
- Subjects :
- Quality of life
self-management
medicine.medical_specialty
Activities of daily living
Health, Toxicology and Mutagenesis
medicine.medical_treatment
Chronic respiratory diseases
chronic respiratory diseases
Exercise training
Pulmonary Disease, Chronic Obstructive
03 medical and health sciences
0302 clinical medicine
Quality of life (healthcare)
Activities of Daily Living
Protocol
Self-management
Humans
COPD
Medicine
Pulmonary rehabilitation
030212 general & internal medicine
Protocol (science)
Exercise Tolerance
Portugal
business.industry
Public Health, Environmental and Occupational Health
medicine.disease
Exercise Therapy
Test (assessment)
Dyspnea
Treatment Outcome
030228 respiratory system
Quality of Life
Physical therapy
business
exercise training
Educational program
Subjects
Details
- ISSN :
- 16604601
- Volume :
- 18
- Database :
- OpenAIRE
- Journal :
- International Journal of Environmental Research and Public Health
- Accession number :
- edsair.doi.dedup.....a609d32d6365a64101645aceca0a4b8d